期刊
NATURE GENETICS
卷 52, 期 4, 页码 448-+出版社
NATURE PORTFOLIO
DOI: 10.1038/s41588-020-0603-8
关键词
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资金
- NIH National Cancer Institute (NCI) [F32CA206247]
- National Human Genome Research Institute (NHGRI) [K99HG010157]
- NIH NHGRI [U54HG007990, R00HG007940]
- NIH NCI [R01CA180778, P30CA008748, U01CA209936, U24CA237719]
- Intel [SRA-16-037]
- Charite-Universitatsmedizin Berlin
- Berlin Institute of Health
- German Federal Ministry of Education and Research [031L0030E, 031L0023]
- ClinGen, through the NHGRI [U41HG006834, U41HG009649, U41HG009650, U01HG007437]
- Academy of Finland [330857]
- Cancer Society of Finland
- Monarch Initiative NIH Office of Director award [R24OD011883]
- European Research Council [682398]
- Medical Research Council-Cancer Research UK Stratification in Colorectal Cancer Program grant
- Health Data Research UK Substantive Site grant
- V Scholar Award from the V Foundation for Cancer Research
- Cancer Moonshot
Precision oncology relies on accurate discovery and interpretation of genomic variants, enabling individualized diagnosis, prognosis and therapy selection. We found that six prominent somatic cancer variant knowledgebases were highly disparate in content, structure and supporting primary literature, impeding consensus when evaluating variants and their relevance in a clinical setting. We developed a framework for harmonizing variant interpretations to produce a meta-knowledgebase of 12,856 aggregate interpretations. We demonstrated large gains in overlap between resources across variants, diseases and drugs as a result of this harmonization. We subsequently demonstrated improved matching between a patient cohort and harmonized interpretations of potential clinical significance, observing an increase from an average of 33% per individual knowledgebase to 57% in aggregate. Our analyses illuminate the need for open, interoperable sharing of variant interpretation data. We also provide a freely available web interface () for exploring the harmonized interpretations from these six knowledgebases.
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