Genomics Thread #3

Let's move onto some companies!

Up first is Pacific BioSciences...
1/ When talking about genomics, the first company that comes to mind for people is likely Illumina.

They really led the charge in short-read sequencing and played a HUGE role in decreasing the overall costs to sequence a genome.
2/ Even now, Illumina has roughly 90% market share in all DNA that has been sequenced. In other words, it's the real giant in this space.

However, the next decade looks more uncertain for Illumina because long-read sequencing is actually superior in some important ways.
3/ For one, it's more thorough. Short-read sequencing (SRS) is usually only 70-400 base pairs at a time and the DNA is copied through PCR (polymerase chain reaction) millions of times.

Then, the gaps are filled in through software and a reference genome (basically a model).
4/ The positives with SRS is that it's extremely cost-effective and fast.

The negative is that it can miss some really important pieces of the transcriptome (transcriptome is to RNA what genome is to DNA).

SRS is great for detecting small genetic variations (like SNPs).
5/ But there is something called alternative splicing. The high-level view is that genes can code for multiple proteins.

SRS has a hard time picking up on the full picture because the genetic material needs to be broken up rather than understanding the longer chain. Image
6/ I'm sure a geneticist reading this would be rolling their eyes but that broad difference between SRS and LRS is important for understanding really complex diseases.

In summary: the longer the read length, the easier it is to assemble the genome and transcriptome.
7/ There are definitely split views over the future of LRS and SRS.

I think the broader consensus is that LRS has much more potential but that SRS will continue to be important for things like liquidy biopsies where LRS isn't as good at detecting cfDNA (cell-free DNA).
8/ My understanding is that LRS will do a lot to help researchers discover ground-breaking drugs and treatments.

That's where Pacific BioSciences comes into play. It's the only pure-play LRS company on the market. The other popular one, a private co, is Oxford Nanopore.
9/ While there are some synthetic LRS companies like 10xGenomics and Bionano (we'll discuss them in later threads), let's focus on PacBio for now.

Now that we understand why it's important, let's talk about the product and the company a little bit.
10/ In 2018, Illumina tried to merge with PacBio but a year later, the FTC (Federal Trade Commission) blocked it for anti-trust reasons.

Strange for such a small company at the time but it's a testament to PacBio's technology.

It's called SMRT (single molecule, real-time).
11/ I won't get into the details of exactly how it works. If you're interested, check out this video:

A great thing about the gene sequencing business model is that it's very "razor-and-blades."
12/ The razor is the sequencer but then they also sell high-margin consumables like reagents & test kits that enable the sequencing process.

One other thing you should know is that Oxford Nanopore won a lawsuit against PACB for infringing on a few patents.
13/ This lawsuit wasn't detrimental to PacBio but it's important to note.

If Oxford Nanopore ever goes public, that would be interesting.

Back to PACB, its latest product, the SMRT Cell 8M can sequence up to 8 million molecules simultaneously, consisting of 20k base pairs.
14/ Importantly, the costs of LRS are coming down quickly. Previously, this was a big negative against the technology but now it's looking much more promising.

Instead of only 400 base pairs, SMRT technology can sequence 20k base pairs with 99.9% accuracy.
End/ The company's revenue is split roughly 50/50 domestic and internationally, selling to research institutions.

Lastly, about 17% of revenue comes from one Chinese distributor.

Thanks for reading part 3! Next up we'll talk about those synthetic LRS companies...

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More from @investing_city

10 Feb
Genomics Thread #7

Let's talk about synthetic DNA...
1/ The leader here is Twist Biosciences (TWST).

Through cutting-edge science and manufacturing, they are able to produce synthetic DNA via a silicon chip.

How is this possible?
2/ It seems like science-fiction but the company can "write" DNA instead of just reading it like a normal sequencing process.

It's called phosphoramidite chemistry.

You can read more about the details here: twistbioscience.com/blog/science/s… Image
Read 11 tweets
9 Feb
Genomics Thread #6

Let's talk about liquid biopsies...
1/ A liquid biopsy is usually a blood-based test that can detect cancer.

How?

By detecting either CTC (circulating tumor cells) or ctDNA (circulating tumor DNA). In some studies, ctDNA has been shown to have 100x the concentration as CTC though.
2/ So why is this important?

Well, the standard of care is tissue biopsies. Doctors lop off a piece of the potentially cancerous area (a chunk of your lung for lung cancer for instance) to verify if cancer exists.

However, tissue biopsies are inferior in a few ways...
Read 12 tweets
3 Feb
Genomics Thread #5

We've already laid the groundwork for understanding DNA, and some parts of the sequencing value chain but now let's talk about genetic testing...
1/ You can think of genetic testing companies as platforms built on top of genome sequencing companies.

Some of the players here are 23andme, Ancestry, Invitae, Fulgent and Natera.

Interestingly, 23andme might come public via SPAC soon: bizjournals.com/sanjose/news/2…
2/ Ancestry and 23andme are probably the most popular DTC genetic testing companies. You receive a test kit, swab your cheek and then you can get insights into your familial history, etc.

However, the DTC market has been more difficult than servicing health care providers.
Read 12 tweets
2 Feb
Genomics Thread #4

Today we're talking about synthetic long-read companies like 10x Genomics and Bionano Genomics...
1/ In the last thread, we discussed the differences between SRS and LRS (go back and read if you need a refresher).

SRS is owned by Illumina and they have brought costs down a crazy amount.

LRS is being pioneered by PacBio and Oxford Nanopore.
2/ But in the past 5 years, there has been a lot of innovation in synthetic long-read sequencing.

The leader here is 10x Genomics.

Broadly speaking, using 10x's Chromium system, researchers can get comparable read lengths at a lower cost than true LRS.
Read 12 tweets
28 Jan
Genomics Thread #2

Let's talk about gene sequencing...
1/ The first genome was sequenced in 1977 by Fred Sanger of a bacteriophage.

The first human genome wasn't sequenced until 2003 after 13 years of research through the Human Genome Project.

It took $3 billion (apparently $1 for each base pair 😅)
2/ In the past two decades, the cost of sequencing DNA has declined at an astounding rate.

From $3 billion with the Human Genome Project to well under $1,000 today.
Read 10 tweets

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