Kaitlin Samocha Profile picture
Oct 26 5 tweets 3 min read
Carina Biar #ASHG22: ML + genome editing to resolve variants of uncertain significance (VUS) in TSC2 gene.

Starts with the mTOR pathway and a reminder that we have a skyrocketing number of VUSes as we continue to do genomic testing.
Carina Biar #ASHG22: Wants to use machine learning to predict pathogenicity. Train on a per-gene basis and used ~40 features.

Gene-model does better (86%) than CADD (65%) when testing on known P/LP variants. Benign variants not as easily classified.
Carina Biar #ASHG22: CRISPR to knock variants of interest in TSC2 into haploid cell lines. FACS sort + sequence to look for mTOR activity (functional assay here since part of the same pathway).

[ Previous work is here: pubmed.ncbi.nlm.nih.gov/35773235/ ]
Carina Biar #ASHG22: Now doing prime editing in lab -- have some preliminary data that correlates functional assay to pathogenicity score.

Hope to apply to other mTOR genes.
As a note: Carina is an undergrad and I'd like to give a shout out to this excellent work + great talk. Very well done!! #ASHG22 #ASHGtrainee

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More from @ksamocha

Oct 27
Maureen Pittman #ASHG22: Oligogenic inheritance describes situations were there are some loci (more than one, less than thousands) that contribute to a disease.

Congenital heart disease (CHD) is potentially one of these situations.
Maureen Pittman #ASHG22: Example of a family where GATA6 was passed on from an unaffected parent to a child with CHD. Common variants don't seem to contribute much -- could it be due to other rare variants?
Maureen Pittman #ASHG22: Oligogenic genes are presumed to have related functions and could potentially compensate for each other or could interact, etc.

But finding oligogenic gene examples has been hard due to all of the combinations you have to test.
Read 11 tweets
Oct 27
Graham Erwin (@grahamserwin) #ASHG22: Half of the human genome is repetitive, most are transposons but about 3% is made up of tandem repeats. Tandem repeats cause >40 human diseases.
Graham Erwin (@grahamserwin) #ASHG22: Friedreich's ataxia is caused by a triplet expansion in the first intron of FXN gene. Patients have 70++ repeats, which leads to lower expression/protein levels.
Graham Erwin (@grahamserwin) #ASHG22: Polyamides bind to DNA specifically and are very small (cell permeable). Prior example to tie one of these to a factor that would lead to higher transcription.
pubmed.ncbi.nlm.nih.gov/29192133/

Now want to target other repeats.
Read 7 tweets
Oct 27
Scott Younger #ASHG22: Genomic Answers for Kids (GA4K). Currently have >10k subjects enrolled and have returned ~1k diagnoses.

Focus here is large scale assays, specifically establishing a protocol to do patient-derived iPSC reprogramming at scale. Have generated 250 iPSC lines
Scott Younger #ASHG22: Using antisense oligonucleotides (ASOs) to modulate gene expression. Proof of their use in TNNT2 gene.
Scott Younger #ASHG22: Robust restoration of dystrophin expression in DMD-patient organoids when applying a DMD-targeting ASO. Phenotypes restored as well (beating cells in dish).
Read 5 tweets
Oct 27
Yi Ding (@yi_ding_) #ASHG22: Polygenic scoring estimates genetic value by aggregating signal across many loci. Potential for polygenic scores has already been well established -- but so have the challenges, especially the low accuracy in non-European populations.
Yi Ding (@yi_ding_) #ASHG22: Genetic ancestries are continuous and cluster-free.
- By forcing clusters on ancestry, miss inter-individual variability.
- The boundaries between these groups is also fairly arbitrary.
- Clustering also typically removes any unclassified individuals
Yi Ding (@yi_ding_) #ASHG22: Goal is to evaluate PGS accuracy at an individual level.

Using genetic distance to characterize and individual's unique position (Euclidiean distance) in genetic ancestry continuum. Also evaluating individual PGS accuracy.
Read 6 tweets
Oct 27
Now on in the plenaries -- Catherine Robertson #ASHG22: Beta cells in the islets of the pancreas produce insulin. Type 1 diabetes is defined by loss of insulin production due to cell death or dysfunction. Disease risk is both genetic and environmental.
Catherine Robertson #ASHG22: Many common variants tied to T1D, but causal variants are hard to find -- some seem to impact cis-regulatory processes.

Now doing single cell/nuclei RNA-seq, ATAC-seq, and 5' RNA-seq.
Catherine Robertson #ASHG22: Nice overlap of all three data types for the PDX1 locus. Can describe regulatory processes across various cell types or stimuli +/-.

Hypothesis: T1D variants alter regulatory processes in islets.
Read 4 tweets
Oct 26
Jazlyn Mooney (@Jazlyn_Mooney) #ASHG22: Want to trace the genealogical ancestors in African American individuals. 1870 census was the first collected to have more detailed information on African Americans in the US -- but still not a lot. Many do not know their roots.
Jazlyn Mooney (@Jazlyn_Mooney) #ASHG22 draws a distinction: genealogical and genetic ancestors are not the same.

Can use ancestry proportions from the present to estimate the number of ancestors from each source population in past. Implementing a mechanistic model of admixture
Jazlyn Mooney (@Jazlyn_Mooney) #ASHG22: Model estimates the number of genealogical ancestors. Applying to African American ancestry individuals. Slave trade moved many individuals to the Americas. Shows time epochs on the model (slave trade, slavery, segregation era).
Read 5 tweets

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