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NCBI Clinical Variation Resources Clinical Bioinformatics Unit Department of Pathology Arne Ijpma

NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

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Page 1: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

NCBI Clinical Variation Resources

Andrew Stubbs

Clinical Bioinformatics Unit

Department of Pathology

Arne Ijpma

Page 2: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

Genetic Variation

SNP SNP Indel Indel

Page 4: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

Functional consequences

Page 5: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

Functional consequences Effect of annotation on functional Impact

Page 6: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

Functional consequences REFSEQ-normalised heatmap of annotation comparison

Page 7: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

Clinical Interpretation

Page 8: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

Clinical Interpretation

Volume 15 | Number 9 | September 2013

Volume 15 | Number 7 | July 2013

Page 9: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

NCBI Genomics

Page 10: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

NCBI Database Resources

-Database of Short Genetic Variations

(dbSNP)

-Database of Genomic Structural Variation

(dbVar)

-BioProject (formerly Genome Project)

DATABASES

-Database of Genotypes and Phenotypes

(dbGaP)

-Online Mendelian Inheritance in Man

(OMIM)

-Genetic Testing Registry (GTR)

DATABASES

http://www.ncbi.nlm.nih.gov/guide/variation/

Page 11: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

NCBI Database Resources Non-Clinical

Database of Short Genetic Variations (dbSNP): Includes single nucleotide variations, microsatellites, and small-scale insertions and deletions

Database of Genomic Structural Variation (dbVar): Large scale genomic variation, including large insertions, deletions, translocations and inversions and associated phenotype information.

Database of Major Histocompatibility Complex (dbMHC) : Interactive Alignment Viewer for HLA and related genes, an MHC microsatellite database, a sequence interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database.

Database of Genotypes and Phenotypes (dbGaP): genotype and phenotype. These studies include genome-wide association (GWAS), medical resequencing, molecular diagnostic assays, as well as association between genotype and non-clinical traits.

http://www.ncbi.nlm.nih.gov/guide/variation/

Page 12: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

NCBI Database Resources Clinical

ClinVar: A public, tracked record of reported relationships between human variation and observed health status with supporting evidence.

Genetic Testing Registry (GTR) : A voluntary registry of genetic tests and analytic and clinical validity.

http://www.ncbi.nlm.nih.gov/guide/variation/

Page 13: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

dbSNP database of short genetic variation

Page 14: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

dbSNP database of short genetic variation

rs28933093

Page 15: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

dbSNP database of short genetic variation

rs28933093

Page 16: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

dbSNP database of short genetic variation

rs28933093

Page 17: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

HGVS from RefSeq Gene naming conventions

Within a coding region CFTR

Intronic SLC46A1

Flanking and intronic SEPT9

Page 18: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

dbVar database of structural variation

http://www.ncbi.nlm.nih.gov/dbvar

Page 19: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

dbGaP database of genotypes and phenotypes

Page 20: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

dbGaP database of genotypes and phenotypes

Page 21: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

dbGaP database of genotypes and phenotypes

Page 22: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

OMIM Online Mendelian Inheritance in Man

#310200 - MUSCULAR DYSTROPHY, DUCHENNE TYPE; DMD

Page 23: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

OMIM

Page 24: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

OMIM

#310200 - MUSCULAR DYSTROPHY, DUCHENNE TYPE; DMD

Page 25: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

ClinVar?

ClinVar is a freely accessible, public archive of reports of the relationships among human variations and phenotypes, with supporting evidence.

http://www.ncbi.nlm.nih.gov/clinvar/intro/

Page 26: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

ClinVar integrates results from four domains

Page 27: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

ClinVar Review Status

Page 28: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

Accessing ClinVar http://www.ncbi.nlm.nih.gov/clinvar

Page 29: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

Viewing ClinVar Data

Page 30: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

Viewing ClinVar Data

Page 31: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

Viewing ClinVar Data

Page 32: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

ClinVar Submission Totals

Page 33: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

ClinGen & ClinVar

Page 34: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

ClinGen Overview

Page 35: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

ClinGen Goals

Page 36: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

ClinGen Dataflow

Page 37: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

GTR Genetic testing registry

Page 38: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

GTR Genetic testing registry

Page 39: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

GTR Genetic testing registry

Page 40: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

MedGen NCBI Portal to Medical Genetics

MedGen is NCBI's portal to information related to Medical Genetics. Terms from the NIH Genetic Testing Registry (GTR), UMLS, HPO, Orphanet, ClinVar and other sources are aggregated into concepts, each of which is assigned a unique identifier and a preferred name and symbol.

The core content of the record may include names, identifiers used by other databases, mode of inheritance, clinical features, and map location of the underlying genetic basis.

MedGen provides links to such resources as 1. Genetic tests registered in the NIH Genetic Testing Registry (GTR) 2. GeneReviews 3. OMIM 4. Related genes 5. Disorders with similar clinical features 6. Medical and research literature 7. Practice guidelines 8. Consumer resources 9. Ontologies such as HPO and ORDO

Quick start guide http://www.ncbi.nlm.nih.gov/medgen/docs/help/#start

Page 41: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

MedGen access from ClinVar

Page 42: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

MedGen

Page 43: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

MedGen

Page 44: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

GenomeConnect Benefits of Sharing Patient Data

Page 45: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

Genomics In Medicine

Diseases

Genomic Variation

Phenotypes/ Diseases

Publications

Studies

Assays

NCBI Portal

Page 46: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

Genomics In Medicine

Diseases

Genomic Variation

Phenotypes/ Diseases

Publications

Studies

Assays

PUBMED

dbSNP

GTR

dbGaP

OMIM

dbVAR

BioProject

NCBI Portal MedGen

Page 47: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

NCBI Genomics

Page 48: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

NCBI Clinical Variation Resources PRACTICALS

Andrew Stubbs

Page 49: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

Graphical Sequence Viewer Graphical Sequence Viewer (http://www.ncbi.nlm.nih.gov/projects/sviewer/) is the graphical display for the Nucleotide and Protein databases. The Sequence Viewer on the web and NCBI's Genome Workbench are based on the same code libraries and developed by the same team.

Help tutorials 1. Sequence Viewer Navigate objects https://www.youtube.com/watch?v=t_gIOYlSlvQ&feature=youtu.be 2. Use BLAST https://www.youtube.com/watch?v=cSlW05LDMlM&list=PL76D7EE6A6A8AC1C3

Page 50: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

Graphical Sequence Viewer Example Links: • Human chromosome: NC_000001 This link provides a look at human chromosome 1. There are two panels

shown by default: an overview panel showing the density of annotated genes along with a select number of genes for reference; and a zoomed in graphical view showing a region of the chromosome itself.

• Human reference genomic region: NG_000007 This link shows a reference genomic region − that is, a genomic region that has undergone substantial curation by staff at NCBI. This particular record shows the beta globin locus on chromosome 11. Two panels are shown by default: an overview panel showing the density of annotated genes along with a select number of genes for reference; and a zoomed in graphical view showing individual features on the record.

• MGC mRNA: BC066124.1 This link shows a sample mRNA sequence from the Mammalian Genome Collection. This link will open with two views by default: a graphical panel showing the feature annotation on the sequence; and a sequence panel providing the bases of the sequence itself.

• Viral genome: AC_000020, sequence viewport and marker This link provides an example of how a viral genome can be shown. The link will open with three panels (an overview graphical panel; a zoomed in graphical panel; and a sequence panel); additionally, a marker is set at position 800. You can also embed Sequence Viewer on your own page.

Page 51: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

Variation Analysis Tools Which tool do I use for .... ? • I have 3000 variant calls. How do I find out which is possibly significant? - Use

Variation Reporter.

• I am studying my favorite gene. How do I find all variants on that gene? - Use Variation Viewer.

• I want to know if my variant has been observed in the 1000 Genomes study. - Use the 1000 Genomes Browser.

• I have a VCF file in GRCh37 coordinates. How do I move those to GRCh38 coordinates? - Use the NCBI Genome Remapping Service.

• I want to search the NHGRI GWAS Catalog for studies related to Basal Cell Carcinoma. - Use PheGenI.

Page 52: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

Variation Analysis Tools Variation Viewer Variation Viewer is a tool for interactive examination and download of nucleotide variants for a specific locus. It supports both the GRCh38 and GRCh37.p13 assemblies. Variation Viewer integrates data from all of the NCBI Variation databases and presents them in a coupled graphical and tabular report. The resulting list of variants can be saved locally using the download function. You can also upload their own variant data to this browser. More information can be found on the NCBI Variation Viewer Fact sheet and in an introductory video tutorial. 1000k Genomes Viewer https://www.youtube.com/watch?v=76gLdUT712c&index=4&list=PL76D7EE6A6A8AC1C3&nohtml5=False

Page 53: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

Desktop analysis

http://www.ncbi.nlm.nih.gov/tools/gbench/

Page 54: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

Desktop analysis Please follow the tutorials located at: Genome Workbench http://www.ncbi.nlm.nih.gov/tools/gbench/tutorial1/ Genes and Variant http://www.ncbi.nlm.nih.gov/tools/gbench/tutorial4/ Working with BAM files Use the files located on the training drive • A sorted BAM file with index and coverage graph • A sorted BAM file with index and no coverage graph http://www.ncbi.nlm.nih.gov/tools/gbench/tutorial4/ Example Loading a Genome https://www.youtube.com/watch?v=6K6pimaFpiQ

Page 55: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

NCBI Genomics

Page 56: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):

Acknowledgements

• NCBI staff for providing slides and online teaching resources.

• This presentation generated from the online information provided by many NCBI authors including but not exclusively, Ben Busby. Slides from Justine Peeters and Mario Pescatori (Health e-genomics).

• Frank and Sharesma from Erasmus MC for organising this course

Page 57: NCBI Clinical Variation Resources · 2018. 6. 4. · interpretation site for Sequencing Based Typing (SBT), and a Primer/Probe database. Database of Genotypes and Phenotypes ( dbGaP):