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- Added more cancer susceptibility genes in panel zero (ATG12, BIK, CHD1L, CMTR2,
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- Added more cancer susceptibility genes to panel zero (ATG12, BIK, CHD1L, CMTR2,
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CPAP, HAVCR2, LLGL2, MYO3A, MYO5B, PAH, TTC7A)
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- Added a pharmacogenetic findings option (`--pgx_findings`), which will include pharmacogenetic findings in the HTML report (within the `Genomic biomarkers` section)
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- For now, this is implemented very simple, not considering star alleles, but merely focusing on pathogenic variants or drug-response related variants in DPYD, TPMT, and NUDT15
Copy file name to clipboardExpand all lines: vignettes/installation.Rmd
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---
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CPSR is distributed alongside the [Personal Cancer Genome Reporter (PCGR)](https://github.com/sigven/pcgr), so please follow
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the [PCGR installation steps](https://sigven.github.io/pcgr/articles/installation.html) to install CPSR, either through [Docker](https://docs.docker.com/), [Apptainer/Singularity](https://apptainer.org/docs/user/latest/index.html), or [Conda](https://docs.conda.io/projects/conda/en/latest/user-guide/getting-started.html).
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the [PCGR installation steps](https://sigven.github.io/pcgr/articles/installation.html) to install CPSR, either through
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-[Docker](https://sigven.github.io/pcgr/articles/installation.html#b--docker), or
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-[Apptainer/Singularity](https://sigven.github.io/pcgr/articles/installation.html#c--singularityapptainer), or
Copy file name to clipboardExpand all lines: vignettes/output.Rmd
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* Annotation resources
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* Information on annotation sources utilized by CPSR, including versions and licensing requirements
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* Variant classification
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* Overview of how CPSR performs variant classification of variants not recorded in ClinVar, listing ACMG criteria and associated scores
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* Overview of how CPSR performs variant annotation and classification of variants not recorded in ClinVar,
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listing ACMG criteria and associated scores, calibration of classification thresholds etc.
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8.__References__
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* Supporting scientific literature - knowledge resources, guideline references etc.)
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* Supporting scientific literature - knowledge resources, guideline references etc.
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<br><br>
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### Variant call format - VCF
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A VCF file containing annotated, germline calls (single nucleotide variants and insertions/deletions) is generated with the following naming convention:
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A VCF file containing annotated, germline variant calls (single nucleotide variants and insertions/deletions) is generated with the following naming convention:
- The __sample_id__ is provided as input by the user, and reflects a unique identifier of the sample to be analyzed. Following common standards, the annotated VCF file is compressed with [bgzip](http://www.htslib.org/doc/bgzip.html) and indexed with [tabix](http://www.htslib.org/doc/tabix.html). Below follows a description of all annotations/tags present in the VCF INFO column after processing with the CPSR annotation pipeline:
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### Tab-separated values - TSV
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#### _Variant classification_
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We provide a compressed tab-separated values file with variant classifications and the most essential variant/gene annotations. The file has the following naming convention:
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**NOTE**: The user has the possibility to append the TSV file with data from other INFO tags in the input VCF (i.e. using the *--retained_info_tags* option)
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#### _Biomarker evidence_
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We provide a compressed tab-separated values file with variants implicated as germline biomarkers. The file has the following naming convention:
We provide a compressed tab-separated values file with variants implicated with drug toxicity/dosage effects of cancer chemotherapies. The file has the following naming convention:
Copy file name to clipboardExpand all lines: vignettes/running.Rmd
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The user can choose from a range of pre-defined gene panels, selected from the following list of panel identifiers:
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-**0**: [Exploratory panel - all cancer predisposition gene](https://sigven.github.io/cpsr/articles/virtual_panels.html)
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-**0**: [Exploratory panel - all cancer predisposition genes](https://sigven.github.io/cpsr/articles/virtual_panels.html)
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-**1**: [Adult solid tumours cancer susceptibility](https://panelapp.genomicsengland.co.uk/panels/245/)
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-**2**: [Adult solid tumours for rare disease](https://panelapp.genomicsengland.co.uk/panels/391/)
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-**3**: [Bladder cancer pertinent cancer susceptibility](https://panelapp.genomicsengland.co.uk/panels/208/)
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-**43**: [Upper gastrointestinal cancer pertinent cancer susceptibility](https://panelapp.genomicsengland.co.uk/panels/273/)
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-**44**: [DNA repair genes pertinent cancer susceptibility](https://panelapp.genomicsengland.co.uk/panels/256/)
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<br>
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#### Custom-made virtual gene panels
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CPSR allows users to create custom virtual gene panels for reporting. Any set of genes found in the [CPSR superpanel (panel 0)](virtual_panels.html#panel-0) can be used to design a custom virtual gene panel. Technically, the users need to create a simple one-column text file with Ensembl gene identifiers, and provide a name for the custom panel:
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CPSR allows users to create custom virtual gene panels for reporting. Any set of genes found in the [CPSR superpanel (panel 0)](virtual_panels.html#panel-0) can be used to design a custom virtual gene panel. Technically, the users need to create a simple one-column text (TSV) file with Ensembl gene identifiers, and provide a name for the custom panel, using the following command line options:
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*`--custom_list <custom_list_tsv>`
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*`--custom_list_name <custom_list_name`
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*`--clinvar_report_noncancer`
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<br>
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### Optional report contents
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CPSR allows users to report recommended [incidental findings](https://www.ncbi.nlm.nih.gov/clinvar/docs/acmg/), the occurrence of important variants with respec to chemotherapy toxicity, and also the genotypes of reported cancer risk loci from [genome-wide association studies (GWAS)](https://www.ebi.ac.uk/gwas/):
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--panel_id VIRTUAL_PANEL_ID
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Comma-separated string with identifier(s) of predefined virtual cancer predisposition gene panels,
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choose any combination of the following identifiers (GEP = Genomics England PanelApp):
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0 = CPSR exploratory cancer predisposition panel (PanelApp genes / TCGA's germline study / Cancer Gene Census / Other)
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0 = CPSR exploratory cancer predisposition panel (PanelApp genes / TCGA's germline study / Cancer Gene Census / Other)
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1 = Adult solid tumours cancer susceptibility (GEP)
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2 = Adult solid tumours for rare disease (GEP)
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3 = Bladder cancer pertinent cancer susceptibility (GEP)
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5.__example.cpsr.grch37.xlsx__ - An Excel workbook that contains
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*_i)_ information on virtual gene panel interrogated for variants
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*_ii)_ classification of clinical significance for variants overlapping with cancer predisposition genes
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*_iii)_ match of variants with existing biomarkers (if any found)
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*_iv)_ secondary findings (if any found)
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*_iii)_ secondary findings (if any found)
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*_iv)_ match of variants with existing biomarkers (if any found)
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*_v)_ overlap with pharmacogenomic variants (if any found)
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6.__example.cpsr.grch37.html__ - Interactive HTML report with clinically relevant variants in cancer predisposition genes
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7.__example.cpsr.grch37.snvs_indels.classification.tsv.gz__ - TSV file with key annotations of germline SNVs/InDels classified according to clinical significance
Currently (as of 2025-02), based on a calibration against ClinVar-classified variants (minimum two review status stars) in n = 105 core cancer predisposition genes, the clinical significance (**CPSR_CLASSIFICATION**) is determined based on the following ranges of pathogenicity scores:
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Currently (as of March 2025), based on a calibration against ClinVar-classified variants (minimum two review status stars) in n = 105 core cancer predisposition genes, the clinical significance (**CPSR_CLASSIFICATION**) is determined based on the following ranges of pathogenicity scores:
The cancer predisposition report can show variants found in a number of well-known cancer predisposition genes, and the specific set of genes can be customized by the user by choosing any of the following __virtual gene panels (0 - 44)__:
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***Panel 0** is a non-conservative, research-based _superpanel_ assembled through multiple sources on cancer predisposition genes:
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* A list of 152 genes that were curated and established within TCGA’s pan-cancer study ([Huang et al., *Cell*, 2018](https://www.ncbi.nlm.nih.gov/pubmed/29625052))
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* A list of 114 protein-coding genes that has been manually curated in COSMIC’s [Cancer Gene Census v100](https://cancer.sanger.ac.uk/census),
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***Panel 0** is a non-conservative, research-based _superpanel_ assembled through multiple sources on cancer predisposition genes:
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* A list of 151 genes that were curated and established within TCGA’s pan-cancer study ([Huang et al., *Cell*, 2018](https://www.ncbi.nlm.nih.gov/pubmed/29625052))
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* A list of 114 protein-coding genes that has been manually curated in COSMIC’s [Cancer Gene Census v101](https://cancer.sanger.ac.uk/census),
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* Genes from all [Genomics England PanelApp](https://panelapp.genomicsengland.co.uk/) panels for inherited cancers and tumor syndromes, as well as DNA repair genes (detailed below)
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* Additional genes deemed relevant for cancer predisposition (i.e. contributed by CPSR users)
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* Additional genes deemed relevant for cancer predisposition (i.e. contributed by CPSR users etc.)
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The combination of the above sources resulted in a non-redundant set of **n = 572**
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The combination of the above sources resulted in a non-redundant set of **n = 574**
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genes of relevance for cancer predisposition (see complete details [below](#panel-0))
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Data with respect to mechanisms of inheritance (<i>MoI</i> - autosomal recessive (AR) vs. autosomal
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