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clinvar@ncbi.nlm.nih.gov
Melissa J Landrum, Ph.D.
Getting the Most from the Reference Assembly and Reference
Materials
Oct 18, 2016
ClinVar www.ncbi.nlm.nih.gov/clinvar
 Archive of interpretations of variants relative to conditions
 Variant-level information
 Fully public and freely available
 Submission-driven database
 Primary submissions
 Expert-curated submissions
 Curation support from NCBI staff
ClinVar integrates four domains of information
Variation Condition
Interpretation Evidence
dbSNP
dbVar
Gene
MedGen
(HPO, OMIM)
PubMedACMG
Sequence
Ontology
GTR
Submissions
170K
232K
596
submitters
0
50000
100000
150000
200000
250000
5/1/2013 5/1/2014 5/1/2015 5/1/2016
Submissions to ClinVar
0
20000
40000
60000
80000
100000
120000
140000
160000
180000
4/5/2013 4/5/2014 4/5/2015 4/5/2016
Variants in ClinVar
Submitters
http://www.ncbi.nlm.nih.gov/clinvar/docs/submitter_list/
Archive submitted interpretations
 All submissions are accessioned and versioned
 ClinVar maintains a history of changes to interpretations
 History is currently available in XML
 Planned development: provide web access to record
history
Standardize data
Content Authorities
Sequence variants HGVS
Structural variants ISCN (being developed)
Accessions for the variant location dbSNP, dbVar
Genes HGNC
Conditions Orphanet: group terms
OMIM: disease-specific terms
Human phenotype ontology: clinical
features
Reference sequence Assembly: Genome Reference
Consortium (GRC)
Gene-specific: RefSeqGene/LRG
Type of variation, location in gene Sequence ontology
Variant effects VAriO, Sequence ontology
Clinical significance ACMG
Aggregate data
BRCA2:c.9875C>T
Familial cancer of breast
Lab A
SCV000000010
Variant
Condition
BRCA2:c.9875C>T
Familial cancer of breast
RCV000000050
BRCA2:c.9875C>TVariant
BRCA2:c.9875C>T
Familial cancer of breast
Lab B
SCV000000020
BRCA2:c.9875C>T
Breast-ovarian cancer, familial 2
Lab C
SCV000000030
BRCA2:c.9875C>T
Breast-ovarian cancer, familial 2
RCV000000070
ClinVar review status
Practice guideline
Reviewed by expert panel
Multiple interpretations with assertion criteria that agree
• One interpretation with assertion criteria
• OR multiple interpretations with assertion criteria but conflicting
• No interpretations with assertion criteria
• OR no interpretation provided
Data access
• Monthly full releases
– Comprehensive XML extraction
– VCF files
– Tab-delimited summary files, e.g. genes, variants, conflicts
• E-utilities
• Variation Viewer, Sequence Viewer
• Website
– Subset of data
– Updated weekly
 Assembly used to call the variant
 Definition of variant
 Condition
 Clinical significance
 Method used to collect the data
 Allele origin
 Affected status
Required fields for submission
Making the move to GRCh38
 Most or all clinical laboratories that submit to ClinVar still report
on GRCh37
 Lack of tools to analyze GRCh38
 Lack of reference materials for GRCh38
 ClinVar maps variants between GRCh37 and GRCh38 and reports
both locations
 XML
 VCF
 website
Acknowledgements
 Mark Benson
 Garth Brown
 Chao Chen
 Shanmuga Chitipiralla
 Baoshan Gu
 Jennifer Hart
 Douglas Hoffman
 Wonhee Jang
 Brandi Kattman
 Ken Katz
 Jennifer Lee
 Zenith Maddipatla
 Donna Maglott
 Adriana Malheiro
 Michael Ovetsky
 George Riley
 Wendy Rubinstein
 Amanjeev Sethi
 Ray Tully
 Ricardo Villamarin
 George Zhou
 Steve Sherry
 Jim Ostell
 David Lipman

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ClinVar: Getting the most from the reference assembly and reference materials

  • 1. clinvar@ncbi.nlm.nih.gov Melissa J Landrum, Ph.D. Getting the Most from the Reference Assembly and Reference Materials Oct 18, 2016
  • 2. ClinVar www.ncbi.nlm.nih.gov/clinvar  Archive of interpretations of variants relative to conditions  Variant-level information  Fully public and freely available  Submission-driven database  Primary submissions  Expert-curated submissions  Curation support from NCBI staff
  • 3. ClinVar integrates four domains of information Variation Condition Interpretation Evidence dbSNP dbVar Gene MedGen (HPO, OMIM) PubMedACMG Sequence Ontology GTR
  • 4. Submissions 170K 232K 596 submitters 0 50000 100000 150000 200000 250000 5/1/2013 5/1/2014 5/1/2015 5/1/2016 Submissions to ClinVar 0 20000 40000 60000 80000 100000 120000 140000 160000 180000 4/5/2013 4/5/2014 4/5/2015 4/5/2016 Variants in ClinVar
  • 6. Archive submitted interpretations  All submissions are accessioned and versioned  ClinVar maintains a history of changes to interpretations  History is currently available in XML  Planned development: provide web access to record history
  • 7. Standardize data Content Authorities Sequence variants HGVS Structural variants ISCN (being developed) Accessions for the variant location dbSNP, dbVar Genes HGNC Conditions Orphanet: group terms OMIM: disease-specific terms Human phenotype ontology: clinical features Reference sequence Assembly: Genome Reference Consortium (GRC) Gene-specific: RefSeqGene/LRG Type of variation, location in gene Sequence ontology Variant effects VAriO, Sequence ontology Clinical significance ACMG
  • 8. Aggregate data BRCA2:c.9875C>T Familial cancer of breast Lab A SCV000000010 Variant Condition BRCA2:c.9875C>T Familial cancer of breast RCV000000050 BRCA2:c.9875C>TVariant BRCA2:c.9875C>T Familial cancer of breast Lab B SCV000000020 BRCA2:c.9875C>T Breast-ovarian cancer, familial 2 Lab C SCV000000030 BRCA2:c.9875C>T Breast-ovarian cancer, familial 2 RCV000000070
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  • 13. ClinVar review status Practice guideline Reviewed by expert panel Multiple interpretations with assertion criteria that agree • One interpretation with assertion criteria • OR multiple interpretations with assertion criteria but conflicting • No interpretations with assertion criteria • OR no interpretation provided
  • 14. Data access • Monthly full releases – Comprehensive XML extraction – VCF files – Tab-delimited summary files, e.g. genes, variants, conflicts • E-utilities • Variation Viewer, Sequence Viewer • Website – Subset of data – Updated weekly
  • 15.  Assembly used to call the variant  Definition of variant  Condition  Clinical significance  Method used to collect the data  Allele origin  Affected status Required fields for submission
  • 16. Making the move to GRCh38  Most or all clinical laboratories that submit to ClinVar still report on GRCh37  Lack of tools to analyze GRCh38  Lack of reference materials for GRCh38  ClinVar maps variants between GRCh37 and GRCh38 and reports both locations  XML  VCF  website
  • 17. Acknowledgements  Mark Benson  Garth Brown  Chao Chen  Shanmuga Chitipiralla  Baoshan Gu  Jennifer Hart  Douglas Hoffman  Wonhee Jang  Brandi Kattman  Ken Katz  Jennifer Lee  Zenith Maddipatla  Donna Maglott  Adriana Malheiro  Michael Ovetsky  George Riley  Wendy Rubinstein  Amanjeev Sethi  Ray Tully  Ricardo Villamarin  George Zhou  Steve Sherry  Jim Ostell  David Lipman