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Biology subjects

Derkach, A.

Publications and source records attributed to Derkach, A..

3 recordsLinked to original sources

Copy number signatures predict chromothripsis and associate with poor clinical outcomes in patients with newly diagnosed multiple myeloma

Chromothripsis is detectable in 20-30% of newly diagnosed multiple myeloma (NDMM) patients and is emerging as a new independent adverse prognostic factor. In this study, we interrogate 752 NDMM patients using whole genome sequencing (WGS) to study the relationship of copy number (CN) signatures to chromothripsis and show they are highly associated. CN signatures are highly predictive of the presence of chromothripsis (AUC=0.90) and can be used to identify its adverse prognostic impact. The ability of CN signatures to predict the presence of chromothripsis was confirmed in a validation series of WGS comprised of 235 hematological cancers (AUC=0.97) and an independent series of 34 NDMM (AUC=0.87). We show that CN signatures can also be derived from whole exome data (WES) and using 677 cases from the same series of NDMM, we were able to predict both the presence of chromothripsis (AUC=0.82) and its adverse prognostic impact. CN signatures constitute a flexible tool to identify the presence of chromothripsis and is applicable to WES and WGS data.

genomics↗

Whole genome sequencing provides evidence of two biologically and clinically distinct entities of asymptomatic monoclonal gammopathies: progressive versus stable myeloma precursor condition

Multiple myeloma (MM) is consistently preceded by precursor conditions recognized clinically as monoclonal gammopathy of undetermined significance (MGUS) or smoldering myeloma (SMM). We interrogate, for the first time, the whole genome sequence (WGS) profile of 18 MGUS and compare them with those from 14 SMMs and 80 MMs. We show that cases with a non-progressing, clinically stable myeloma precursor condition (n=15) are characterized by later initiation in the patients life and by the absence of myeloma defining genomic events including: chromothripsis, templated insertions, mutations in driver genes, aneuploidy, and canonical APOBEC mutational activity. This data provides evidence that WGS can be used to recognize two biologically and clinically distinct myeloma precursor entities that are either progressive or stable.

cancer biology↗

Simplified Power Calculations for Aggregate-level Association Tests Provide Insights to Challenges for Rare Variant Association Studies

Genome-wide association studies are now shifting focus from analysis of common to uncommon and rare variants with an anticipation to explain additional heritability of complex traits. As power for association testing for individual rare variants may often be low, various aggregate level association tests have been proposed to detect genetic loci that may contain clusters of susceptibility variants. Typically, power calculations for such tests require specification of large number of parameters, including effect sizes and allele frequencies of individual variants, making them difficult to use in practice. In this report, we approximate power to varying degree of accuracy using a smaller number of key parameters, including the total genetic variance explained by multiple variants within a locus. We perform extensive simulation studies to assess the accuracy of the proposed approximations in realistic settings. Using the simplified power calculation methods, we then develop an analytic framework to obtain bounds on genetic architecture of an underlying trait given results from a genome-wide study and observe important implications for the completely lack of or limited number of findings in many currently reported studies. Finally, we provide insights into the required quality of annotation/functional information for identification of likely causal variants to make meaningful improvement in power of subsequent association tests. A shiny application, Power Analysis for GEnetic AssociatioN Tests (PAGEANT), in R implementing the methods is made publicly available.

bioinformatics↗