The Brazilian Rare Genomes Project: Validation of Whole Genome Sequencing for Rare Diseases Diagnosis

Rare diseases affect up to 13.2 million individuals in Brazil. The Brazilian Rare Genomes Project is envisioned to further the implementation of genomic medicine into the Brazilian public healthcare system. Here we report the validation results of a whole genome sequencing (WGS) procedure for implem...

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Main Authors: Antonio Victor Campos Coelho, Bruna Mascaro-Cordeiro, Danielle Ribeiro Lucon, Maria Soares Nóbrega, Rodrigo de Souza Reis, Rodrigo Bertollo de Alexandre, Livia Maria Silva Moura, Gustavo Santos de Oliveira, Rafael Lucas Muniz Guedes, Marcel Pinheiro Caraciolo, Nuria Bengala Zurro, Murilo Castro Cervato, João Bosco Oliveira
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-05-01
Series:Frontiers in Molecular Biosciences
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmolb.2022.821582/full
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author Antonio Victor Campos Coelho
Bruna Mascaro-Cordeiro
Danielle Ribeiro Lucon
Maria Soares Nóbrega
Rodrigo de Souza Reis
Rodrigo Bertollo de Alexandre
Livia Maria Silva Moura
Gustavo Santos de Oliveira
Rafael Lucas Muniz Guedes
Marcel Pinheiro Caraciolo
Nuria Bengala Zurro
Murilo Castro Cervato
João Bosco Oliveira
author_facet Antonio Victor Campos Coelho
Bruna Mascaro-Cordeiro
Danielle Ribeiro Lucon
Maria Soares Nóbrega
Rodrigo de Souza Reis
Rodrigo Bertollo de Alexandre
Livia Maria Silva Moura
Gustavo Santos de Oliveira
Rafael Lucas Muniz Guedes
Marcel Pinheiro Caraciolo
Nuria Bengala Zurro
Murilo Castro Cervato
João Bosco Oliveira
author_sort Antonio Victor Campos Coelho
collection DOAJ
description Rare diseases affect up to 13.2 million individuals in Brazil. The Brazilian Rare Genomes Project is envisioned to further the implementation of genomic medicine into the Brazilian public healthcare system. Here we report the validation results of a whole genome sequencing (WGS) procedure for implementation in clinical laboratories. In addition, we report data quality for the first 1,200 real-world patients sequenced. We sequenced a well-characterized group of 76 samples, including seven gold standard genomes, using a PCR-free WGS protocol on Illumina Novaseq 6,000 equipment. We compared the observed variant calls with their expected calls, observing good concordance for single nucleotide variants (SNVs; mean F-measure = 99.82%) and indels (mean F-measure = 99.57%). Copy number variants and structural variants events detection performances were as expected (F-measures 96.6% and 90.3%, respectively). Our WGS protocol presented excellent intra-assay reproducibility (coefficients of variation ranging between 0.03% and 0.20%) and inter-assay reproducibility (coefficients of variation ranging between 0.02% and 0.09%). Limitations of the WGS protocol include the inability to confidently detect variants such as uniparental disomy, balanced translocations, repeat expansion variants, and low-level mosaicism. In summary, the observed performance of the WGS protocol was in accordance with that seen in the best centers worldwide. The Rare Genomes Project is an important initiative to bring pivotal improvements to the quality of life of the affected individuals.
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spelling doaj.art-e5119c6c2b3948508f5dfa34f830ae7b2022-12-22T02:09:42ZengFrontiers Media S.A.Frontiers in Molecular Biosciences2296-889X2022-05-01910.3389/fmolb.2022.821582821582The Brazilian Rare Genomes Project: Validation of Whole Genome Sequencing for Rare Diseases DiagnosisAntonio Victor Campos CoelhoBruna Mascaro-CordeiroDanielle Ribeiro LuconMaria Soares NóbregaRodrigo de Souza ReisRodrigo Bertollo de AlexandreLivia Maria Silva MouraGustavo Santos de OliveiraRafael Lucas Muniz GuedesMarcel Pinheiro CaracioloNuria Bengala ZurroMurilo Castro CervatoJoão Bosco OliveiraRare diseases affect up to 13.2 million individuals in Brazil. The Brazilian Rare Genomes Project is envisioned to further the implementation of genomic medicine into the Brazilian public healthcare system. Here we report the validation results of a whole genome sequencing (WGS) procedure for implementation in clinical laboratories. In addition, we report data quality for the first 1,200 real-world patients sequenced. We sequenced a well-characterized group of 76 samples, including seven gold standard genomes, using a PCR-free WGS protocol on Illumina Novaseq 6,000 equipment. We compared the observed variant calls with their expected calls, observing good concordance for single nucleotide variants (SNVs; mean F-measure = 99.82%) and indels (mean F-measure = 99.57%). Copy number variants and structural variants events detection performances were as expected (F-measures 96.6% and 90.3%, respectively). Our WGS protocol presented excellent intra-assay reproducibility (coefficients of variation ranging between 0.03% and 0.20%) and inter-assay reproducibility (coefficients of variation ranging between 0.02% and 0.09%). Limitations of the WGS protocol include the inability to confidently detect variants such as uniparental disomy, balanced translocations, repeat expansion variants, and low-level mosaicism. In summary, the observed performance of the WGS protocol was in accordance with that seen in the best centers worldwide. The Rare Genomes Project is an important initiative to bring pivotal improvements to the quality of life of the affected individuals.https://www.frontiersin.org/articles/10.3389/fmolb.2022.821582/fullrare diseasesprecision medicinegenomicsgenetic diagnostic testwhole genome sequencing
spellingShingle Antonio Victor Campos Coelho
Bruna Mascaro-Cordeiro
Danielle Ribeiro Lucon
Maria Soares Nóbrega
Rodrigo de Souza Reis
Rodrigo Bertollo de Alexandre
Livia Maria Silva Moura
Gustavo Santos de Oliveira
Rafael Lucas Muniz Guedes
Marcel Pinheiro Caraciolo
Nuria Bengala Zurro
Murilo Castro Cervato
João Bosco Oliveira
The Brazilian Rare Genomes Project: Validation of Whole Genome Sequencing for Rare Diseases Diagnosis
Frontiers in Molecular Biosciences
rare diseases
precision medicine
genomics
genetic diagnostic test
whole genome sequencing
title The Brazilian Rare Genomes Project: Validation of Whole Genome Sequencing for Rare Diseases Diagnosis
title_full The Brazilian Rare Genomes Project: Validation of Whole Genome Sequencing for Rare Diseases Diagnosis
title_fullStr The Brazilian Rare Genomes Project: Validation of Whole Genome Sequencing for Rare Diseases Diagnosis
title_full_unstemmed The Brazilian Rare Genomes Project: Validation of Whole Genome Sequencing for Rare Diseases Diagnosis
title_short The Brazilian Rare Genomes Project: Validation of Whole Genome Sequencing for Rare Diseases Diagnosis
title_sort brazilian rare genomes project validation of whole genome sequencing for rare diseases diagnosis
topic rare diseases
precision medicine
genomics
genetic diagnostic test
whole genome sequencing
url https://www.frontiersin.org/articles/10.3389/fmolb.2022.821582/full
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