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Genome-wide characterization of copy number variants in epilepsy patients Canadian Human and Statistical Genetics Meeting Jean Monlong April 24, 2017 B OURQUE L AB M C G ILL U NIVERSITY H UMAN G ENETICS D EPT . Copy Number Variation (CNV)


  1. Genome-wide characterization of copy number variants in epilepsy patients Canadian Human and Statistical Genetics Meeting Jean Monlong April 24, 2017 B OURQUE L AB M C G ILL U NIVERSITY H UMAN G ENETICS D EPT .

  2. Copy Number Variation (CNV) Imbalanced genetic variation involving more than 500bp. 2

  3. Epilepsy Neurological disorder characterized by recurrent and unprovoked seizures. Incidence 3%. Rare large CNVs were associated with epilepsy (array-based studies). The Canadian Epilepsy Network (CENet) conducted whole-genome sequencing of epilepsy patients to identify genetic variants that predispose individual to epilepsy or drug response. 3

  4. Detecting CNV in Whole-Genome Sequencing Read coverage variation 4

  5. Detecting CNV in Whole-Genome Sequencing Read coverage variation PopSV: Population-based approach Use a set of reference experiments to detect abnormal patterns. number of reads mapped sample reference tested genomic window 4

  6. PopSV’s workflow 5

  7. PopSV is more sensitive than other methods Twin dataset, normal/tumor cancer dataset and RT-PCR validation. PopSV FREEC ● cn.MOPS CNVnator LUMPY ● 100 200 300 number of replicated calls per sample PopSV FREEC cn.MOPS ● CNVnator LUMPY ● 0.00 0.25 0.50 0.75 1.00 proportion of replicated calls per sample 6

  8. Application to the CENet dataset 7

  9. Application to the CENet dataset Frequency from 5 public WGS-derived SV databases. Rare means frequency < 1% in all 5 databases. 8000 rare 6000 common CNV 4000 2000 0 0 0.01 0.1 0.25 0.5 1 maximum frequency in the public databases 7

  10. Slight enrichment of rare CNVs in exons all CNVs rare CNVs ● 1.0 ● ● ● ● ● fold−enrichment ● 0.8 controls ** ● ** patients ** 0.6 ● ● ● ● all genes LoF all genes LoF intolerant intolerant genes genes fold-enrichment: how many CNVs overlap an exon compared to expected by chance. Loss-of-Function intolerant genes from ExAC consortium. 8

  11. Rare exonic CNVs are more recurrent in the epilepsy cohort ● proportion of rare exonic CNVs 0.075 ● 0.050 controls ● ● patients ● 0.025 ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● 0.000 2+ 3+ 4+ 5+ 6+ 7+ 8+ 9+ 10+ CNV recurrence 9

  12. Putatively pathogenic exonic CNVs 10

  13. Putatively pathogenic exonic CNVs 8/21 affect a known epilepsy-associated gene (Ran NAR 2015) . 93.3 mb 93.5 mb 93.4 mb Gene CHD2 CNV CNET0119 CNET0130 CNET0143 2000 Coverage ● ● ● ● ● ● ● ● ● 1500 ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● 1000 CNET0119 CNET0130 CNET0143 Two recurrent CNVs were replicated in an additional cohort (325 patients and 380 controls). 10

  14. Rare non-coding CNVs enriched close to epilepsy-associated genes 150 cumulative affected samples 100 controls patients 50 0 0 100 200 300 distance to nearest epilepsy exon (kb) 11

  15. Even more if in enhancers of the epilepsy gene 80 60 cumulative affected samples controls 40 patients 20 0 0 100 200 300 distance to nearest epilepsy exon (kb) Enhancer: eQTL or DNase site associated with the epilepsy gene. 12

  16. Conclusions Rare exonic CNVs are enriched and more recurrent in epilepsy patients compared to controls. Identified putatively pathogenic exonic CNVs , some replicated in an additional cohort. Rare non-coding CNVs are enriched close to epilepsy-associated genes. We show the importance of small and non-coding CNVs in epilepsy. Comprehensive profiling of CNVs could help explain a larger fraction of epilepsy cases . 13

  17. Acknowledgment Poster 8 Guillaume Bourque Simon L. Girard Patrick Cossette Pascale Marquis Caroline Meloche Guy Rouleau Mathieu Bourgey Maxime Cadieux-Dion Dan Spiegelman Louis Letourneau Micheline Gravel Alexandre Francois Lefebvre Ron G. Lafreniere Dionne-Laporte Eric Audemard Michel Boivin Toby Hocking Jacques L. Michaud Danielle M. Andrade Patricia Goerner-Potvin Fadi Hamdan Cyrus Boelman Simon Gravel Berge A. Minassian Mathieu Blanchette 14

  18. 15

  19. Technical bias in WGS shuffled shuffled simulated simulated WGS WGS 1200 1300 1400 1500 1600 1700 100 200 bin inter−sample mean coverage bin inter−sample standard deviation 16

  20. Technical bias in WGS coverage ● highest ● 0.05 lowest propotion of the studied genome ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● 0.00 ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● −0.05 ● −0.10 sample 17

  21. Twin pedigree concordance 1.00 method LUMPY ● Rand index using pedigree information CNVnator ● cn.MOPS ● ● FREEC ● ● 0.75 PopSV ● ● ● ● clustering linkage ● ● average ● complete ● ● Ward 0.50 ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● 0.25 ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● 0.00 ● ● ● ● ● ● ● ● ● ● 0 10 20 30 40 number of groups derived from CNV clustering 18

  22. RT-PCR validation rates Region Validation rate Total 151 0.907 CNV type Deletion 102 0.902 Duplication 49 0.918 Frequency in database 0 26 0.923 (0 , 0 . 01] 24 0.833 (0 . 01 , 1] 101 0.921 Size (Kbp) < 20 73 0.849 (20 , 100] 38 0.974 > 100 40 0.950 19

  23. Size distribution 600 WGS 400 average number of CNV per sample 200 0 30 20 array 10 0 <10 10−50 50−100 100−200 200−500 >500 CNV size (Kbp) 20

  24. Large CNV enrichment in epilepsy patients all CNVs rare CNVs 1.0 ● ● ● ● 0.8 fold−enrichment ● ● ● controls 0.6 patients 0.4 all genes LoF all genes LoF intolerant intolerant genes genes 21

  25. Non-coding CNVs of high interest 22

  26. Rare deletions enriched in epilepsy-associated genes ● ● ● 1.5 ● ● ● ● ● ● ● ● ● ● deletion 1.0 ● ● ● ● ● 0.5 ● controls fold−enrichment ● patients 0.0 twins ● P−value ● 1.5 <0.05 ● >0.05 ● ● ● ● ● ● duplication 1.0 ● ● ● ● ● ● ● ● ● ● ● ● 0.5 0.0 0 1e−04 0.001 0.01 0.1 1 CNV frequency in public databases 23

  27. Rare deletions enriched in epilepsy-associated genes Genes hit deletions never seen in public databases 1500 observed number of sampling 1000 500 0 0 5 10 15 20 number of epilepsy genes among sampled genes sampling all genes size−controlled genes 24

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