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March 2012




 MediSapiens Ltd
 OncoGenomics Explorer – taming Big Data
Which are the most frequently mutated
      genes in ovarian serous carcinoma?



                                                                           Samples from
                                                                           ovarian serous
                                                                           carcinoma




Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
TP53, BRCA1 and BRCA2 are the three
           most frequently mutated genes

                                          TP53 is mutated in
                                          almost all tumors




Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
Mutation of the p53 gene is the key event in the
          development of high-grade tumors.
   Unlike low-grade serous carcinoma, mutations of
   KRAS, BRAF, or ERBB2 occur very infrequently in
                 high-grade carcinoma.




Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
Most high-grade tumors are characterized by
         TP53 mutations and lack mutations of KRAS,
                      BRAF, or ERBB2



Vang R., et al., 2009: Ovarian low-
grade and high-grade serous
carcinoma: pathogenesis,
clinicopathologic and molecular
biologic features, and diagnostic
problems.




Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
Select the aforementioned group of samples from
   the Mutation Heat Map and examine a summary
                  of clinical variables




Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
Results can also be viewed in tabular format and
      subsequently be exported for further analysis




Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
Serous ovarian cancer is also characterized
        by a low prevalence but statistically
     recurrent mutations in a number of other
      genes, including NF1, RB1 and FAT3.




Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
Study for example the proportions of
        point mutations or AA types in NF1...




Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
...or study the mutations in NF1 in detail
              with the Gene viewer
                                                                           - The blue boxes
                                                                           represent the exons
                                                                           - Substitutions are
                                                                           shown as red vertical
                                                                           lines, insertions as light
                                                                           blue triangles, and
                                                                           deletions as pink
                                                                           triangles
                                                                           - The SIFT score
                                                                           predicts whether a
                                                                           mutation will affect
                                                                           protein function




                               Can be zoomed all
                               the way down to
                               sequence level




Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
Is there a correlation between copy number
    variations of CCNE1 and overall survival of
                    the patients ?

                                                                           Select the gene/genes of
                                                                           interest, in this case CCNE1




Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
Overall survival tends to be lower for
         patients with CCNE1 amplification



The Cancer Genome
Atlas Research
Network, 2011:
Integrated genomic
analyses of ovarian
carcinoma




Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
RAB25 seems to be epigenetically silenced
        in a subset of HG-OvCa tumors




The Cancer Genome
Atlas Research
Network, 2011:
Integrated genomic
analyses of ovarian
carcinoma




Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
Genes with correlated CNV and expression
       include KRAS, POP4 and C19orf2




                                                                Wrzeszczynski KO. et al, 2011:
                                                                Identification of tumor suppressors and
                                                                oncogenes from genomic and epigenetic
                                                                features in ovarian cancer




Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
Are genes in a region of frequent copy number
      gain differentially expressed between amplified
           and unamplified groups of samples?

                                                                           Define the two groups
                                                                           to be compared, for
                                                                           example samples with
                                                                           copy number gain vs.
                                                                           samples with normal
                                                                           copy number



                                                                           Select the genes to
                                                                           be included, for
                                                                           example all genes in
                                                                           chromosome region
                                                                           3q26




Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
A volcano plot presenting the results of expression
      analyses between amplified and unamplified
              samples in the 3q26 region

                                                                           The results are
                                                                           shown as a volcano
                                                                           plot that enables the
                                                                           identification of
                                                                           genes that display
                                                                           high differences in
                                                                           expression that also
                                                                           are statistically
                                                                           significant




Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
MYNN is a gene that is located in a region of frequent
     copy number gain on 3q26.2. It is differently expressed
          between amplified and unamplified groups



                                                                           MYNN shows a
                                                                           strong correlation
                                                                           between copy number
                                                                           and expression




                                                                           Ramakrishna M. et al.,
                                                                           2010: Identification of
                                                                           candidate growth
                                                                           promoting genes in
                                                                           ovarian cancer through
                                                                           integrated copy number
                                                                           and expression analysis




Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
In the volcano plot, an interesting group of
                 genes can be selected



Select for example
genes with
significant p-values
and large
difference
estimates




Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
A heat map can be drawn of the genes from the defined
    gene selection and of the samples from the two selected
                        sample groups




   Select an
   interesting
   cluster of
   samples in
   the heat
   map...


                                                             ...and examine a summary of
                                                             clinical covariates




Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
Find out how genetic values correlate with
               clinical reference data...


 Study for example
 how expression
 values of genes in
 chromosome
 region 8p correlate
 with overall
 survival




Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
...or how genetic values correlate with
                   genetic reference data


Study for example                                                          Interesting
how expression                                                             genes can be
values of genes in                                                         selected for
chromosome                                                                 further analysis
region 8p correlate
with CNVs of
BRCA1




Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
Several different applications with powerful
   filter options offer numerous ways to study a
                        dataset




Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com

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OncoGenomics Explorer

  • 1. March 2012 MediSapiens Ltd OncoGenomics Explorer – taming Big Data
  • 2. Which are the most frequently mutated genes in ovarian serous carcinoma? Samples from ovarian serous carcinoma Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
  • 3. TP53, BRCA1 and BRCA2 are the three most frequently mutated genes TP53 is mutated in almost all tumors Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
  • 4. Mutation of the p53 gene is the key event in the development of high-grade tumors. Unlike low-grade serous carcinoma, mutations of KRAS, BRAF, or ERBB2 occur very infrequently in high-grade carcinoma. Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
  • 5. Most high-grade tumors are characterized by TP53 mutations and lack mutations of KRAS, BRAF, or ERBB2 Vang R., et al., 2009: Ovarian low- grade and high-grade serous carcinoma: pathogenesis, clinicopathologic and molecular biologic features, and diagnostic problems. Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
  • 6. Select the aforementioned group of samples from the Mutation Heat Map and examine a summary of clinical variables Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
  • 7. Results can also be viewed in tabular format and subsequently be exported for further analysis Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
  • 8. Serous ovarian cancer is also characterized by a low prevalence but statistically recurrent mutations in a number of other genes, including NF1, RB1 and FAT3. Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
  • 9. Study for example the proportions of point mutations or AA types in NF1... Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
  • 10. ...or study the mutations in NF1 in detail with the Gene viewer - The blue boxes represent the exons - Substitutions are shown as red vertical lines, insertions as light blue triangles, and deletions as pink triangles - The SIFT score predicts whether a mutation will affect protein function Can be zoomed all the way down to sequence level Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
  • 11. Is there a correlation between copy number variations of CCNE1 and overall survival of the patients ? Select the gene/genes of interest, in this case CCNE1 Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
  • 12. Overall survival tends to be lower for patients with CCNE1 amplification The Cancer Genome Atlas Research Network, 2011: Integrated genomic analyses of ovarian carcinoma Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
  • 13. RAB25 seems to be epigenetically silenced in a subset of HG-OvCa tumors The Cancer Genome Atlas Research Network, 2011: Integrated genomic analyses of ovarian carcinoma Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
  • 14. Genes with correlated CNV and expression include KRAS, POP4 and C19orf2 Wrzeszczynski KO. et al, 2011: Identification of tumor suppressors and oncogenes from genomic and epigenetic features in ovarian cancer Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
  • 15. Are genes in a region of frequent copy number gain differentially expressed between amplified and unamplified groups of samples? Define the two groups to be compared, for example samples with copy number gain vs. samples with normal copy number Select the genes to be included, for example all genes in chromosome region 3q26 Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
  • 16. A volcano plot presenting the results of expression analyses between amplified and unamplified samples in the 3q26 region The results are shown as a volcano plot that enables the identification of genes that display high differences in expression that also are statistically significant Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
  • 17. MYNN is a gene that is located in a region of frequent copy number gain on 3q26.2. It is differently expressed between amplified and unamplified groups MYNN shows a strong correlation between copy number and expression Ramakrishna M. et al., 2010: Identification of candidate growth promoting genes in ovarian cancer through integrated copy number and expression analysis Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
  • 18. In the volcano plot, an interesting group of genes can be selected Select for example genes with significant p-values and large difference estimates Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
  • 19. A heat map can be drawn of the genes from the defined gene selection and of the samples from the two selected sample groups Select an interesting cluster of samples in the heat map... ...and examine a summary of clinical covariates Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
  • 20. Find out how genetic values correlate with clinical reference data... Study for example how expression values of genes in chromosome region 8p correlate with overall survival Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
  • 21. ...or how genetic values correlate with genetic reference data Study for example Interesting how expression genes can be values of genes in selected for chromosome further analysis region 8p correlate with CNVs of BRCA1 Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com
  • 22. Several different applications with powerful filter options offer numerous ways to study a dataset Copyright © 2012 MediSapiens Ltd. All rights reserved. • medisapiens.com