Variant calling workflow for the Oncomine Comprehensive Assay using Ion Reporter Software v4.4

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WHITE PAPER Oncomine Comprehensive Assay Variant calling workflow for the Oncomine Comprehensive Assay using Ion Reporter Software v4.4 Contents Scope and purpose of document...2 Content...2 How Torrent Variant Caller works...2 Input...2 Source of variant candidates...2 Variant candidates and evaluation...2 Post-evaluation filtering...3 Output...3 Oncomine Comprehensive Assay frequency cutoffs and detection limit...3 Candidate generation...3 Torrent Variant Caller flow space evaluation...3 Oncomine Variant Annotation Tool...4 Appendix I: Method for strand-specific positional error model generation...4 Detect genomic positions with systematic error and long homopolymers...4 Germline variant rescue...5 Detect genomic positions with low variant detection confidence...5 Positional variant detection confidence test...5 Usage in Torrent Variant Caller of the hotspot file containing: hotspot variants, error-listed and hint positions based confidence level of each strand...6 What are the counts of positions subject to Position SSE?...6 Appendix II: Additional Oncomine Variant Annotation Tool rules and exceptions....6 For Research Use Only. Not for use in diagnostic procedures. 1

Scope and purpose of document The Ion Reporter Software v4.4 informatics workflow for the Ion Torrent Oncomine Comprehensive Assay uses Torrent Variant Caller software to enable the detection of variants in sequencing data. The purpose of this document is to provide an overview of key features of variant calling criteria in Ion Reporter Software v4.4 that apply to the Oncomine Comprehensive Assay. Content The content of this document was derived from the Torrent Variant Caller section of the Ion Community website (http://ioncommunity.lifetechnologies. com/welcome) and was modified to include features specific to the Oncomine Comprehensive Assay. How Torrent Variant Caller works Torrent Variant Caller is a genetic variant caller for Ion Torrent sequencing platforms, and is optimized to exploit the underlying flow signal information in the statistical model to evaluate variants. Torrent Variant Caller is designed to call single-nucleotide polymorphisms (SNPs), multi-nucleotide polymorphisms (MNPs), insertions or deletions (indels), and block substitutions. The basic operation of Torrent Variant Caller is as follows: 1. Find all positions with evidence for a variant 2. Focus on these positions and evaluate evidence for a SNP or indel call 3. Filter the candidates based on key parameters (strand bias, minimal coverage, and known errorprone position) Generate candidates Evaluate candidates Filter candidates Input Torrent Variant Caller operates on input BAM files generated using Torrent Suite Software and requires the presence of flow signal specific tags in the BAM file. For the Oncomine Comprehensive Assay workflow, target region and hotspot files are also provided. Target regions files sequencing is restricted to specified chromosome regions that appear in the target regions file. The target regions file for the Oncomine Comprehensive Assay (DNA) includes 2,530 amplicons covering 244,300 unique bases. Because the Oncomine Comprehensive Assay includes full-gene sequencing applications and overlapping amplicons, primers are distributed into 2 pools. Hotspot files Torrent Variant Caller evaluates each listed position on the genome and reports the filtering metrics for each position, including positions that are not called as a variant. When a hotspot position receives a NOCALL rather than a reference call or a variant call, the filtering reasons in the VCF output file explain the reasons for the NOCALL. The Oncomine Comprehensive Assay hotspot file contains 3,789 variants. Source of variant candidates Torrent Variant Caller combines output from two calling modules: The de novo module uses Freebayes genetic variant detector to discover candidate variant locations. If hotspot alleles are provided, they are merged together with de novo candidates and both are subsequently evaluated using adaptive signal modeling and then filtered. The long indel assembly module performs assembly of reads to generate long indel candidates. It works as a supplementary variant caller using base reads in the event flow space evaluation fails. The resulting intermediate files are merged, and overlapping records are reconciled to produce the final file. If a hotspot file is provided, the TVC_variants.vcf file will contain a record for every hotspot (within target regions) including variant calls, reference calls, and no-calls. For no-calls, the filtering reason is listed in the VCF tags. Variant candidates and evaluation De novo variant candidates are generated if they pass a minimal set of requirements set in Freebayes (such as base quality and apparent frequency). For the Oncomine Comprehensive Assay, a strandspecific positional error profile was developed to block candidate variants from error-prone positions. See the appendix at the end of this document for details about how these position filters work. 2

Hotspot variant candidates are taken from hotspot files (if supplied); they are not affected by Freebayes filters or strand-specific position error filters. Candidate positions are evaluated by a statistical model that matches base-calling predictions under each sequence alternative specified and finally are filtered by a number of orthogonal criteria to determine if the assumptions of the model fit the data. Each of these processes is controlled by parameters supplied to the program. These parameters determine the effectiveness of generating, testing and filtering variants. Torrent Variant Caller uses a two-staged approach to call variants in any given sample. Step 1 is to identify candidate positions where alternate allele frequency is above the minimum allele frequency threshold setting. Step 2 is to further evaluate the candidate variant identified in step 1 to assign the quality of the variant and also to assign the genotype. Post-evaluation filtering Flow space evaluation calculates quality, coverage, strand bias and flow signal specific properties that are used as the basis for additional filtering before final output. These filters can be configured by parameter changes to adjust the sensitivity and specificity. For a detailed description of these filters, see ioncommunity. lifetechnologies.com/community/products/ torrent-variant-caller Output Variants that pass all the set filters are reported to a single output VCF file and all variants that fail any one of the set filters are reported to a filtered output VCF file. The filtered variants have an associated filter reason tag in the VCF file, which users can query to identify the filters that the candidate variant failed to pass. Oncomine Comprehensive Assay frequency cutoffs and detection limit The variant frequency related cutoffs for the Oncomine Comprehensive Assay are represented in a Torrent Variant Caller parameter json file and are listed below. Freebayes de novo variant candidate: gen_min_alt_allele_freq :0.03, --- SNP and MNP gen_min_indel_alt_allele_freq :0.07, --- indel Torrent Variant Caller flow space evaluation: snp_min_allele_freq :0.04, mnp_min_allele_freq :0.04, indel_min_allele_freq :0.07, hotspot_min_allele_freq :0.03, Candidate generation Freebayes generates de novo variant candidates. It uses base space reads, and the variant frequency settings (3% for SNPs/MNPs and 7% for indels) are hard cutoffs. Hotspot variant candidates are supplied by hotspot files, so they are not subject to the Freebayes cutoffs. Torrent Variant Caller flow space evaluation Torrent Variant Caller flow space evaluation works by calculating the Phred-scaled posterior probability that the sample variant allele frequency is greater than the minimum allele frequency specified for the variant type. Higher sequence depth provides more evidence, thus higher confidence. However, variant detection depends on other factors in addition to allele frequency and sequence depth. For de novo SNPs and MNPs, minimum allele frequency is typically close to the 4% cutoff, as singlebase or multiple-base substitutions always involves multiple flow changes (and thus more evidence this is the advantage of flow space evaluation). De novo indel frequency cutoff is set at 7%, but flow space evaluation detection sensitivity varies: nonhomopolymer indels will cause multiple flow value changes similar to SNPs and MNPs, and Torrent Variant Caller typically detects allele frequencies close to the cutoff for these variant types; for homopolymer (HP) indels, there is only one flow change involved on each strand, and the final detection level is typically 1 2% above cutoffs depending on coverage depth. Therefore, the observed de novo indel minimum allele frequency is 7 10% depending on coverage and indel type (HP or non-hp). Similarly, even though the hotspot variant cutoff is set at 3%, the observed detection sensitivity will depend on if it s a SNP, MNP, non-hp indel, or HP indel. With a minimum 500x read depth, Torrent Variant Caller using Oncomine Comprehensive Assay specific parameters should be able to detect 10% allelic frequency threshold for indels, and 5% threshold for hotspots. 3

Oncomine Variant Annotation Tool Oncomine Variant Annotation Tool is an Ion Reporter Software plugin that adds the following Oncomine driver annotations to records in an Ion Reporter Software generated VCF file: Annotation OncomineGeneClass OncomineVariantClass Possible values Gain-of-function, loss-of-function Hotspot, deleterious, amplification, deletion, fusion The annotations are applied to records in a VCF file based on a series of rules each of which are defined by a set of criteria. Any record meeting all criteria for a rule will be annotated with the associated OncomineGeneClass and OncomineVariantClass according to this table: Detect genomic positions with systematic error and long homopolymers For a fixed instrument and panel, the strand-specific systematic error (SSE) is defined as an error that will likely occur in any run on the same strand and genomic position across all reads pooled across multiple samples at frequency >7%. The 7% cutoff was chosen because this value is viewed as a reasonable tradeoff between systematic (repeatable) error and random noise. The threshold may be adjusted as overall system accuracy improves. Currently, this cutoff is less than the requirement of general 10% frequency variant detection and hence is reasonable. The frequency of SSE errors tends to be reproducible. Errors at frequency lower than 7% are less likely to reproduce across runs. The SSE errors enumerate all observed errors in reads introduced at any level of the system due to library preparation, sequencing enzyme, DNA sequence OncomineGeneClass OncomineVariantClass Class membership criteria Gain-of-function Hotspot Hotspot missense or in-frame mutation in one of the 73 Oncomine Comprehensive Assay hotspot genes (hotspot = found in 3 or more tumor samples in the Oncomine Knowledgebase) Loss-of-function Hotspot Hotspot missense or in-frame mutation in one of the 26 Oncomine Comprehensive Assay tumor suppressor genes Loss-of-function Deleterious Nonsense or frameshift mutation in one of the 26 Oncomine Comprehensive Assay tumor suppressor genes Gain-of-function Amplification Amplification (CN 5% CI 4) in one of the 49 Oncomine Comprehensive Assay copy gain genes Loss-of-function Deletion Deletion (CN 95% CI 1) in one of the 26 Oncomine Comprehensive Assay copy loss genes Gain-of-function Fusion Positive fusion call in one of the 183 Oncomine Comprehensive Assay fusion variants Additional rules and exceptions are listed in Appendix II. Appendix I: Method for strand-specific positional error model generation The method consists of 3 major steps: 1. Detect genomic positions with systematic error and long homopolymers. 2. Detect genomic positions with low variant detection confidence. 3. Use in Torrent Variant Caller of the hotspot file containing: hotspot variants and positions with strand-specific errors based on the confidence level of each strand. context, signal processing, base calling, phase correction, alignment, priming, homopolymer regions and other factors. A systematic error genomic position is a position that contains SSE of any type on at least one strand. To detect those positions in the Oncomine Comprehensive Assay, 22 panel runs of 22 different germline samples were analyzed. Twenty of these 22 samples were 1000 Genomes Project samples selected to have minimum overlap in their germline variants in the current Oncomine Comprehensive Assay and the other 2 were Coriell Institute samples NA12878 and NA19240. The genomic positions with SSE were cataloged by inspecting the pileup of aligned reads from all 22 runs 4

combined. Some candidate SSEs are true germline variants in some of the samples. Germline variants were detected in each sample and removed from the SSE list (see Germline variant rescue section). Each systematic error position is annotated with 2 attributes: Strand on which SSE is observed BSTRAND={F,R,B,H}, Forward, Reverse, Both, H (none) intended for rescuing calls in long homopolymers. Note that H was not observed at any positions in this panel and these samples. Type of error, i.e., deletion (SSE_DEL), insertion (SSE_INS), or mismatch (SSE_SNP). If several types are observed in the same position, then only one of the types is used. Each position with homopolymer length equal to or larger than 7 is tracked regardless of observed error. The error type in those positions is marked as LHP (Long HomoPolymer). Other attributes, like Reference (REF=) and Observed (OBS=) alleles, are currently required by the internal VCF format and are not otherwise used. Germline variant rescue In the pileup of reads combined from 22 runs of 22 different samples, we observe true germline variants from each sample at mixed frequencies. True variants observed at frequency higher than 7% are candidate SSE positions and will be reported as SSE unless rescued. A non-reference allele is classified as germline and rescued out of the SSE list if it passes the following two tests: Germline genotype: averaged deviation of allele frequency in each single sample run from closest value of {0,0.5,1.0} is less than 9% Strand-balance: averaged deviation between frequencies on each strand in each single sample run is less than 6% for SNVs and 9% for indels The above cutoffs were empirically derived for the set of known true variants from NA12878, NA19240, and the other twenty 1000 Genomes Project samples. Detect genomic positions with low variant detection confidence For a fixed instrument and panel, we define genomic positions with low variant detection confidence as positions that under the assumption of usually observed coverage may result in false call or no call of true variant at frequency >7%. The reason for existence of such positions is insufficient or incorrect evidence in the pileup of aligned reads. These are commonly caused by ambiguous alignments close to: the edges of amplicons, systematic error, or long homopolymer positions. Other factors that interfere with alignments at frequency <7% are out of scope for 10% variant detection limit. The method for enumerating such positions consists of: Perform a positional variant confidence test for each position beginning at the edge of each amplicon, systematic error position and long homopolymer position If a position is determined as low confidence, then perform the confidence test in the next adjacent position if it was not already tested and belongs to the target region (only for next 3 position when the initial error is not at an amplicon edge) Repeat the test until position is confident, position was already tested, or end of the target region is reached Positional variant detection confidence test For a given genomic position, consider a set of mutations: 1 bp deletion, 3 SNVs, 9 MNVs of size 2, and 4 insertions of size 1. Introduce one mutation at a time into the reads crossing test position Re-align mutated reads If >7% of reads incorrectly align the introduced mutation, then position is reported as low confidence Low confidence positions close to the edges of amplicons are marked as AMPL_LEFT, AMPL_RIGHT (left, right end of amplicon relative to reference). Positions failing the test on either strand at the edges of the amplicon are marked as erroneous (BSTRAND=B). Low confidence positions close to systematic error or long homopolymer positions are annotated with their error type (SSE_DEL, SSE_INS, SSE_SNP, LHP) and positions failing both tests are marked BSTRAND=B. Such positions failing on one strand only are marked BSTRAND=F (forward strand failure) or BSTRAND=R (reverse strand only). On average, low confidence regions extend on average about 5 bp from the initial positions, but this depends on the sequence context and error profile in the region. 5

Usage in Torrent Variant Caller of the hotspot file containing: hotspot variants, error-listed and hint positions based confidence level of each strand The implementation is in the hotspot bed file and can be found in Position and Strand-specific error model. TVCutils with left-aligned variants must be run to generate a valid VCF file for use by Torrent Variant Caller. Some of the details are repeated here: Every position in the amplicons affected by the above is marked with BSTRAND=B, BSTRAND=F or BSTRAND=R. Any hotspot position that is not a BSTRAND position is always evaluated, whether or not it coincides with a BSTRAND position. For BSTRAND=B positions, all novel allele candidates are suppressed. For BSTRAND=R positions, a novel candidate is tallied by the read counts in the pileup into forward and reverse counts. If the proportion of such reads on the forward strand is less than 70%, then the variant is suppressed. For example, if nr reads have the variant on the reverse strand and nf reads have the variant on the forward strand, then the variant will not be used if nf/(nf+nr) <0.7. For BSTRAND=F positions, a novel candidate is tallied by the read counts in the pileup into forward and reverse counts. If the proportion of such reads on the reverse strand is less than 70%, then the variant is suppressed. For example, if nr reads have the variant on the reverse strand and nf reads have the variant on the forward strand, then the variant will not be used if nr/(nf+nr) <0.7. For any position BSTRAND=B always overrides the R and F options. Presence of both R and F is equivalent to B. Note that R, F, and H codes are hints to Torrent Variant Caller about candidate generation from strand-specific or homopolymer error listed positions. Note that once variant candidates are discovered, all reads (whether or not the position is marked with BSTRAND) are used to test whether this variant is a PASS. What are the counts of positions subject to Position SSE? In the July 2014 release of Oncomine Comprehensive Assay, there are 244,300 bases over 2,531 amplicons with 21,777 positions with BSTRAND=B, of which 17,040 are AMPL_LEFT or AMPL_RIGHT. LHP has 1,395 positions and SSE has 3,342 positions. Appendix II: Additional Oncomine Variant Annotation Tool rules and exceptions There are some exceptions to these rules, per the following conditions: Condition Variant property thresholds Germline variants/ systemic error Homopolymer regions Deleterious mutations with AF 0.95 Description Missense SNVs and in-frame indels require 10 FAO and 0.05 AF Nonsense SNVs and frame-shift indels in tumor suppressor genes require 10 FAO and 0.10 AF Do not annotate variants that include 1000G or ESP6500 germline variants. Do not annotate variants called by systemic error, as defined below. Do not annotate single-base indels in context of HRUN 4 Do not annotate deleterious mutations with AF 0.95 6

This list of germline and recurrent deleterious variants will not be annotated, as referenced in the previous table: Chr Position Ref Alt Suppression reason 10 123247514 C CT Recurrent deleterious 10 123247514 CT C Recurrent deleterious 10 89685288 T TA Recurrent deleterious 11 108123551 C T Germline SNP 11 108138003 T C Germline SNP 11 108175462 G A Germline SNP 11 108175463 A T Germline SNP 11 320606 G T Germline SNP 13 28623587 C T Germline SNP 13 32972626 A T Germline SNP/Recurrent deleterious 16 68855966 G A Germline SNP 17 29508455 TTA T Recurrent deleterious 17 29553538 G A Recurrent deleterious 17 7578212 GA G Recurrent deleterious 17 7579471 G GC Recurrent deleterious 17 7579472 G C Germline SNP 19 1223125 C G Germline SNP 20 36030940 G C Germline SNP 2 16082320 C CCG Recurrent deleterious 2 209108317 C T Germline SNP 4 106196819 G T Germline SNP 4 55593464 A C Germline SNP 4 55964925 G A Germline SNP 5 112170746 AT A Recurrent deleterious 5 112175651 A G Germline SNP 5 112175951 G GA Recurrent deleterious 5 149449827 C T Germline SNP 7 116339642 G T Germline SNP 7 116340262 A G Germline SNP 7 116411990 C T Germline SNP 9 139391975 GC G Recurrent deleterious 9 139399132 C T Germline SNP 7

Find out more at thermofisher.com/oncomine-assays For Research Use Only. Not for use in diagnostic procedures. 2015 Thermo Fisher Scientific Inc. All rights reserved. All trademarks are the property of Thermo Fisher Scientific and its subsidiaries unless otherwise specified. CO36907 0615