Presentation Title Arial 28pt Bold Agilent Blue · 2016. 9. 4. · S1 CAG EMEAI | Agilent...

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CAG EMEAI | Agilent Restricted | Page 1 | Page 1 S1 Cytogenetics 101 Douglas Blake, CG(ASCP) CM Clinical Field Application Scientist Agilent Technologies

Transcript of Presentation Title Arial 28pt Bold Agilent Blue · 2016. 9. 4. · S1 CAG EMEAI | Agilent...

  • CAG EMEAI | Agilent Restricted | Page 1 | Page 1 S1

    Cytogenetics 101

    Douglas Blake, CG(ASCP)CM

    Clinical Field Application Scientist

    Agilent Technologies

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    Introduction to aCGH

    2 Experimental Considerations

    1

    3 Experimental Analysis

    Agenda

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    Technology Advancements: Smaller Aberrations

    3-5Mb 50-100kb 5-10Mb 0.5Mb >60bp 1bp

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    Classical cytogenetic analysis

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    Sample types used in clinical CGH research

    Pre-implantation

    • Single cell

    Pre-natal

    • Amniotic Fluid

    • Chorionic Villus Sampling

    Post-natal

    • Blood

    • Saliva

    Cancer

    • Blood

    • Bone marrow

    • Solid tumor:

    • Frozen

    • FFPE

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    How does it work? Typical workflow

    Sample Nucleic Acid

    Purification Labeling

    Hybridization Scanning Data Analysis

    Sample QC

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    CGH Data Interpretation

    Not approved for use in diagnostic

    procedures

    7

    Trisomy 21

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    Chromosome view Gene View

    NA14117 46,XY,del(5)(qter>p14:).ishdel(5)

    (D5S23-)

    Analysis of a Cytogenetic Sample

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    aCGH Detects Net Copy Changes

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    What is aCGH

    2 Experimental Considerations

    1

    3 Experimental analysis

    Agenda

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    Range of Challenges for aCGH

    Not approved for use in diagnostic

    procedures

    11

    Adapted from Nat Genet. 2005 Jun; 37 Suppl:S11-7

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    CNV Consideration for Targeted Designs

    May 8, 2014

    Confidentiality Label

    12

    • Microarray Content (to include CNV or not)

    • Reference DNA (Single vs. Multiple)

    • Confirmation (DGV, FISH, Parental, MLPA, etc)

    • International Databases/ Consortia

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    Normal Copy Number Variants (CNVs)

    The purpose of your aCGH experiment should dictate inclusion of Normal CNVs in the design

    Pros:

    • Allows for population/ethnicity studies

    • Increase internal database knowledge

    • Useful when using a single individual control

    Cons:

    • Can complicate the analysis

    • Requires additional time to cross-reference with external databases

    • Can be difficult to interpret if change is

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    Type of Reference

    May 8, 2014

    Not approved for use in diagnostic

    procedures

    14

    Control Notes Details

    Self / Self

    • If the same DNA sample is both test and

    reference, log ratios should be ‘0’ across the

    genome.

    • Deviations from ‘0’ indicate false positives

    and can be used to predict false positive rates

    Any high-quality DNA sample can

    be used for a self-self test.

    Male / Female

    • Here, the expected log2 ratio for the X

    chromosome is -1.

    • DNA Analytics can calculate additional QC

    metrics based on this expectation.

    Only normal, non-diseased

    samples should be used.

    Test DNA /

    single individual

    “normal” control

    •DNA from experiment study is compared to a

    known “normal” sample.

    •Normal CNVs from control can be eliminated

    from analytical consideration

    •Allows for SNP incorporation

    Genotype reference file required

    for known “normal”

    Test DNA /

    pooled individual

    “normal” control

    • DNA from a pooled population (n=5-10)

    • Many common CNVs can be eliminated from

    the evaluation due to a cancelling out effect

    Cannot be used in a SNP

    evaluation.

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    Evolution of Array Designs

    0 +1 -1

    Targeted

    WMS

    tel

    tel

    cen

    cen

    Targeted + 850

    BAC or oligo array

    0 +1 -1

    >3 Mb gaps

    Targeted +

    1 Mb or 500 kb

    0 +1 -1 0 +1 -1

    Targeted +

    Whole Genome

    Chr 7

    0.5 - 1 Mb gaps

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    Methods of Confirmation

    Method Notes Details

    Parental studies • Array performed on both parents to

    determine inheritance status

    • Classical cytogenetic studies on parents

    • Can be costly for the lab as

    reimbursement for this is still

    in limbo

    FISH studies • FISH to confirm loss/gain identified on array.

    • Very inexpensive and quick

    • Requires availability of probe

    • Small gains (

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    Public CNV databases

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

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    What is aCGH

    2 Experimental Considerations

    1

    3 Experimental analysis

    Agenda

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    Scanner output example

    2 Constitutional analysis

    1

    3 Oncology analysis

    Experimental Analysis

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    Scanner output

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    Analysis Software

    Log2 ratio of

    intensities to call CNCs

    No. of uncut alleles

    to call LOH/UPD

    Chromosome view Gene view

    Aberrations

    Customer defined

    tracks

    Preloaded tracks

    Tracks

    Genome view

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    Scanner output example

    2 Constitutional analysis

    1

    3 Oncology analysis

    Agenda

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    Confirmation of Copy Number Changes trisomy of chr. 21

    Amplification

    FOUR or more states

    Each state corresponds to 0, 1, 2, 3 (or more) copies of the uncut allele

    Amplification of chr. 21

    SNP

    data

    CGH

    data

    BBB

    ABB

    AAB

    AAA

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    Constitutional Disorders

    Deletions

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    Confirmation of Copy Number Changes e.g. NA09209: hemizygous deletion on chr. 17

    SNP

    data

    CGH

    data Deletion at the

    beginning of p-arm

    Hemizygous deletion

    TWO states of alleles appear (only one copy allele):

    1) cut copy of the allele (0 copy)

    2) uncut copy of the allele (1 copy)

    B

    A

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    Constitutional Disorders

    Duplications

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    Constitutional Disorders

    Duplications

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    Constitutional Disorders

    Unbalanced translocation

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    Constitutional Disorders

    Unbalanced translocation

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    UPD: uniparental disomy

    • Both members of a chromosome pair or segments of a chromosome pair are

    inherited from one parent

    • UPD can result in an abnormal phenotype when the chromosomes involved are

    imprinted, such that only the maternal or paternal allele of the pair is active

    Remark: parental

    samples needed

    to detect

    heterodisomy

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    Detection of UPD complete paternal isodisomy on chr. 15

    SNP

    data

    CGH

    data

    No heterozygous SNPs

    Copy-neutral LOH or UPD

    Only TWO states of alleles appear:

    1) 0 uncut copies

    2) 2 uncut copies

    Both copies were

    inherited from the same

    parent – UPD

    BB

    AB

    AA

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    Examples of LOH

    Detection of Copy Neutral LOH

    Confirmation of Deletions and Duplications

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    Sensitivity to detect mosaicism down to 8%

    Valli et al. Molecular Cytogenetics 2011, 4:13

    Partial profiles of a sample with a terminal deletion on chromosome 4.

    Panel A: Sample’s 100% DNA, B: Synthetic mosaicism at 10% level, C: 8%, D: 7%.

    The Agilent arrays are able to detect the deletion at the 8% and 10% level, but not

    at the 7% level.

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    Not approved for use in diagnostic

    procedures

    34

    Miller el. al. Amer J. Human Genet 86, 749–764, May 14, 2010 749

    Technology Advancements: CGH vs. Karyotype

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    Review classical analysis

    2 Constitutional analysis

    1

    3 Oncology analysis

    Agenda

  • 2 deletions on p-arm of Chr8

    Amplification to 4 copies on

    q-arm

    SNP shows copy number of 0,

    2, 4

    AAAA

    AABB

    BBBB

    Breakpoint

    AA

    AB

    BB

    CLL Sample

    balanced duplication

  • Amplification to 4 copies on 6p

    SNP data show 0, 1, 3, 4 copies; unbalanced duplication

    SNPs that were homozygous in the normal show 0 or 4 copies;

    SNPs that were heterozygous in the normal now show 1 or 3 copies

    AAAA

    ABBB

    AAAB

    BBBB

    0

    1

    2

    3 4

    4 copies

    3 copies

    1 copy

    0 copy

    ALL Sample

    unbalanced duplication

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    SNP data reveals the copy number of the cancer clones

    Major clone

    Major clone

    Minor clone (SNP data is mixture of minor and major clone)

    AA AB BB

    AAA AAB ABB BBB,

    triploid region

    AAAAAA AAAAAB ABBBBB BBBBBB

    Unbalanced: 1 copy one parent, 5 copy other

    parent

    AAAAAA AAABBB BBBBBB

    Balanced : 3 copies each parent

    AML sample: 87% clonal fraction

    6

    AML Complex Genomic alterations

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    CGH

    3 copies

    1 copy

    SNP

    Triplication

    of one allele

    Homozygous

    deletion

    Triplication

    of one allele

    MDS

    Copy Gain LOH

    Copy Gain LOH

    Copy Loss LOH

    0 copy

    Heterozygous

    deletion

    Complex Genomic alterations

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    P2250_007_2 Chr Cytoband Size (Mb) Start Stop Amp

    chr2 p25.3 - p11.2 87 14523 87158839 0.208303

    SNP probes Help in calling low-level mosaicism

    BBB

    ABB

    AAB

    AAA

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    AAA

    AAB ABB

    BBB

    Del3p

    Dup 5q

    AA

    AB

    BB

    A

    B

    CGH+SNP Array on FFPE Samples

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    Questions?

    Agilent products described are For Research Use Only. Not for

    use in diagnostic procedures. User is responsible for US FDA

    approval or clearance prior to diagnostic use.