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1.                                 60   Export Text Files and Charts                                                             61   Appendix A Annotation Sources                                                2           63  Annotation Sources 2  iii idee 64   Index Gees 67  Technical Assistance                                                2mmmmemme2m22222   69    VariantStudio v2 1 Software User Guide VI    Part   15040890 Rev  D    Getting Started        Introduction                                                                                             2  VCF Input Requirements                                                                               3  VariantStudio Software Interface                                                                      5  Create or Open a Project                                                                              8  Import Variant Call Files __                                                                             9  Data in VariantStudio Tables                                                                          11  VOF Fields Reported in the Variants Table WA  20  Somatic VCF Fields Reported in the Variants Table                                                21  _  Li mm A   RAA    AS 3  Y eau  7 o     Fee ii ttt            se TON     reat    ccace  AAA      se pee    VariantStudio v2 1 Software User Guide 1      JOJACUD    Getting Started    Introduction    The VariantStudio    software imports SNPs and inde
2.      VariantStudio v2 1 Software User Guide 3 Q    Applying Filters    Figure 24 Create Advanced Filter Window  CES u L                    Allele Freq Af  gt     Allele Freq Asn    Allele Freq Af  gt     Allele Freq Eur       Clin Var Significance  Consequence  Conserved Sequence  Coordinate   COSMIC Allele  COSMIC Gene                COSMIC Hietalan  ee  gt           Allele Freg Af  gt   Allele Freq Eur         Allele Freq Af   gt   Allele Freq Asn    AND   Allele Freq Af   gt   Allele Freq Eur           2 Select a column heading from the list on the left hand side                    3 Select an operation from the Operation list     4 Select either Constant or Parameter   To filter on a constant  enter a constant associated with the selection from the left   hand column   To filter on a parameter  select a column heading from the list on the right hand  side     5 Click the generate filter button  A diagram of the filters appears     6 To add another branch to the advanced filter  select the radio button for either and  or   xor  exclusive   Then  click Add  A new branch is added to the diagram     7 Continue selecting options and operators until you have completed the filter   8 When the advanced filter is complete  click OK   9 From the Filters pane  click Apply Filters     Variant Filters       Pass Filter    A Quality  gt  9     Read Depth  gt  0       Alt Variant Freq  gt  0     E  Show only variants     Inside genes  Inside coding regions    In conserved regions     E 
3.     Figure 10 Navigation Tabs for Variants Table  Genes Table  and No Call Regions Table    Chr Coordinate Type Genotype Exonic Filters Quality   GQX pa  69270 snv  69270 snv  69511 snv  69511 snv  69897 snv  69897 snv    1  1  1  1  1  1                         SAMD11 NOC2L G gt A A    SAMD11 NOC2L G gt A A  M4 44 4 Variant 7 of 98192     V  Show Population Frequencies  V  Show Transcript Info  V  Show Custom Annotations  V  Show Clinvar  Y  Show Cosmic                         Variants Table    The Variants table lists the genes that overlap variants identified in the selected sample   Each row of the table contains the gene and reported variant  Genes that include multiple  variants are listed multiple times in the table  one time for each variant     The following information is provided in the Variants table  If a column described in the  following is not visible in your instance of VariantStudio  click Column Order from the  Table Options menu to view hidden columns     Column Heading Description  Gene The name of the gene   Variant Lists the reference allele and the diploid genotype call for the    sample as Reference  gt  AlleleA AlleleB    AlleleA and AlleleB are explicitly defined from the REF  ALT  and  GT fields of the VCF file  For example  at a heterozygous position  noted as GI 0 1 is represented as REF  gt  REF ALT  and a  homozygous non reference position noted as GT 1 1 is  represented as REF  gt  ALT ALT     Chr The chromosome number in which the gene occurs
4.     HW D NII    1 1 0 1 0 1 0 0     gt      Unaffected reference   gt        Unaffected carrier    gt  E Affected         Mutation    Autosomal Recessive Transmission Workflow  1    Proband        Subtract    All variants that are homozygous  1 1  in the father  mother  and unaffected  siblings        Include    Homozygous  1 1  variants in the child that are heterozygous  0 1  in the  mother and father        Subtract    All variants that are not homozygous  1 1  in affected siblings          Subtract    All variants that are homozygous  1 1  in unaffected siblings    Filtering results  Deleterious variants    A 8 Part   15040890 Rev  D    2 A single gene contains      One variant that is heterozygous  0 1  in the mother     The same gene contains a different variant that is heterozygous  0 1  in the father     Both variants are present in the affected child  0 1 and 0 1     Figure 28 Autosomal Recessive Transmission Logic  2    i Il    0 1 0 1    lll    0 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0     gt      Unaffected reference   gt  LJ Unaffected carrier    gt  E Affected         Mutation           Autosomal Recessive Transmission Workflow  2    Proband        Subtract    All variants that are homozygous  1 1  in the father  mother  and unaffected  siblings        Include  Compound heterozygous  0 1  variants  if at least two variants are in the    same gene  at least one variant is heterozygous in the father  and other  variants are heterozygous in the mother     Y Subtract    All v
5.    Coordinate The genomic location of the variant  1 based     Variant Length The number of bases affected by the variant    Type The type of variant  which is either a single nucleotide variant     SNV   insertion  deletion  or ref  for reference call      VariantStudio v2 1 Software User Guide 1 1    se qeL OIPNISIHBUBA ul eyeg    Getting Started    12    Column Heading    Genotype    Exonic    Filters    Quality    GQX    Alternate Alleles    Inherited From    Alt Variant Freq  Read Depth   Alt Read Depth  Allelic Depth    Custom Annotation    Custom Annotation 2    Custom Annotation 3    Custom Annotation 4    Classification    dbSNP ID    Description    The genotype  which is either heterozygous  het   homozygous   hom  or somatic  som      A variant found within a coding region   20 bp on both sides of the  coding region     The status of the variant call quality as annotated in the VCF file   PASS indicates that all filters were passed  otherwise the variant  call filter is listed     The filter listed and threshold for passing filter depends on the  method used to generate the VCF file     The numeric value of variant call quality as written to the QUAL  column of the VCF file  Determination of variant quality depends  on the variant caller     The conservative measure of genotype quality derived from the  minimum of the GO and QUAL values listed in the VCF file     This field is not populated for somatic VCF files  For more  information  see Somatic VCF Fields Report
6.    Figure4 Filters Pane    Filters    General  variant  Gene    Consequence    Population Frequency    Cross Sample Subtraction  Family Based  Custom    Classification    Apply Filters   gt   Clear Filters             Filter History    The Filter History pane shows filters that have been applied to the samples in this project   Filters can be a single filter  a combination of filters  or a saved filter from the favorite filter  list     Figure 5 Filter History Pane    Filter History    Num Genes Num Variants Filter Name Filter       447 1969 Untitled 0  260 665 Untitled  AlleleFreg  lt  17                     61 81 Untitled    AlleleFreq  lt  17 AND  Splice OR Inframe_Insertion OR Stop  Lost OR Inframe_Deletion OR Initiator_Codon OR Stop_Gained OR Frameshift OR Missense                      Column Heading Description   Num Genes The number of genes showing with the filters applied    Num Variants The number of variants showing with the filters applied    Filter Name The name of the filter applied  The filter name appears only if  the filter was saved as a favorite  Otherwise  the filter name is  Untitled    Filter The description of the filter applied  which can describe one    filter or a combination of filters     The Filter History pane includes three buttons  Clear History  View  and Apply   Clear History    Clears entries in the filter history pane   View   Shows a block diagram illustration of the filter   Apply   Applies the filter to the variants table     6 Part   15
7.   Annotate Variants    From the Annotations and Classification tab  use commands on the Annotate menu to  annotate variants in the current sample with options to annotate all variants or only those  variants specified  All coordinates used in VariantStudio are genomic coordinates on the    positive strand     Always annotate variants before applying filters        NOTE    An Internet connection is required to annotate variants  After annotating  an internet  connection is not necessary     Figure13 Annotate Menu    Home Annotation  amp  Classification Reports    E k  M _    pal e   EM   ERA    Annotate Custom Custom Gene Annotation Subscription Set Default    e Annotation    Annotation Options Settings Transcripts       Command    Annotate    Custom Annotation    Custom Gene  Annotation    Subscriptions Settings    Set Default  Transcripts    I NOTE    Description    Annotates variants in the project using the following options     e All Variants of Current Sample    Annotates all variants in  the current sample  The current sample is listed in the  Current Sample field of the Samples menu     e Exonic Variants of Current Sample     Annotates variants  found within an exon plus 20 bp on either side of the exonic  region to include the annotation of splice site variants     e Selected Variants of Current Sample    Annotates only the  variants that you have selected or filtered     e All Samples    Annotates all variants within each sample  imported into the project  This proce
8.   Coding  Filtered Unfiltered    Variant Type    insertion  2 26    deletion  4 67      sny  93 07 Yo    BR deletion  4 67    DA insertion  2 26    D  sn  93 07         Part   15040890 Rev  D    Annotation Sources    Annotation Sources          ae  lt      lt    Z 1 e rtt    A       lt   RTS      lt    haax    o    PAST aereas     crecca ee  xo      lt F pol           aa i  rt  s     WAA TGC GG CA TEA Ka gap ice TOM       E          VariantStudio v2 1 Software User Guide 6 3    v xIpu  qdv    Annotation Sources    Annotation Sources    Annotation sources are static in the VariantStudio software  Any changes to source  databases  such as ClinVar  do not automatically update the annotation sources connected  to VariantStudio     The VariantStudio software includes the following annotation sources   Variant Effect Predictor  VEP   1000 Genomes Project  Catalogue of Somatic Mutations in Cancer  COSMIC   ClinVar  National Center for Biotechnology  NCBI   National Heart  Lung  and Blood Institute  NHLBI  Exome Variant Server  UCSC    VEP v2 8    Source    Uses data from the Ensembl infrastructure  release 72    ftp ncbi nih gov snp organisms human_9606 VCE 00 All vef gz   Ensembl infrastructure pulls information from RefSeq  release 56    Values    Positional  specific to the position  not necessarily matching the allele    GMAF   Global minor allele frequency  www ncbi nlm nih gov variation tools reporter docs faq gmaf  GMAF allele  HGNC of overlapping transcripts  for Ensembl onl
9.   Software  means Illumina branded software  e g   Hardware operating software  data analysis software   All Software is  licensed and not sold and may be subject to additional terms found in the Software s end user license agreement    Specifications  means Illumina s written specifications for this Product in effect on the date that the Product ships from  Illumina     2 Research Use Only Rights  Subject to these terms and conditions and unless otherwise agreed upon in writing by an  officer of Illumina  Purchaser is granted only a non exclusive  non transferable  personal  non sublicensable right under  Ilumina s Core IP  in existence on the date that this Product ships from Illumina  solely to use this Product in Purchaser s  facility for Purchaser s internal research purposes  which includes research services provided to third parties  and solely  in accordance with this Products Documentation  but specifically excluding any use that  a  would require rights or a  license from Illumina to Application Specific IP   b  is a re use of a previously used Consumable   c  is the disassembling   reverse engineering  reverse compiling  or reverse assembling of this Product   d  is the separation  extraction  or  isolation of components of this Product or other unauthorized analysis of this Product   e  gains access to or determines  the methods of operation of this Product   f  is the use of non Illumina reagent consumables with lllumina s Hardware   does not apply if the Specifi
10.   V  Show Transcript Info  v     Variants   Genes   No Call Regions       Show hide options include the following sections of the Variants table   Show Population Frequencies    Shows and hides Allele Freq  Allele Freq Global Minor   global Minor Allele  Allele Freq Amr  Allele Freq Asn  Allele Freq Af  Allele Freq Eur   and Allele Freq Evs   Show Transcript Info   Shows and hides Num Transcripts  Transcript  Consequence   cDNA Position  CDS Position  Amino Acids  Codons  Exon  Intron  Transcript HGNC   Distance  Canonical  Sift  PolyPhen  ENSP  HGVSc  and HGVSp   Show Custom Annotations    Shows and hides Custom Annotation  Custom  Annotation 2  Custom Annotation 3  Custom Annotation 4  and Custom Gene  Annotation   Show ClinVar   Shows and hides ClinVar RS  ClinVar Ref  ClinVar Alleles  ClinVar  Significance  ClinVar Disease Name  ClinVar Accession  ClinVar MedGen  ClinVar  OMIM  ClinVar Orphanet  ClinVar Gene Reviews  and ClinVar SnoMedCt ID   Show COSMIC   Shows and hides COSMIC ID  COSMIC Wildtype  COSMIC Allele   COSMIC Gene  COSMIC Primary Site  and COSMIC Histology     Set Table Options    Figure 11 Table Options Menu      Select All    CI Copy       Column Order     A Smaller       A Larger       Table Options    The Table Options menu includes the following commands   Select All  which selects all rows in a table   Copy  which copies selected data to the clipboard   Smaller and Larger  which changes text size in a table   Column Order  which includes commands to cha
11.   deletion  or duplication as reported in the ClinVar database     The clinical significance or classification assigned to the allele as  reported in the ClinVar database     The disease associated with the allele as reported in the ClinVar  database     The alpha numeric ID assigned to the allele in the ClinVar database  and link to the associated page of the ClinVar database     The alpha numeric identifier of the disease as reported by MedGen  and link to the associated page of the MedGen database     The numeric identifier for the disease as reported by Online  Mendelian Inheritance in Man  OMIM  and link to the associated  page of the OMIM database     The numeric identifier of the disease as reported by Orphanet and  link to the associated page in the Orphanet database     The alpha numeric identifier of the disease as reported by Gene  Reviews and link to the associated page in the Gene Review  database     The numeric identifier of the disease and associated clinical terms  as reported by SnoMedCt     The gene name  expressed as official HGNC nomenclature     The number of transcripts reported in the annotation  which  includes overlapping transcripts and upstream and downstream  transcripts within 5 kb of the variant     The name of the transcript  usually a database identifier from  RefSeq or Ensembl     Consequence of the variant  described in Sequence Ontology  standardized vocabulary     Position of the variant in CDNA   Position of the variant in the coding regi
12.  34   edit database 31   importing 35   in reports 58   in variants table 12   report fragments 29  ClinVar   annotation source 65   filter annotations with 41   in variants table 13  codon  intiatator 42  consequence 14  consequence filters 42  COSMIC   annotation source 65   filter annotations with 41   in variants table 13  cross sample subtraction filter 43  custom annotation 24   applying 27   creating 27   filters 45   in variants table 12   input file  genes 27   input file  variants 27  customer support 69    VariantStudio v2 1 Software User Guide    x  pu     D    de novo mutation  filtering by 44  deletion  in frame 42   documentation 69   dominant transmission  filtering by 44         Ensembl  annotation source 64  in variants table 15  Entrez Gene ID 16  EVS 43         family based filtering 44   favor  te filters 52   filters  advanced 39  ee 6  classification 45  clear history 6  clearing 6  consequence 42  creating favorites 52  cross sample substraction 43  custom 45  family based 44  gene 41  eneral 39  istory pane 6  history reporting 61  interface 5  population frequency 43  variants 41   filters pane 6  38   frameshift 42    G    Gene ID 16  gene list  filtering 41  importing from 9  ene view 7  eneReviews 16  genes table 15  Bae VCF 4  Ox    in variants table 12  in VCF file 20    H    help  technical 69  HGNC    in variants table 14  transcript in variants table 15    G     Index    HGVS 15 setting default 25    histogram  creating 61 U     UCSC 66  impo
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14.  Only the first number in each value is used  In the  example 0 0 12 12  the Ref Allele is 0 and the Alt Allele is 12   Allelic Depth is listed as 0 12     Based on values in the FORMAT column  Alt Read Depth is  calculated differently for SNVs and indels     e For SNVs   Based on the first value from the appropriate Allelic  Depth  AU CU GU TU   In the example 0 0 0 0 10 10 3 4  the  values are 10 10 for GU and 3 4 for TU  If the Ref Allele is G and  the Alt Allele is T  the Alt Read Depth is 3     e For indels   Based on the first value from the appropriate Allelic  Depth  TAR TIR   In the example 0 0 12 12  the Ref Allele is 0 and  the Alt Allele is 12  Alt Read Depth is listed as 12     For somatic VCF files  allele frequency is calculated from values in  the VCF file before data are reported in the Variants table     e For SNVs   Using only the first values for AU CU GU TU  allele  frequency is calculated as  alt allelic depth  alt allelic depth   ref  allelic depth   100  In the example 0 0 0 0 10 10 3 4  Alt Variant  Freq is 23 08  by calculating  3  3 10   100    e For indels   Using only the first values for TAR and TIR  allele  frequency is calculated as  TIR  TIR TAR   100  In the example  0 0 12 12  Alt Variant Freq is 100  by calculating  12  12 0   100     Based on values listed in the INFO column  If SOMATIC is listed in  the INFO column  the genotype is listed as somatic  som  in the  Variants table     21    SIUBUBA 9y  Ul papod  y Spald JO A 91EUI0S    Varia
15.  Only variants without dbSNP ID     E  Only variants with Cosmic annotation  where matches mutant allele  where not matches mutant allele     E  Only variants with ClinVar annotation  where matches mutant allele  where not matches mutant allele       A O Part  15040890 Rev  D    Use the Variant filters to filter by variant call attributes  variant positions  and variants    with specific annotation     Filter Name    Variant Call    Show only variants    Only variants with    Gene Filters    Gene    Disease                    F  Min Variant Alleles  2        where custom gene annotation    contains     include List mms    E  Exclude List           Setting Description    Filters data based on a specified value for variant call quality   pass filter  quality score  read depth  or percentage of variant  frequency for the minor allele     Select the checkbox  and then use the up down arrows to  specify a minimum threshold     Filters data based on variant position  Options include inside  genes  inside coding regions  and in conserved regions     Filters data based on the source of annotation  Options  include variants without dbSNP ID  with COSMIC annotation   and with ClinVar annotation     Use the Gene filters to filter data by disease  or include or exclude specific genes     Filter Name    Disease    Include List    Exclude List    Min Variant Alleles    Custom Gene  Annotation    VariantStudio v2 1 Software User Guide    Setting Description    Filters data to show genes ass
16.  Unaffected Siblings          Edit Unaffected Siblings       IM  Use only passing variants in relatives       Use the Family Based filter to determine modes of inheritance based on the mother  father   and child  This filter is useful in removing variants that are not disease causing     1 Select the checkbox Use Family Based Filtering     2 Using the Type drop down list  select a type from the following choices    X linked Recessive     Variant level filtering of heterozygous variants in affected  females that are not present in the father and hemizygous in affected males   Autosomal Recessive transmission   Gene level filtering of different heterozygous  variants in the same gene in both parents  or variant level filtering of the same  heterozygous variants in both parents    De novo mutation   Filters variants not present in either parent  This filter can also  be applied using the cross sample subtraction filter    Autosomal Dominant transmission    Variant level filtering of heterozygous  variants that are present in the affected child  present in the affected parent  and  not present in the unaffected parent  This filter requires that you select the checkbox  next the mother or father  whichever is the affected parent     3 With the child sample set as current  use the drop down lists to select the sample from  the mother and the sample from the father  All samples must be present in the current  project     For more information  see Family Based Filtering Workflows on 
17.  annotations input file without an assigned  annotation value in the annotations column     Show variants that Filters data to show variants that match criteria provided in   contain the custom annotation input file  Options include  annotations from any of the four possible annotation  columns     Classification Filter    Classification             J  Filter by classification       Benign  Presumed Benign    Presumed Pathogenic  Pathogenic  Unknown Significance       Use the classification filter to filter by classifications assigned in the classification database   Any customized classifications appear in the classification filters list     1 Select the Filter by classification checkbox     2 Select the checkbox next to any number of available classifications     VariantStudio v2 1 Software User Guide A b    s191114    ddv    Applying Filters    Family Based Filtering Workflows    The mode of inheritance  which is the inheritance pattern of a genetic trait or disorder as  passed down through generations  is typically one of the following    Autosomal recessive   Autosomal dominant   X linked recessive   De novo mutation  Disease causing variants co exist with the disorder according to the mode of inheritance   Family based filtering requires at least three samples  the affected child  also known as the  proband  and the parents     Figure 25 Minimum Samples  Father  Mother  and Proband       m Affected    Because the proband contains thousands of variants that appear delete
18.  controlled intellectual property that cover aspects or features of this Product  or use  thereof  that are common to this Product in all possible applications and all possible fields of use  the  Core IP     Application Specific IP and Core IP are separate  non overlapping  subsets of all Illumina owned or controlled intellectual  property  By way of non limiting example  Illumina intellectual property rights for specific diagnostic methods  for  specific forensic methods  or for specific nucleic acid biomarkers  sequences  or combinations of biomarkers or  sequences are examples of Application Specific IP   Consumable s   means  lumina branded reagents and consumable  items that are intended by Illumina for use with  and are to be consumed through the use of  Hardware    Documentation  means Illumina s user manual for this Product  including without limitation  package inserts  and any  other documentation that accompany this Product or that are referenced by the Product or in the packaging for the Product  in effect on the date of shipment from Illumina  Documentation includes this document   Hardware  means Illumina  branded instruments  accessories or peripherals   Illumina  means Illumina  Inc  or an Illumina affiliate  as applicable    Product  means the product that this document accompanies  e g   Hardware  Consumables  or Software    Purchaser   is the person or entity that rightfully and legally acquires this Product from Illumina or an Illumina authorized dealer  
19.  library     VariantStudio includes an example report template to help in creating a template  The  example report template cannot be edited  Instead  create a copy of the example report  template  From this copy  rename the template and customize each section of the template  using the template tabs     Click Manage Templates  The Manage Report Templates window opens   Figure 35 Manage Report Templates Window    Manage Report Templates    Report Template Template Data                Sample Info   Lab Information   Test Summary   Methodology   References   Page Footer   Classifications         Sample ID   Sample Type  Sample Collection Date  tec    Date Reported    The Example Template may not be modified  Please duplicate it t          New                   Duplicate                      Revert   Make Default               Current Default  Lab Name Template 1   Done       Do one of the following     Highlight Example Template in the Report Template field and click Duplicate and  enter a template name  Click OK    To create a template without using the example template  click New and enter a  template name  Click OK    To edit an existing template  click to highlight the template name in the Report  Template list  This template is now the active template and ready for editing     For each of the following tabs  enter the information to be included in reports using this  template  Use the formatting tools to customize the layout  Information included in the  following sections
20.  of the template are editable when creating the sample report     Sample Info tab   Specify the sample fields to include in the report  Each field  name generates a row in the sample information table    Lab Information tab     Enter the lab name and location  or other preferred  information for the report header    Test Summary tab    Enter preferred introductory content to begin this section   Otherwise  leave this section blank in the template    Methodology tab    Similar to Test Summary  enter preferred introductory content to  begin this section  Otherwise  leave this section blank in the template    Page Footer tab    Enter preferred content for the template footer  such as contact  information  This information appears at the bottom of each page in the report     Part   15040890 Rev  D    4 Click the Classifications tab  Drag and drop classification names from the Available  Classification list to the Displayed Classification list  The selected classifications are  included in any reports using this template and they appear in the order listed     Figure 36 Classifications for Reporting    Manage Report Templates  Template Data  Sample Info   Lab Information   Test Summary   Methodology   References   Page Footer   Classifications                      From the Available Classifications list  drag the classifications that you want to include in your report to the  Displayed Classifications list  The order of classifications in the Displayed Classifications list determi
21.  on the right panel and use the scrolling feature on your  mouse to zoom in or zoom out     2 Click Done to apply changes     VariantStudio v2 1 Software User Guide b 3    SJ9  14 POAC 9 2919    54    Part  15040890 Rev  D       gap GGGTGS  ccAC C    AS gt  lt   poro    k  Se pe    Generating Reports    Introduction                                                                                             56  Sample Report Overview                                                                              57  Create a Sample Report Template                        2 58  Create a Sample Report                                                                               60  Export Text Files and Charts 22 61     e   2      par S dks         a               A T    _    pl      5    m                    AH      ae  gt   gt  ene eA gl    GArre        Te ata se fi  A e aia  T L      de      VariantStudio v2 1 Software User Guide b b    y J19S1deyo    Generating Reports    Introduction    VariantStudio provides tools to export results from a project to an external report     Use the commands on the Reports tab to create a sample report  and to export data to text  files and graphical representations     Figure 33 Reports Tab    Home Annotation  amp  Classification Reports Help    L      12 A In e    Sample Manage Filtered All Transcripts Filter Histogram Pie Chart  Report Templates Variants for Variants History       Reports Export Charts    5 6 Part   15040890 Rev  D    Sample R
22.  or siblings    Y Subtract    All variants that are not heterozygous  0 1  in affected parent or siblings         Filtering results  Deleterious variants    VariantStudio v2 1 Software User Guide    SMO 410M Buna paseg AIILUE      Applying Filters    Create Favorite Filters    To save any combination of filtering options for use with a different sample or for later use  in another project  save the filtering options as a favorite filter     The Filter Favorites menu includes commands to save  apply  modify  and manage saved  filters     Figure 31 Filter Favorites Menu Commands    Current        Command Description    Current Shows the current filter that is applied and a list of available  saved filters  Select a saved favorite filter from the drop down  list to apply it to the current sample     If you change to another sample  a favorite filter applied to  the previous sample is not applied automatically to the next    sample    Manage Filters Opens tools for renaming  duplicating  or deleting saved  filters    Save Saves changes to the currently applied filter    Save As Opens a dialog box for naming a favorite filter     Save a Favorite Filter    1 With any combination of filters specified in the Filters pane  select Apply Filter     2 Click Save As in the Filter Favorites menu     3 Enter a name for the new filter  Click OK  When a saved filter is applied  the saved  filter name appears in the Current field     Apply a Favorite Filter  1 To apply a saved filter  expand t
23.  see Annotate Variants on page 24   Reports tab   Contains commands for exporting results to reports  For more  information  see Introduction on page 56   Help tab   Contains information about the software version and a link to online help   An internet connection is required to access the help files     VariantStudio v2 1 Software User Guide F    298  9 U  S4EMIJOS OIPNISIUBIIBA    Getting Started    Create or Open a Project    The Project menu includes commands to create  open  save  and name projects     Figure 7 Project Menu Commands    Home Annotation  amp  Classification    LS Ly L      Eon    New  ab Close Save Save As    Project       Command Description  New Creates a project  Starting a new project closes the current  project     If you have not yet saved changes to the current project  a  reminder to save your changes appears     Open Opens a project  Opening another project closes the current  project   If you have not yet saved changes to the current project  a  reminder to save your changes appears     Close Closes the current project  This command does not close the  software application     If you have not yet saved changes to the current project  a  reminder to save your changes appears     Save Saves changes made to an open project  If your project is  new  you are prompted to name the project     Save As Provides the option to save the current project with a  different name     8 Part  15040890 Rev  D    Import Variant Call Files    From the Home tab  use c
24.  see Apply Classifications from Database on page 30     View Classification Use this command to open the classification database  edit entries in  Database the database  or import classifications from an external file  For  more information  see View Classifications Database on page 33     Classification Settings VariantStudio provides five classifications  Benign  Presumed  Benign  Presumed Pathogenic  Pathogenic  and Unknown  Significance  Use this command to add or remove classification  categories  For more information  see Add or Remove Classification  Categories on page 33     Variant classifications can be changed at any time in the classification database or changed  locally in the current project without changing database entries  For more information  see  Edit Variant Classifications on page 31     By default  the classification database is saved locally for use with any VariantStudio  project that is opened locally  For more information  see Classification Database Location on  page 34     A backup of the classification database is created with the first change of each day  For  more information  see Classification Database Backup on page 34     For each classified variant  two text fields are available for recording comments about the  variant  the Notes field and the Report Fragment field   Notes     Information in Notes field is stored in the classification database only   Report Fragment    Information in the Report Fragment field is stored in the  classificat
25.  the column heading  A drop down list opens that  contains all values present in that column                                   Y  Genot     Custom  _   Blanks      Non blanks    hem       het                2 Selecta value from the drop down list  The Variants table shows only data that  contains your selection    To restore the default view of the Variants table  use one of the following methods   Click the show hide LT  icon in the column heading used to modify the table and select  All from the drop down list   Click the  Xl icon at the bottom of the Variants table     VariantStudio v2 1 Software User Guide 1      se qeL OIPNISHBUBA ul eyeg    Getting Started          Genotype    het      A history of previous selections appears at the top of the column heading drop down list  for quick access to frequently used selections  To remove a selection from history  click the    delete icon     Show or Hide Selected Columns    Use the checkboxes below the table tabs to show or hide specific columns in the Variants  table  Select the checkbox to show data  and clear the checkbox to hide data  All options are  set to show  by default     Variant   Chr Coordinate Type Genotype Exonic Filters   Quality   GOX        69270 snv LowG     69270 snv LowG     69511 snv PASS  69511 snv PASS  69897 snv   69897 snv    A gt G G  A gt G G  A gt G G  A gt G G  T gt C C                   SAMD11 NOC2L G gt A A 879676 snv    SAMD11 NOC2L G gt A A  Variant 7 of 98192    ea Show Population Frequencies
26.  the value for the field  such as John Doe and Jan  Date Reported   1  1990                    Export to PDF    Export to RTF          From the Report Template drop down list  select an appropriate template for the report     On the Sample Info tab  enter information in the fields provided or click Import to  browse to the location of the text file containing the information     Enter information for the remaining tabs that are not already populated in the selected  template     Click Preview to preview the report before generating it     Click Export to PDF or Export to RTF to generate the report   To save the report contents without generating the report  click Done     Part   15040890 Rev  D    Export Text Files and Charts    In addition to sample reports  VariantStudio provides tools for exporting to text files and  graphical representations of data     Export Text Files    Exporting filtered variants and all transcripts for variants generates a tab separated values  file  Exporting filter history generates a comma separated values  CSV  file  These text file  formats are not application specific and can be opened in any text editor     Command Description  Filtered Variants Exports filtered variants from the current sample    TSV  For variants that overlap multiple genes  only the transcripts    that appear on the interface are exported     All Transcripts for Exports all transcripts for filtered variants in the sample   Variants  TSV   Filter History  CSV  Exports a rep
27.  to the variant later     To revert the classification to what is assigned in the database  click the     icon in the  Classification column     Click Apply Classification from Classification Database  The classification recorded in  the database appears in the Classification field  Click OK     Part   15040890 Rev  D    Manage Classifications    From the Annotations and Classification tab  use commands on the Classifications menu to  view the classification database and manage classification settings     View Classifications Database    Click View Classification Database to view the entries in the classification database  From  this window  you can edit an entry  delete an entry  or import classifications from an  internal file   Edit an entry    Select a row  or use shift click or ctrl click to select multiple rows  Click  Edit Selected  Reassign a classification or add comments   Delete an entry    Select a row  or use shift click or ctrl click to select multiple rows   Click Delete Selected  The entry is permanently deleted from the database   Import classifications    Click Import Classifications and browse to the location of your  external classifications file  For more information  see Import Classifications on page 35     Figure 21 View Classification Database    Variant Classification Database Entries       Database Path  C  ProgramData Illumina llumina YariantS tudio ClassificationD b  bin Import Classifications          Chr Position Ref Variant Classification Repor
28. 040890 Rev  D    You can export information from the Filter History pane in a comma separated values   CSV  file format  For more information  see Generating Reports on page 55     Gene View    The Gene View shows a graphical representation of the gene with the following indicators     Exons are indicated in dark blue    Variants are indicated with a red line    The selected variant is indicated with an orange line   The selected transcript is indicated in purple   No call regions are indicated in gray     Figure 6 Gene View    OPA3 57 1Kb    ALL       Alternate Inherited   Alt Vari ead AltRead Allelic Cust  Alleles From Freq ep Depth Depths Annot    v Chr Variant Coordinate Type Genotype Exonic Filters Quality GQX    19 C gt C T 46056620 snv  46055477 insertion e es       The Gene View is interactive  Using your mouse  hover over the view to see the coordinate     Click and drag your mouse to slide the view from end to end  Use the scrolling feature on  your mouse to zoom in and zoom out     Menus and Commands    VariantStudio commands are arranged in the following four tabs    Home tab    Contains commands for saving projects  importing data  managing  favorite filters  and changing layout options  For more information  see the following  sections    Import Variant Call Files on page 9   Modify Table Views on page 17   Create Favorite Filters on page 52  Annotation and Classification    Contains commands to annotate variants and apply  classifications  For more information 
29. 533  67493366  69685127  77532208  219128852  74449433  34824447      N   N    N   un       8    43116876  137851229  53715412  125627871  178203277  151546276  151475556  12788726  12727097  171011372  99417599  67547074  69870977  77583398  219134893  74466199  34844853    Num     Tr en Default Transcript    1 NM_130786 3   1 NR_015380 1  ERE   1 NM_000014 4   1 NR_026971 1   2 NM_144670 4   1 NR_040112 1   1 NM_017436 4   1 NM_016161 2   2 NM_001173466 1     1 NM_023928 3   1 NR_024035 1   1 NM_001086 2   1 NM_207365 3   2 NM_001103169 1     1 NM_001013630 1   2 NM_016228 3     1 NM_153698 1   1 NM_024666 3   1 NM_014911 3   1 NM_024684 2   1 NM_001087 3   2 NM_001088 2   1 NM_015511 3          Copy to Clipboard    Set HGMD Transcripts       Alternatively  click Browse to navigate to a tab delimited text file containing your preferred  default transcripts and click Load     Input File for Default Transcripts    The input file for default transcripts requires two columns  Gene_Name and Transcript_  Name  as shown in the following example     Gene_Name  ACTN3  ADH1B  AKAP10    Transcript_ Name  NM_003793 3  NM_000668 4  NM_007202 3    Part   15040890 Rev  D    Create Custom Annotations    Applying custom annotations requires a tab delimited input file with a   txt extension  One  input file is required for variant level annotations and one for gene level annotations     a    NOTE  VariantStudio assumes that all annotations are expressed in the genomic coordinates on the  pos
30. ACGTACCGTAACGAACGTAT CAAT T GAGACTAAATAT TAACGTACCAT TAAGAGCTTCTGT TAACCT TAAGAT TACT TGATCCACTGAT TCAACGTACCGTE  TATCAATTGAGACTAAATALTAACGTACTIAACC LIAAGATIACTTGATECACTGATTCAACGTACCGTAACGAA e   GACTAAATATTAACGTACCATTAAGAGCTACAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGACTAAATATTAACGTACCATTAAGAGCTACCGTGCAACGACGAAAAGAATGATAACAGTAACAC   GATAACAGTAACACACTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGACTAAATATTAACGTACCATTAAGAGCTACCGTCTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAAC  ACCATTAAGAGCTACCGTGCAACTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGACTAAATATTAACGTACCATTAAGAGCTACCGTGCAACGACGAACTTCTGTTAACCTTAAGATTACTTGAI  GCTACCGTGCAACGAAAATAACCTTAAGATTACTTGATCCACTGATTCAACGTACTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGACTAAGCTACCGTGCAACGACGAAAAGAATGA  GAAAAGAATGATAACAGTAACACACTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGACTAAATATTAACGTACCATTAAGAGCTAC   CE ae ea CCGTAACGAACGTATCAATTGAGACTAAATAT TAACGTACCAT TAAGAGCTACCGT GCAACGACGAAAAGAAT GATAACAGTAACACACTTCTGT  ACCAT TAAGAGCTACCGTGCAACAGTAACACACTTCTGT TAACCTTAAGAT TACTT GAT CCACT GATT CAACGTACCGTAACGAACGTAT CAAT TGAGACTAAATAT TAACGTACCAT TAAGAGCTACCGT GCAACGACGAAAAGAAT GATAA   GATAACAGTAACACACT TCTGTTAACCT TAAGAT TACTTGAT CCACT GATT CAACGTACCGTAACGAACGTAT CAAT T GAGACTAAATAT TAACGTACCAT TAAGAGCTACCGTCTTICTGTTAACCT TAAGAT TACT T GAT CCACTGAT TCAAC   ee 6 ee cie y sio Sal O p TRAE TROT CCC ACR U O a O GAL OG TT LCA Nr    
31. ACTT C T TGAGACTAAATATTAACG TT  AACGACGAACTICTGTTAA   GCTACCGTGCAACGAAAATAACCTTAAGATTACTTGATCCACTGATTCAACGTACTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGACTAAGCTACCGTGCAACGACGAAAAGAATGA  GAAAAGAATGATAACAGTAACACACTTCTGTTAACCT TAAGAT TACT TGATCCACTGAT TCAACGTACCGTAAAGAT TACT T GATCCACTGAT TCAACGTACCGTAACGAACGTATCAATT GAGACTAAATAT TAACGTACCATTAAGAGCTAC   TGATAACAGTAACACACTTCTGTTAACCT TAA r M IAA Sig Clty CCGTAACGAACGTATCAAT TGAGACTAAATAT TAACGTACCAT TAAGAGCTACCGT GCAACGACGAAAAGAAT GATAACAGTAACACACTTCTG1  TACCAT TAAGAGCTACCGTGCAACAGTAACACACTTCTGT TAACCT TAAGAT TACTT GATCCACT GAT TCAACGTACCGTAACGAACGTAT CAAT TGAGACTAAATAT TAACGTACCAT TAAGAGCTACCGT GCAACGACGAAAAGAAT GATAs  TGATAACAGTAACACACT TCTGTTAACCT TAAGAT TACT TGAT CCACT GAT TCAACGTACCGTAACGAACGTAT CAAT T GAGACTAAATAT TAACGTACCAT TAAGAGCTACCGTCTTICTGTTAACCT TAAGAT TACT T GAT CCACT GAT TCAAC  ZGTACCGTAACGAACGTATCATTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGACTAAATATTAACGTACCATTAAGAGCTACCGTGCAACGACGAAAAGAATGATAACAGTAACACACTTCTGTTAACCTI   CTTGATCCACTGATTCAACGTTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGCTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGACTAGCAACGAC   G AACAGTAACACACTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGACTAAATATTAACGTACCATTAAGAGCTAC  TTCTGTTAACCTTAAGATTAC CCACT TACCGT  A TT ACTAAA AACGTACCA T  GTTAACCTTAAGATT  CT CAAC    TGATAACAGTAACACAC TTGAT CTGATTCAACG GTAACGAACGTATCAATTGAG TAT Ts TTAAGAGCTACCGT
32. CACTGATTCAACGTACCGTAACGAACGTCTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCG ete nd ba s tee TAACGACG    GACTAAATAT TAACGTACCAT TAAGAGCTACAACCT TAAGAT TACTTGATCCACT GAT TCAACGTACCGTAACGAACGTATCAAT TGAGACTAAATAT TAACGTACCAT TAAGAGCTACCGT GCAACGACGAAAAGAAT GATAACAGTAACACS   GATAACAGTAACACACTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTA a CTAAATATTAACGTACCATTAAGAGCTACCGTCTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAAC   ACCATTAAGAGCTACCGTGCAACTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGACTAAATATTAACGTACCATTAAGAGCTACCGTGCAACGACGAACTTCTGTTAACCTTAAGATTACTTGAI  GCTACCGTGCAACGAAAATAACCTTAAGATTACTTGATCCACTGATTCAACGTACTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGACTAAGCTACCGTGCAACGACGAAAAGAATGA  GAAAAGAATGATAACAGTAACACACTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGACTAAATATTAACGTACCATTAAGAGCTAC    GATAACAGTAACACACTTCTGTTAACCTTAAG ee s n CCGTAACGAACGTATCAATTGAGAC e e A E Ms CGACGAAAAGAATGA Nay a saga UA   ACCAT TAAGAGCTACCGTGCAACAGTAACACACTTCTGTTAACCTTAAGAT TACTT GAT CCACTGAT TCAACGTACCGTAACGAACGTAT CAAT TGAGACTAAATAT TAACGTACCAT TAAGAGCTACCGT GCAACGACGAAAAGAAT GAT    GATAACAGTAACACACTICTGITAACGT TAAGAT TACT TGAT CCA  GATTCAACGTACCG IAACGAACG TATGAATIGAGACTAAATAT  AGG IACCAT IAAGAGCTACCGICT TC TGTTAACCI TAAGAT TACT  GAT GCACTGAT ICAAG   gt GTACCGTAACGAACGTATCATTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGACTAAATATTAACGTACCATTAAGAGCTACCGTGCAACGACGAAAAGAATGATAACAGTAACACACTTCTGTTAACCTT   CTTGA
33. CGTACCGTAACGAACGTAT CAAT TGAGCTTCTGTIAA TAGCAACGAC   AAAAGAATGATAACAGTAACACACTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAAAGATTACTTGATG     TTAAGAGCTAC    or AT TA A E    ggTTTACCACAA pl  ATACAGTACGTACAAC aie le  CAMGCGMAGACAGGTT ACCAT       AAMAGATATTOTACATCCAG       AGAGTCAAGAT  GCAGGTGAAT wer MGT TGC    FOR RESEARCH USE ONLY    ILLUMINA PROPRIETARY  Part   15040890 Rev  D  December 2013    This document and its contents are proprietary to Illumina  Inc  and its affiliates   Illumina    and are intended solely for the  contractual use of its customer in connection with the use of the product s  described herein and for no other purpose  This  document and its contents shall not be used or distributed for any other purpose and or otherwise communicated  disclosed   or reproduced in any way whatsoever without the prior written consent of Illumina  Illumina does not convey any license  under its patent  trademark  copyright  or common law rights nor similar rights of any third parties by this document     The instructions in this document must be strictly and explicitly followed by qualified and properly trained personnel in order  to ensure the proper and safe use of the product s  described herein  All of the contents of this document must be fully read  and understood prior to using such product s      FAILURE TO COMPLETELY READ AND EXPLICITLY FOLLOW ALL OF THE INSTRUCTIONS CONTAINED HEREIN  MAY RESULT IN DAMAGE TO THE PRODUCT S   INJURY TO PERSONS  INCLUDING TO USERS OR
34. CTTICTGT TI  CTT  ACTTGATCCACTGATTCAA  GTA CGAACGTATCATTAAGATTACTTGATCCACTGATTCAA CCGTAACG GTATCAATTGAGACTAAATA GTA AAGAGCTACCGTGC AACAGTAACACAC  CAG CAC CTTGATCCACTGATTCAACGTACCG GATTACTTGATCCACTGATTCAA CGTAACGAACGTATCAA G ATTAACGTACCATTAAGAGCTAC  TACCATTAAGAGCTACCGTGCAACAGTAACACACTTC CTTGAT CTGAT TCAACGTACCGTAACGAACGTAT  A TATTAACGTACCAT TAAGAGCTACCGT GC   G CAG ACA ACTTGATCC GATTCAACGT  GTAACGAACGTATCAATTGA TATTAACGTA AAGAGCTACCGTCTICT ACTTGATCCACTGATT   CTTGATCCACTGATT CG ACTTGATCCACTGATTCAACG GTAACGAACGTATCAATTGAGCTTC C ACTTGAT TGATTCAACGTA AACGAACGTATCAATTGAGACTAGCAACGAC   TATTAACGTACCATTAAGA ACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATT A ATTAAGAGCTACCGT  AGT   CG CGAACGTATCATTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATC GAGA TTAACGTACCATTAAGAGCTACCGTGC CAGT  ACTT   CTTGATCCACTGATT C ACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGCTTCTG CC GATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGACTAGCAACGAC   CAGTAACACACTTCTGTTAACC ACTTGATCCACTGATTCAAC TAAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGACTAAATATTAACGTACCATTAAGAGCTAC    G GAATGATAA AAGATT  AC GTACCG CGTACCGT Ti T TAACGTACCA  TGATAACAGTAACACACTTCTGTIAACCTTAAGATTACTTGTTGATCCACTGAT TCAACGTACCGTATCAAT TGAGACTAAATAT TAACGTACCAT TAAGAGCTACCGT CTT CTGTTAACCTTAAGAT TACT T GATCCACTGAT TCAACGTACCG     CACTGATTCAACGTACCAAGAT TACT TGATCCACT GAT TCAACGTACCGTAACGAACGTATCAATT GAGACTAAATAT TAACGTACCAT TAAGAGCTACCGTCTTCTGTTAACCTTAAGAT TACT TGAT CCACT GAT TCAACGTACCGTAACG    GAAAAGAATGATAACAGTAACACACTTCTGTTAACCT TAAGAT TACT TGATCCACT
35. Familial hypercholesterolemia  Tangier disease  Familial hypoalphalipoproteinemia    MedGen OMIM Disease  7  C0020445 Familial hypercholesterolemia     C0039292  C1704429 Familial hypoalphalipoproteinemia       The protein name associated with gene function     The Entrez Gene ID for the gene and link to the associated entry in  the NCBI database     Link to PubMed search page for the selected gene  The page opens  with an auto populated search field  Click search to continue     Gene annotations according to values provided in the Annotation  column of an optional custom gene annotation file     Link to GeneReviews website  Clicking the entry provides a drop   down list with links to GeneReviews     The No Call Regions table shows regions where calls could not be confidently made due to  a low read depth or failing a quality filter  The No Call Regions table is populated directly  from the non variant regions reported in the genome VCF  gVCF  file  Non variant regions  are reported as 0 0 in the gVCF file  For more information  see  sites google com site gvcftools home about gvcf gvcf conventions    Each row of the table contains the gene and information reported for the gene  The  following information is provided in the No Call Regions table     Column Heading Description   Name The name of the gene located within the no call region    Chr The chromosome number in which the no call region occurs   Start The start chromosomal coordinate of the no call region   Stop The end 
36. GAAAAGAAT AACCTTAAGATT   GATAACAGTAACACACTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGACTAAATATTAACGTACCATTAAGAGCTACCGTCTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAAC  o n l n s ACCGTAACGAACGTATCAATTGAGACTAAATATTAACGTACCATTAAGAGCTACCGTGCAACGACGAAAAGAATGATAACAGTAACACACTTCTGTTAACCTT   GAAAAGAATGATAACAGTAACACACTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAAAG BA WA a KAA 0 o  Ley Bg hy a ey E RM CCTTAAGATTACTTGATCCACT GAT TCAACGTACCGTAACGAACGTAT CAAT TGAGACTAAATAT TAACGTACCAT TAAGAGCTACCGT GCAACGACGAAAAGAAT GAT   TGATAACAGTAACACACTTCTGTTAACCT TAAGAT TACT T GAT CCACTGAT IT CAACGTACCGTAACGAACGTAT CAAT TGAGACTAAATAT TAACGTACCAT TAAGAGCTACCGTCTTCTGTTIAACCTTAAGAT TACTT  RAT CCACTGATLCAAC  CTTGATCCACTGATTCAACGT TAAGAT TACTT GAT CCACT GAT TCAACGTACCGTAACGAACGTAT CAAT TGAGCTTCTGT TAACCTTAAGAT TACTT GATCCACTGAT TCAACGTACCGTAACGAACGTAT CAAT TGAGACTAGCAACGACG  CAATTGAGACTAAATAT TAACGTACCATTAAGAGTCTGTTIAACCTTAAGAT TACTTGATCCACT GATT CAACGTACCGTAACGAACGTAT CAAT TGAGACTAAATAT TAACGTACCAT TAAGAGC TACCGT GCAACGAAAAGAAT GATAACAGT    gt GTACCGTAACGAACGTATCATTAAGATTACTTGATCCACTGATTCAACGTACCGT  o D A de ee  CTTGATCCACTGATTCAACGTTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGCTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGACTAGCAACGACC  GAAAAGAA a a ar  IA tae ia NEA AE LE BRUT AE AE e n EE A EURE cell D S A mya TAACGAACGTA e CTAAATATTAACGTACCATTAAGAGCTAC     AAA AACGTT C A C C C C CCATTAAGAGCTTCTGTTAACCTTAAG G  TATCAATTGAGACTAAATATTAACGTACTTAACCTTAAGATTACTTGATC
37. GAT TCAACGTACCGTAAAGAT TACT TGATCCACTGAT TCAACGTACCGTAACGAACGTATCAAT TGAGACTAAATAT TAACGTACCAT TAAGAGCTAC   TATAA RAT TA EE TTET TOTEEN TATTO TRE T ee Is   TTACTTGATCCACTGATTCAAC  T TGAGACTAAATATTAACGTTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGACTAAATATTAACGTACCATTAAGAGCTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGT   TATCAATIGA GACTA TAAATATTAACGTACTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTCTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCG AO n A TAACGACG  AGACTAAATATTAACGTACCATTAAGAGCTACAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGACTAAATATTAACGTACCAT TAAGAGCTACCGTGCAACGACGAAAAGAATGATAACAGTAACAC   TGATAACAGTAACACACTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTA AT T GAGAG A AG ACC ASAS AS EL AR RS GAS CG LEGS CAC GAT TGAAG  T ACCATTAAGAGCTACCGTGCAACTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGACIA AAGATTACTTGA        GCTACCGTGCAACGAAAATAACCTTAAGATTACTTGATCCACTGATTCAACGTACTTCTGTTAACCTTAAGATTACTTGATCCAC GAAAAGAATGA    GAAAAGAATGATAACAGTAACACACTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAAAGATTACTIGATO AAGAGCTAC  TGATAACAGTAACACACTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGACTA   ACACACTTCTG1  TACCATTAAGAGCTACCGTGCAACAGTAACACACTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGA   AAGAATGATA   TGATAACAG ACAC TTAAGATTACTTGATCC GATTCAACGTACCGTAACGAACGTATCAATTGAGACTA ACTGATTCAAC  GTACC CGAACGTATCATTAAGATTACTTGATCCACTGATT CAA GTAACGAAC CAATTGA Ti   CTTGATCCACTGATTCAACGT TAAGAT TACT TGATCCACT GATT CAA
38. MINA S PERFORMANCE HEREUNDER OR ANY OF THESE TERMS AND CONDITIONS  HOWEVER  ARISING OR CAUSED AND ON ANY THEORY OF LIABILITY  WHETHER IN CONTRACT  TORT   INCLUDING NEGLIGENCE   STRICT LIABILITY OR OTHERWISE      6  ILLUMINA S TOTAL AND CUMULATIVE LIABILITY TO PURCHASER OR ANY THIRD PARTY ARISING OUT  OF OR IN CONNECTION WITH THESE TERMS AND CONDITIONS  INCLUDING WITHOUT LIMITATION   THIS PRODUCT  INCLUDING USE THEREOF  AND ILLUMINA S PERFORMANCE HEREUNDER  WHETHER  IN CONTRACT  TORT  INCLUDING NEGLIGENCE   STRICT LIABILITY OR OTHERWISE  SHALL IN NO  EVENT EXCEED THE AMOUNT PAID TO ILLUMINA FOR THIS PRODUCT     7 Limitations on Illumina Provided Warranties  TO THE EXTENT PERMITTED BY LAW AND SUBJECT TO THE  EXPRESS PRODUCT WARRANTY MADE HEREIN ILLUMINA MAKES NO  AND EXPRESSLY DISCLAIMS  ALL  WARRANTIES  EXPRESS  IMPLIED OR STATUTORY  WITH RESPECT TO THIS PRODUCT   INCLUDING WITHOUT LIMITATION  ANY IMPLIED WARRANTY OF MERCHANTABILITY  FITNESS FOR A  PARTICULAR PURPOSE  NONINFRINGEMENT  OR ARISING FROM COURSE OF PERFORMANCE   DEALING  USAGE OR TRADE  WITHOUT LIMITING THE GENERALITY OF THE FOREGOING  ILLUMINA  MAKES NO CLAIM  REPRESENTATION  OR WARRANTY OF ANY KIND AS TO THE UTILITY OF THIS  PRODUCT FOR PURCHASER S INTENDED USES     8 Product Warranty  All warranties are personal to the Purchaser and may not be transferred or assigned to a third party   including an affiliate of Purchaser  All warranties are facility specific and do not transfer if the Product is moved to  anothe
39. N N N N N    N N nin    SAMD11 NOC2L G gt A A    SAMD11 NOC2L G gt A A  M 4 4 Variant 7 of 98192     V  Show Transcript Info  V  Show Custom Annotations  Y  Show ClinVar  V  Show Cosmic             OL History      Sample  NA12877_S1 e           lt  with_no_calls Genes Variants   15189  98192    gt   15364  98192        A Menu and commands    Contains commands for managing the project  annotating  variants  and reporting results  Commands are organized in four tabs  Home   Annotation and Classification  Reports  and Help     B Filters pane   Provides options for filtering data using any combination of filters    C Filter history    Opens the history panel that shows all filters applied to the project    D Table tabs    Navigation between the Variants table  Genes table  and No Call Regions  table    E Gene view   Shows a graphical representation of the selected gene     F Table views    View of data shown in the Variants table  Genes table  and No Call  Regions table  Use the table tabs to toggle between table views     VariantStudio v2 1 Software User Guide b    Getting Started    Filters Pane    The Filters pane provides various filtering options to narrow results to your area of interest   Combine any number of filtering options from the filter categories and click Apply Filters   Filters are applied to the current sample only  not to all samples that are imported into the  project  To clear filters  click Clear Filters  For more information  see Apply Filters on page  38  
40. TCCACTGAT TCAACGT TAAGAT TACT TGATCCACT GATT CAACGTACCGTAACGAACGTAT CAAT TGAGCTTCTGTTAACCTTAAGAT TACT TGATCCACTGAT T CAACGTACCGTAACGAACGTAT CAAT TGAGACTAGCAACGACG  GAAAAGAATGATAACAGTAACACACTTCTGTTAACCTTAAGAT TACTTGATCCACTGATTCAACGTACCGTAAAGAT TACTT GATCCACTGAT TCAACGTACCGTAACGAACGTAT CAAT TGAGACTAAATAT TAACGTACCAT TAAGAGCTAC C    lumina   San Diego  California 92122 U S A    1 800 809 ILMN  4566    1 858 202 4566  outside North America   techsupport illumina com   www  illumina com    
41. annotated with stored classifications     VariantStudio v2 1 Software User Guide 3 b    suo l eoI issejo produ     30    Part   15040890 Rev  D    Applying Filters    Apply Filters    Family Based Filtering Workflows                                                                    46       Create Favorite Filters _                                                                               52  i     us  A     A AS     gt    DN qq A Y  7 3  ON SAT  gt        KE h y a  SS      an  a        i  i  Re OS BA  g ai fl ft  a ee    rana    Tre   a     gen T  STAA TGC GG CA TEA Ka gap ice TOM         ee   x       VariantStudio v2 1 Software User Guide 3         1a1deyo    Applying Filters    Apply Filters    38    The Filters pane provides options for applying any combination of filters to the data in  your project  Filters are grouped in nine expandable sections  General  Variant  Gene   Consequence  Population Frequency  Cross Sample Subtraction  Family Based  Custom  and  Classification     Figure 23 Filters Pane    Filters    General   variant   Gene   Consequence  Population Frequency    Cross Sample Subtraction    Family Based    Custom    Classification    Apply Filters   gt   Clear Filters          1 Click the down arrow L  icon to expand a filter section     2 From the available options  select filter settings  Use any combination of settings from  any number of filters     3 Click Apply Filters  Filters are applied to the current sample only  not to all samples  that are 
42. ariants from another sample to  the current sample        Annotating  e Added gene level annotations     e Added classification annotation and description of  classification database     e Expanded annotations from COSMIC database     e Removed annotations previously derived from HGMD  Professional     e Added ClinVar  MedGen  GeneReviews  and SNOMED  CT annotations sources     e Updated annotation source versions for Ensembl   COSMIC  and NHLBI Variant Server     e Filtering  e Added family based filter with descriptions of filtering  logic   e Added classification filter   e Added advanced filter for complex Boolean expressions      Reporting  e Added sample report feature with customizable report  template   e Added option to export all transcripts     For a complete list of features included in VariantStudio v2 1   see the software release notes provided with the software  installer     Initial release     Part   15040890 Rev  D    Table of Contents    Revision History                                                                           V   Table of Contents                                                                         VII   Chapter 1 Getting Started    oooooooocooococcccccccccccccnccccnccccnccccncccnncccnnos 1  INUA Uo r0  Wa 2   VCF Input Requirements 1    3   VariantStudio Software Interface                                                         5   Create or Open a Project                                                                 8   Import Varia
43. ariants that are not compound heterozygous  0 1  in affected siblings    Y Subtract    All variants that are compound heterozygous  0 1  in unaffected siblings     q    Filtering results  Deleterious variants    VariantStudio v2 1 Software User Guide A Q    SMOIJHIONA BulJ  1lid paseg AIILUE      Applying Filters    De Novo Mutation Workflow       A variant is present  0 1 or 1 1  in the proband     The variant is not present  0 0  in either parent or siblings   gt  Only one child in the family is affected    Il    0 0    Figure 29 De Novo Mutation Logic    Il    0 0             II     0 1 0 0 0 0 0 0     gt      Unaffected reference   gt    Unaffected carrier    gt  E Affected         Mutation    De Novo Mutation Workflow  Proband     Y Subtract    All variants that are heterozygous  0 1  or homozygous  1 1  in the mother   father  and unaffected siblings         Filtering results  Deleterious variants    5 O Part   15040890 Rev  D    Autosomal Dominant Transmission Workflow       A variant is heterozygous  0 1  in the affected parent     The variant is not present  0 0  in the unaffected parent     The variant is heterozygous  0 1  in the affected children    Figure 30 Autosomal Dominant Transmission Logic    Il Il    0 1 0 0    I RI LL    0 1 0 1 0 0 0 0        Unaffected reference  Unaffected carrier  M Affected      Mutation        w v v w    Autosomal Dominant Transmission Workflow    Proband    7 Subtract    All variants that are heterozygous  0 1  in unaffected parent
44. cations or Documentation state otherwise   or  g  is the transfer to a third party of  or sub   licensing of  Software or any third party software  All Software  whether provided separately  installed on  or embedded  in a Product  is licensed to Purchaser and not sold  Except as expressly stated in this Section  no right or license under  any of Illumina s intellectual property rights is or are granted expressly  by implication  or by estoppel     Purchaser is solely responsible for determining whether Purchaser has all intellectual property rights that are  necessary for Purchaser s intended uses of this Product  including without limitation  any rights from third    Part   15040890 Rev  D    parties or rights to Application Specific IP  Illumina makes no guarantee or warranty that purchaser s specific  intended uses will not infringe the intellectual property rights of a third party or Application Specific IP     3 Regulatory  This Product has not been approved  cleared  or licensed by the United States Food and Drug  Administration or any other regulatory entity whether foreign or domestic for any specific intended use  whether  research  commercial  diagnostic  or otherwise  This Product is labeled For Research Use Only  Purchaser must ensure it  has any regulatory approvals that are necessary for Purchaser s intended uses of this Product     4 Unauthorized Uses  Purchaser agrees   a  to use each Consumable only one time  and  b  to use only Illumina  consumables reagent
45. chromosomal coordinate of the no call region     Length The length of the no call region     Part   15040890 Rev  D    Column Heading Description  Depth The read depth of the no call region   Quality The numeric value of variant call quality as written to the QUAL    column of the VCF file  Determination of variant quality depends  on the variant caller     Filter The filter associated with the variant call quality as annotated in the  VCF file     Modity Table Views    To modify how data appear in the tables  click the column headings  Options include  sorting in descending or ascending order  showing only selected data based on listed  values  or adjusting column order   i NOTE    Modifying how data appear in the Variants table only affects how information is arranged in  the table  Modifying views does not change the underlying data     Sort Data in Ascending or Descending Order    To change the order in which data appear in the Variants table  click a column heading   Data are sorted in either descending or ascending order of values listed in that column   Click again to reverse the order     When the table is sorted in ascending order  the up arrow L  icon appears in the  column heading    When the table is sorted in descending order  the down arrow     icon appears in the  column heading     Show Only Selected Data    To show only selected data based on information in the Variants table  use the show hide  icon in the column heading     1 Click the show hide LT  icon in
46. cts opened in any installation of VariantStudio with access to that network location     1 To change the default setting  open the VariantStudio configuration file in C  Program  Files   lumina    lumina VariantStudio   VariantStudio exe config     2 h the value field of the ClassificationDatabaseFilePath key  enter the preferred  network path     3 Save and close the configuration file     4 Close and reopen VariantStudio to enable the change     Classification Database Backup    34    A backup of the classification database is created the first time the database is changed on  any given day    The backup is named DDMMYYYY bin and is stored in the folder DatabaseBackups   which is located in the same folder as the classification database    Ci ProgramData   lumina Nillumina VariantStudio DatabaseBackups     Part   15040890 Rev  D    Import Classifications    To import classifications to the classification database from an external file  create an input  file in a tab delimited text format  TSV  using a   tsv file extension     The input file requires five columns  Chr  Position  Ref  Variant  and Classification  as  shown in the following example  Optionally  include a Notes column and a Fragment    column   Chr Position Ref Variant Classification Notes  1 11046855 G T Classification 1 Note 1  1 11046868 C G Classification 2 Note 2  1 11046909 A T Classification 3 Note 3    Chr    The chromosome for the variant  1 22  X  Y  or M    Position     The genomic coordinate of the 
47. d       NOTE    Installation of VariantStudio v2 1  or later  does not overwrite the version previously  installed on your computer  allowing side by side installation of different software versions     P Part   15040890 Rev  D    VCF Input Requirements    VariantStudio imports SNPs and indels reported in VCF v4 0  or later  file formats  If  analysis software other than Illumina analysis software is used to generate data  the VCF  file might not contain the required columns     VCF Column    CHROM    POS    ID    REF  ARE    QUAL    INFO    FORMAT    VariantStudio v2 1 Software User Guide    Required Value    The chromosome number  Values are    c   or chr   where f is the  chromosome number  as in 1 22  or name  as in X or Y  or M for  mitochondrial     The position of the variant  Values are numeric with the first base having  position 1  1 based      The ID is the rs number for the SNP as recorded in dbSNP txt  A value  must be present  If a dbSNP entry does not exist  a missing value marker      is an acceptable value     Although the ID column and valid values are required  the values are not  imported  The software applies dbSNP annotations with the Annotate  command     The reference allele   The alternate allele     The quality score assigned by the variant caller  A value of     is acceptable   and is reported as a 0     Recognized fields are VF  alt variant freq   DP  read depth   AD  allelic  depth   SOMATIC  and      none      e VE   Represented in the Alt Varian
48. e  Exome Variant Server  EVS      Denotes if the variant is an identical or similar sequence that occurs  between species and maintained between species throughout  evolution     The numeric identifier for the variant in Catalogue of Somatic  Mutations in Cancer  COSMIC  database  if the genomic position  of the variant overlaps a variant listed in COSMIC     The COSMIC ID links to the COSMIC page associated with the  identifier     The allele in unaffected individuals as reported in the COSMIC  database     The allele as reported in the COSMIC database   The gene name as reported in the COSMIC database     The primary tissue type associated with the allele as reported in  the COSMIC database     The tissue type associated with the allele as reported in the  COSMIC database     The numeric rsID assigned to the allele in the ClinVar database     13    se qeL Olpnysjueie  ul eyeq    Getting Started    14    Column Heading  ClinVar Ref  ClinVar Alleles    ClinVar Allele Type  ClinVar Significance  ClinVar Disease  Name   ClinVar Accession    ClinVar MedGen    ClinVar OMIM    ClinVar Orphanet    ClinVar Gene  Reviews    ClinVar SnoMedCt ID    HGNC    Num Transcripts    Transcript    Consequence    cDNA Position  CDS Position  Protein Position    Amino Acids    Codons    Exon    Description  The Reference Allele as reported in the ClinVar database   The name of the allele as reported in the ClinVar database     The type of allele  either single nucleotide variant  SNV   insertion 
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50. ectual property rights  resulting from  relating to  or arising out of  i  Purchaser s  breach of any of these terms and conditions   ii  Purchaser s use of this Product outside of the scope of research use  purposes   iii  any use of this Product not in accordance with this Product s Specifications or Documentation  or  iv   any Excluded Claim    Conditions to Indemnification Obligations  The parties  indemnification obligations are conditioned upon the  party seeking indemnification  i  promptly notifying the other party in writing of such claim or action   ii  giving the  other party exclusive control and authority over the defense and settlement of such claim or action   iii  not admitting  infringement of any intellectual property right without prior written consent of the other party   iv  not entering into  any settlement or compromise of any such claim or action without the other party s prior written consent  and  v   providing reasonable assistance to the other party in the defense of the claim or action  provided that  the party  reimburses the indemnified party for its reasonable out of pocket expenses incurred in providing such assistance   Third Party Goods and Indemnification  Illumina has no indemnification obligations with respect to any goods  originating from a third party and supplied to Purchaser  Third party goods are those that are labeled or branded  with a third party s name  Purchaser s indemnification rights  if any  with respect to third party good
51. ed in sample report         Report Fragment  displayed as a column in the sample report      Last Updated  9 29 2013 by ctillotson       Remove Classification from Database Save Changes in Database Cancel       VariantStudio v2 1 Software User Guide 31    Applying Annotations and Classifications    Edit Variant Classifications Locally    To change variant classifications locally  the variant must already have a classification  assigned in the classification database     32    1       Click the l   icon in the Classification column for the variant that you want to edit  locally  A window opens that shows information about the variant  the current  classification  and any comments in the Report Fragment field     Figure 20 Reapply Classifications from Database    Variant Information   Gene EGF6 Transcript  NM_0014093   Global Freq   Chromosome HGYSc   NM_001409 3 c  4039164   Polyphen benign 0 005    Position 410973 HGVSp SIFT  Variant  gt C T Consequence  missense_variant   Amino Acid RH             Classification for for this sample    Classification  Benign    Report Fragment  displayed as a column in the sample report            Apply Classification from Classification Database     Edit Classification in Classification Database            Select a different classification category from the Classification drop down list     Click OK  The classification is applied to the variant in the current project only  The  variant classification recorded in the database can be reapplied
52. ed in the Variants Table on  page 21     The number of nucleotide bases called for Allele A and Allele B that  differ from the RefAllele     The inherited source of the variant  Possible values are father   mother  both  or ambiguous     If the variant is heterozygous in the father  mother  and child  a  variant is listed as ambiguous     If the variant is homozygous in the child and heterozygous in both  parents  a variant is listed as both     Entries in this column are meaningful only when the family based  filter is applied     The frequency of the Alt Allele    The total number of reads passing quality filters at this position   The number of reads called at this position    The number of reads called for the Ref Allele and the Alt Allele     Annotations according to values provided in the Annotation  column of an optional custom annotation file     Annotations according to values provided in the Annotation 2  column of an optional custom annotation file     Annotations according to values provided in the Annotation 3  column of an optional custom annotation file     Annotations according to values provided in the Annotation 4  column of an optional custom annotation file     The classification assigned to the variant  This field is populated for  variants that match criteria specified in the classification database     The rsID entry in dbSNP     Part   15040890 Rev  D    Column Heading    Ancestral Allele    Allele Freq    Allele Freq Global  Minor    Global Minor Alle
53. egion Contact Number  North America 1 800 809 4566 Italy 800 874909  Austria 0800 296575 Netherlands 0800 0223859  Belgium 0800 81102 Norway 800 16836  Denmark 80882346 Spain 900 812168  Finland 0800 918363 Sweden 020790181   France 0800 911850 Switzerland 0800 563118  Germany 0800 180 8994 United Kingdom 0800 917 0041  Ireland 1 800 812949 Other countries  44 1799 534000    Safety Data Sheets    Safety data sheets  SDSs  are available on the Illumina website at  www illumina com msds     Product Documentation    Product documentation in PDF is available for download from the Illumina website  Go  to www illumina com support  select a product  then click Documentation  amp  Literature     VariantStudio v2 1 Software User Guide 6 Q    90UB SISSY  e91uyoa      GAAAAGAATGATAACAGTAACACACTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGACTAAATATTAACGTACCATTAAGAGCTAC    GATAACAGTAACACACTTCTGTTAACCTTAAGATTACTTGTTGATCCACTGATTCAACGTACCGTATCAATTGAGACTAAATATTAACGTACCATTAAGAGCTACCGTCTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCG   CACTGATTCAACGTACCAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGACTAAATATTAACGTACCATTAAGAGCTACCGTCTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGZ  GAAAAGAATGATAACAGTAACACACTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGACTAAATATTAACGTACCATTAAGAGCTAC   ee s O l A A Ne AAGATTACTTGATCCACTGATTCAAC   TTGAGACTAAATAT TAACGTTGTTAACCTTAAGAT TACT TGATCCACTGAT TCA
54. ene Amnotation   AGRN Myasthenia  limb girdle  familial  CCDES9 Ciliary dyskinesia  primary  14  DHTKD1 2 aminoadipic 2 oxoadipic aciduria    Gene     The gene symbol   Annotation   The value assigned to the specified gene     Apply Custom Annotations    1    Create a custom annotations file using a text editor  such as Notepad  and save it with  a   txt file extension     From the Annotate menu  click Custom Annotations to apply annotations to variants  or Custom Gene Annotations to apply annotations to genes     Browse to the custom annotations file and click OK  This step links the custom  annotations file to the project     VariantStudio v2 1 Software User Guide 2      SUOIJEJOUUY WOISND 912919    Applying Annotations and Classifications    20    4 Use the custom filters in the Filters pane to filter data based on custom annotations  For  more information  see Custom Filters on page 45     Part   15040890 Rev  D    Apply Variant Classifications    Introduced in VariantStudio v2 1  you can apply classifications to variants according to  their biological impact  Classifications are stored in the classification database     Figure 16 Classification Menu    Apply Classifications View Classification Classification  From Database Database Settings    Classification       Command Description  Apply Classifications Use this command to apply classifications to any variants in the  from Database current sample that are listed in the classification database  For    more information 
55. ent of third party  intellectual property rights    Exclusions to Illumina Indemnification Obligations  Illumina has no obligation to defend  indemnify or hold  harmless Purchaser for any Illumina Infringement Claim to the extent such infringement arises from   i  the use of  this Product in any manner or for any purpose outside the scope of research use purposes   ii  the use of this Product  in any manner not in accordance with its Specifications  its Documentation  the rights expressly granted to Purchaser  hereunder  or any breach by Purchaser of these terms and conditions   iii  the use of this Product in combination  with any other products  materials  or services not supplied by Illumina   iv  the use of this Product to perform any  assay or other process not supplied by Illumina  or  v   lumina s compliance with specifications or instructions for  this Product furnished by  or on behalf of  Purchaser  each of  i       v   is referred to as an  Excluded Claim       Indemnification by Purchaser  Purchaser shall defend  indemnify and hold harmless Illumina  its affiliates  their  non affiliate collaborators and development partners that contributed to the development of this Product  and their  respective officers  directors  representatives and employees against any claims  liabilities  damages  fines  penalties   causes of action  and losses of any and every kind  including without limitation  personal injury or death claims  and  infringement of a third party s intell
56. eport Overview    The sample report consists of five sections plus a footer and is generated as a PDF file or  RTF file  depending on your preference  A sample report includes the following sections   Lab information    Typically  this section is defined in the template and appears as a  header in the sample report   Sample information    This section contains details about the sample and appears as a  two column table in the sample report  The first column contains the field name and  the second column contains the value  There are two ways to populate this section of  the report   Specify field names using the Manage Templates feature and then manually enter  the value in the text fields   Import sample information from an external text file  The text file must have two  tab delimited or comma separated columns  one for the field name and one for the  field value  and use a   txt    csv  or   tsv extension   Test summary   This section is reserved for a description of the test performed  Set up  preferred content and formatting in the template  Add information specific to the report  when you create the report   Results    This section lists variants in the open project that have a classification  assigned  This section is blank if the project does not contain assigned classifications   Results are formatted in a four column table with headings of Gene  Variant   Classification  and Details  Information in the Details column comes from the Report  Fragment field in the clas
57. eq  Chromosome HGWVSc Polyphen  Position 410973 HGVSp SIFT  Variant  gt C T Consequence Amino Acid    Information in Variant Classification Database  Classification       Notes  not displayed in sample report      Report Fragment  displayed as a column in the sample report      Last Updated          Save Changes in Database J Cancel       Select a classification category from the Classification drop down list  and enter any  applicable comments in the Notes field and Report Fragment field     Click Save Changes to Database  The classification can later be removed from the  classification database     Apply Classifications to Multiple Variants    30    1  2    Use shift click or ctrl click to select more than one row in the Variants table     Right click in the Classifications column over a selected row  and then select Classify  Selected Variants     From the Classify Selected Variants window  use the drop down list to assign a  classification  Enter any applicable comments in the Notes field and Report Fragment  field     Click OK  The classification assignments are saved to the database automatically     Part  15040890 Rev  D    Edit Variant Classifications    There are two ways to edit classifications for variants with assigned classifications   Edit variant classifications in the database   Edit classifications locally in the current project without changing database entries     Edit Classifications in the Database    1 Click the     icon in the Classification column for 
58. g or click Select All     Filter Name    Missense    PolyPhen  damaging    SIFT  deleterious    Frameshift    Stop gained  Stop loss    Initiator codon    In frame insertion    In frame deletion    Splice    Setting Definition    A single base pair substitution that results in the translation of  a different amino acid at that position     Note  PolyPhen and SIFT report only SNVs     A prediction of a damaging effect of an amino acid  substitution on the function of a human protein based on  PolyPhen     A prediction of a deleterious effect of an amino acid    substitution on the function of a human protein based on  SIFF     An insertion or deletion involving a number of base pairs that  are not a multiple of three  which disrupts the triple reading  frame    The gain of a stop codon in the coding sequence     The loss of a stop codon in the coding sequence     A codon that acts as a start signal for the synthesis of a  protein     An insertion that does not alter the reading frame as a result  of the insertion     A deletion that does not alter the reading frame as a result of  the deletion     An insertion  deletion  or substitution that occurs in a splice  region of the gene  A splice is not in a coding region     Part   15040890 Rev  D    Population Frequency Filters    Population Frequency       Global Frequency  lt  100             American Pop Frequency  lt   100         Asian Pop Frequency  lt  100          E  African Pop Frequency  lt   100         M  European Pop F
59. he Current field drop down list   2 Select a filter name from the list  The filter is applied automatically     3 To change to another saved filter  expand the drop down list in the Current field  and  select a different filter name     4 Alternatively  click the blank entry at the top of the saved filters list to remove the  currently applied filter  The variants table is restored to an unfiltered view       NOTE  i The favorite filter is not automatically applied when you move to another sample in your  project  To apply a favorite filter  reselect the favorite filter name from the Current drop   down list     H 2 Part   15040890 Rev  D    Modify a Favorite Filter    1 Select additional filtering options from the Filters pane  and click Apply Filter  An  asterisk appears next to the saved filter name  which indicates that changes have been  applied while the saved filter was selected     2 To modify the saved filter with the applied filtering options  click Save in the Filter  Favorites menu  The selected saved filter is modified to include the additional filtering  options     Manage Favorite Filters  To rename  duplicate  or delete favorite filters  use the Manage Favorites feature     Figure 32 Managing Favorite Filters       HomHemAuto  Rare disease filter                1 Click Manage Favorites  Names of saved filters appear on the left panel and a block  diagram of the selected filter appears on the right panel  To adjust the view of the block  diagram  click anywhere
60. illumina    VariantStudio    v2 1  software User Guide     GAAAAGAATGATAACAGTAACACACTTCTGTTAACCT TAAGAT TACT T GAT CCACTGAT TCAACGTACCGTAAAGAT TACT TGATCCACT GAT TCAACGTACCGTAACGAACGTAT CAAT TGAGACTAAATAT TAACGTACCAT TAAGAGCTAC   TGATAACAGTAACACACTTCTGTTAACCTTAAGATTACTTGTTGATCCACTGATTCAACGTACCGTATCAATTGAGACTAAATATTAACGTACCATTAAGAGCTACCGTCTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCG   gt CACTGATTCAACGTACCAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGACTAAATATTAACGTACCATTAAGAGCTACCGTCTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAACG     GAAAAGAAT ACACTTCTGTTAACCTTAAGATT  C ATTAC T GTACCGTAA A ACTAAATATTAACGTACCA    CAGTAACACA C ACTTGATCCACTGATTCAACGTACCGTAAAGATTACTTGATCCACTGATTCAACGT  CGAA TCAATTGAG ATTAA T TAAGAGCTAC  TGATAACAGTAACACAC AACC GATTACTTGATCCACTGATTCAACGT  GTAACGAACGTATCAATTGA TATT CCATTAAGAGCTACCGTCTTCTGTTAACC ACTTGATCC GATT  ATTGAGAC TA TTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAGACTAAATATTAACGTACCA CTTGATCCACTGATTCAACGTACCGT     TATCAATTGAGACTAAATAT T  ACTTAACCTTAAG TTGATCCACTGATTCAACGT  GTAACGAACGTCTT AACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAA   TCAATTGAGACTAACGAC  AGA TAT TAACGTACCAT TAAGAGCTACAACC ACTTGATCCACTGAT TCAAC CGTAACGAACGTATCAAT TGAGACTAAATAT TAA TTAAGAGCTACCGTGC AGTAACAC  TGATAACAGTAACACAC ATTACTTGAT TGATTCAACGTA AACGAACGTATCAATTGA TAAATATTAACGTACCATTAAGAGCTACCGT T CTTAAGATTACTTGATCCACTGATTCAA   CCATTAAGAGCTACCGTGCAACTTAA GATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAATTGAG   TATTAACGTACCATTAAGAGCTACCGTGCAAC CTTGA    TA CCTTAAGATT
61. imported into the project     4 Click Clear Filters to remove applied filters      NOTE    You can create a filter using any combination of the filter options in the Filters pane  and then  save the combination as a single filter  Saved filters can later be applied to other samples  For  more information  see Create Favorite Filters on page 52     Part   15040890 Rev  D    General Filters       s191114 Add        Y    Y    Y     Chromosome      All Chromosomes  C  Autosomal       Grenosone          Use Advanced Filter       Edit Filter          Use the General filters to filter data by genotype  variant type  and chromosome     Filter Name Setting Description    Genotype Filters data to show any combination of heterozygote   homozygote  or hemizygote     All options are selected by default     Variant Type Filters data to show any combination of SNVs  Insertions   Deletions  or Reference calls     Chromosome Filters data to show all chromosomes  default   autosomal  chromosomes  or a specific chromosome number     Advanced Filters data based on selections that you make in the  Advanced Filter window     Advanced Filter Options    Use the Advanced filter options to create a multi branched Boolean expression for filtering  data in the Variants table  As you build the advanced filter  a diagram appears to illustrate  the filter and branches in the expression     1 Select the checkbox labeled Use Advanced Filter and then click Edit Filter  The Create  Advanced Filter window opens
62. in the search     Link to PubMed search page for the selected variant  cDNA  and  amino acid  The page opens with an auto populated search field   Click search to continue    The search is transcript dependent  If a rs number is present  the  number is included in the search     Link to UCSC Browser search page for the selected chromosome  and position     se qeL opnisjuenea u  PIA    Genes Table    The Genes table lists the genes that contain variants identified in the selected sample  Each  row of the table contains the gene and number of variants reported  along with the  following information reported for each gene     Column Heading Description   Name The name of the gene    Chr The chromosome number in which the gene occurs   Start The start coordinate of the gene  1 based     Stop The end coordinate of the gene     VariantStudio v2 1 Software User Guide 1 b    Getting Started    Column Heading  Length   Num Alleles   Num Variants  Paternal Variants  Maternal Variants  Ambiguous Variants    Disease    Description    Gene ID  PubMed  Custom Gene    Annotation    GeneReviews    No Call Regions Table    16    Description   The length of the gene    The number of alleles reported    The number of variants reported    The number of variants inherited from the father   The number of variants inherited from the mother   The number of ambiguous variants     Diseases associated with the gene  Clicking the disease name  provides a drop down list with links to MedGen and OMIM     
63. ion database and exported as a column in the sample report  For more  information  see Sample Report Overview on page 57     There are three ways to apply classifications to variants in a project   From the menu  apply classifications to variants in the current sample that are listed in  the classification database   From the Variants table  apply a classification to a selected variant in the Variants  table and save the classification to the database   From the Variants table  apply a classification to multiple selected variants in the  Variants table and save the classification to the database  The same classification must  apply to all selected variants     VariantStudio v2 1 Software User Guide 2 Q    suo l e91J1Issej  JUBUBA Addy    Applying Annotations and Classifications    Apply Classifications from Database    Click Apply Classifications from Database  Any variants in the current project that have  matching criteria in the classification database are annotated with the classification as  specified in the database     Apply Classifications in the Variants Table    1       Click the     icon in the Classification column for the variant you want to classify  The  Classification for Variant in Database window opens  which shows information for the  variant and provides a drop down list of available classification categories     Figure 17 Classification for Variant in Database  Classification for Variant in Database    Wariant Information    Gene EGF6 Transcript Global Fr
64. ions from a gene list or  BED file without the need for pre processing  For more information  see VCF Import Options    on page 9     A Part   15040890 Rev  D    VariantStudio Software Interface    When the VariantStudio software launches  the interface opens with a Start menu on the  left panel     Figure 2 Start Menu  Start  Project    Mew Project    Open Project       Recent    Cancer _128 78a       Click New Project  The VariantStudio interface opens to a blank project    Click Open Project and browse to an existing project  Project names use the   vbp file  extension    If recent projects are listed  click a project name from the list     298 19 U  S4EMIJOS OIPNISIUBIIBA    Interface Commands    The VariantStudio interface is an interactive view of genes and variants in a selected  sample  Use the interface commands to import VCF files  sort data  apply filters  and export  data to a report     Figure 3 VariantStudio Interface    Home Annotation  amp  Classification Reports Help    b A A  um H G Cd G W   Ras Bae  w w Current Sample  NA12877 SLe      rrent    de Copy    al       vi  New Close Save SaveAs   Import Add Variants Import Manage Save As       i   x        a   aK       VCF to Sample Folder    Variant Chr   Coordinate Genotype Exonic Filters Quality GQX    Alternate Inherited  AltVariant Read AltRead j  Alleles From q    Depth Depth       A gt G G 69270 snv LowG     A gt G G 69270 snv LowG     A gt G G 69511 snv PASS  A gt G G 69511 snv   T gt C C 69897 snv    N 
65. itive strand  including any custom annotations that are imported into VariantStudio     Input File for Custom Variant Annotations    The input file for custom variant annotations requires five columns  Chr  Position  Ref   Variant  and Annotation  as shown in the following example     Chr Position Ref Variant Annotation  1 11046855 G T Good   1 11046909 A T Bad   1 14096821 T C Confirmed    Chr    The chromosome for the variant  1 22  X  Y  or M    Position    The genomic coordinate of the variant on the chromosome  1 based    Ref   The reference base  or bases for an insert or deletion  at the specified position   Variant   The base  or bases for an insert or deletion  at the specified position   Annotation    The value assigned to a variant with matching values for chr  position   ref  and variant    Optional  Three additional annotation columns are recognized input for custom  variant annotations  Use the headings Annotation2  Annotation3  and Annotation4   NOTE  The Ref field and Variant field must be expressed in VCF format  where indels contain the  preceding base in common between the reference and variant allele  For more information     see www 1000genomes org wiki Analysis V ariant Call Format vcf variant call format   version 41  On this site  go to step 3  Data Lines  Fixed Fields  and then step 4 Ref     Input File for Custom Gene Annotations    The input file for gene annotations requires two columns  Gene and Annotation  as shown  in the following example     G
66. lds reported in the Variants table differ for somatic VCF files  For more information   see Somatic VCF Fields Reported in the Variants Table on page 21     20    Part   15040890 Rev  D    somatic VCF Fields Reported inthe Variants Table    Information reported in VariantStudio for VCF files generated by the Illumina cancer  analysis pipeline differs from what is reported for other VCF files     For these files  there is no genotype  GT  or genotype score  GQX   Instead  allelic depths are    listed     Each VCF includes two samples  one of which is a reference and the other is the cancer  sample  All reported values are specific to the cancer sample     The following table lists the VCF fields reported in the Variants table that are unique to    somatic VCF files     Variants Table  Column Heading    Allelic Depth    Alt Read Depth    Alt Variant Freq    Genotype    VariantStudio v2 1 Software User Guide    VCF File Column or Field Description    Based on values in the FORMAT column  Allelic Depth is calculated    differently for SNVs and indels     e For SNVs   Based on four values listed as AU CU GU TU in the  FORMAT column  These values are listed as two numbers each   separated by a comma  and represent each possible allele in the  cancer sample  The Allelic depth column is populated with the  full set of numbers  0 0 0 0 10 10 3 4     e For indels   Based on two values listed as TAR TIR in the  FORMAT column  which represent the Ref Allele and Alt Allele   respectively 
67. le    Allele Freq Amr    Allele Freq Asn  Allele Freq Af  Allele Freq Eur    Allele Freq Evs    EVS Coverage    EVS Samples    Conserved Sequence    COSMIC ID    COSMIC Wildtype    COSMIC Allele  COSMIC Gene    COSMIC Primary Site    COSMIC Histology    ClinVar RS    VariantStudio v2 1 Software User Guide    Description    The inferred allele ancestral to the chimpanzee human lineage  For  more information  see www 1000genomes org faq where does   ancestral allele information your variants come     The allele frequency from all populations of 1000 genomes data   April 2012 phase 1 call set  v3 update      Global minor allele frequency  GMAF   technically  the frequency  of the second most frequent allele  For more information  see  www ncbi nlm nih gov projects SNP docs rs_  attributes html gmaf     The specific allele with the reported GMAF     The allele frequency from 1000 Genomes  Ad Mixed American  population      The allele frequency from 1000 Genomes  East Asian population    The allele frequency from 1000 Genomes  African population    The allele frequency from 1000 Genomes  European population      The allele frequency from the NHLBI exome sequencing project     Exome Variant Server  NHLBI GO Exome Sequencing Project   ESP   Seattle  WA  evs gs washington edu EVS   November 2012  accessed     The average depth of coverage for SNVs that were called at this  position from the Exome Variant Server  EVS      The number of samples that were called at this position from th
68. ls reported in VCF v4 0  and later  file  formats  After import  VariantStudio provides commands to annotate variants  filter results  using filtering options  and export data to a report     Figure 1 VariantStudio Workflow  Create a project or open an existing project     Import SNPs and indels reported in VCF 4 0  or later  file formats   Import one sample or multiple samples to a single project      gt  Annotate variants for the current sample  An internet connection is          ery required to annotate variants   Annotate       Filter data based on any combination of filtering options  Save filter  combinations for use in other projects     PA Classify variants according to their biological impact     Apply Classifications    N Generate a sample report using a customized report template   LB Export data and filtering history to text files  Export data to a    Sample histogram or pie chart   Report       System Requirements    Installing the VariantStudio software requires the following system specifications   64 bit Windows OS  Windows 7  or later   2 GB RAM minimum  4 GB RAM recommended  25 MB hard drive space for installation  Internet connection required  L NOTE    An internet connection is required for annotating variants  After variants have been  annotated and saved in a project  an internet connection is no longer required     Installation    To install VariantStudio  double click the software installer    msi  file and follow the  prompts in the installation wizar
69. nes the  order that variants are shown in the report    Available Classifications    Benign  Presumed Benign  Unknown Significance Disease Causing                                                       5 Click Save Changes     6  Optional  With the template name highlighted in the Report Template list  click Make  Default  The current default is listed in the lower left corner of the Manage Report  Templates window     7 Click Done  The Manage Report Templates window closes     VariantStudio v2 1 Software User Guide b Q    9 e  dua   yod  y ajdues e 912919    Generating Reports    Create a Sample Report    Before proceeding  consider creating a template using the Manage Templates feature  For  more information  see Create a Sample Report Template on page 58     1    GO    From the Reports menu  click Sample Report  The Sample Report window opens     Figure 37 Sample Report  Sample Info Tab  Sample Report    Report Template    MySampleReport Template  gt     Restore From Template                     Sample Info   Lab Information   Test Summary   Methodology   References   Page Footer          Enter data manually  based on fields specified in report template    Sample ID   Import Sample Information    Sample Type   Click Import to import sample information from a text file  The text file must  have two columns separated by either a comma or a tab  The first column  Sample Collection Date   contains the field  such as Sample Name and Date of Birth  and the  second column contains
70. nge table layout     1 8 Part   15040890 Rev  D    From the Table Options menu  click Column Order to open the Table Column Display  window  From this window  drag and drop column headings to specify table layout     1 To show or hide columns  drag and drop column headings from the Displayed  Columns list to the Hidden Columns list     2 To prevent selected columns from scrolling horizontally  drag and drop column  headings from the Scrolling list to the Fixed list     3 Click OK when you are finished     4 To save this layout for use in other VariantStudio projects  click Save As Default from  the Layout menu     In the following example  the Gene column is set to Fixed  and variant length and optional  custom annotation columns are hidden     Figure 12 Table Column Display Window    Table Column Display    Drag and drop the columns between the Displayed Column list and the Hidden Column list  The order of the  columns in the Displayed Column list will be the order they are displayed in the table  You can use shift click and  ctri click to select multiple columns to drag     Dont forget to press the  Save As Default    button in the layout group of the main window ribbon if you would like  to keep this layout as your default layout for new projects     Displayed Columns Hidden Columns  Fixed Variant Length  Custom Annotation 2  Custom Annotation 3  Custom Annotation 4    Gene    Alternate Alleles  Inherited From  Alt Variant Freg          Alt Read Depth  Allelic Depths  Cust
71. ns    Please select which variants you would like to import from your CF file s       All variants        Variants in exons    Padding 20    bases        Variants in genes specified by gene list    M Browse           Variants in regions specified by BED file       Load hom ref positions    Command    All variants    Variants in exons    Variants specified in a  gene list    Variants in regions  specified in a BED file    Load hom ref  positions       v Browse       Description    Select the radio button to import all variants in the selected  VCF files     Select the radio button to import only variants found in  exonic regions  With this option  set the number of bases  or  padding  to include on both sides of the exon     Select the radio button and click Browse to navigate to the  location of a gene list file  A gene list file must be a text file  with a   txt file extension that lists one gene per line     Select the radio button and click Browse to navigate to the  location of the BED file     This setting applies to gVCF files    Select the checkbox to import all homozygous reference  positions  0 0    Clear the checkbox to omit homozygous reference positions  from the import     Part   15040890 Rev  D    Data in VariantStudio Tables    Imported and annotated information for the visible sample is arranged in three tables on  the VariantStudio interface  Variants table  Genes table  and No Call Regions table  Use the  tabs below the table area to navigate between tables 
72. nt Call Files __                                                                9   Data in VariantStudio Tables                                                             11   VCF Fields Reported in the Variants Table                                             20   Somatic VCF Fields Reported in the Variants Table                                   21   Chapter 2 Applying Annotations and Classifications                          23  Annotate Variants 222 2 24   Create Custom Annotations                                                             27   Apply Variant Classifications                                                            29   Edit Variant Classifications _                                                             31   Manage Classifications                                                                  33   Import Classifications                                                                    35   Chapter 3 Applying Filters                                                       22  2        of  Apply Filters 22222222 38   Family Based Filtering Workflows                                                       46   Create Favorite Filters 2222 52   Chapter 4 Generating Reports          I    55  IMTOQUCUON escritoras 56   Sample Report Overview                                                                 57   Create a Sample Report Template                                                      58   Create a Sample Report                                  
73. nts Table    Column Heading VCF File Column or Field Description    Quality Quality is based on different values for SNVs and indels    e For SNVs   Quality is based on the QSS NT field in the INFO  column  This score represents the probability that the SNV exists  and is somatic       For indels    Quality is based on the QSI_NT field in the INFO  column  This score represents the probability that the indel exists  and is somatic     Getting Started    Read Depth For SNVs and indels  Read Depth is extracted from values listed  for DP in the FORMAT column of the cancer sample     2 2 Part  15040890 Rev  D    Applying Annotations and  Classifications         Annotate Variants                                                                                      24  Create Custom Annotations                                                                          27  Apply Variant Classifications                                                                         29  Edit Variant Classifications                                                                            31  Manage Classifications                                                                               33  Import Classifications _                                                                               35      Kas Z  gt      lt          i gl gl  T TM  paro ueeorees     b       Ace    N o ae i  ae por    VariantStudio v2 1 Software User Guide 2 3    code YO    Applying Annotations and Classifications  
74. ociated with the specified  disease     Enter the disease name  This field is not case sensitive     Filters data to include specified genes     To include genes  click the button to open the gene list  field next to the Include List options  and enter the gene  name  This field is not case sensitive     Filters data to exclude specified genes     To exclude genes  click the button to open the gene list  field next to the Exclude List options  and enter the gene  name  This field is not case sensitive     Filters data to show only variants that overlap genes with the  specified number of variant alleles  A homozygous variant  counts as two variant alleles  while a heterozygous variant  counts as one variant allele     Filters data to show only genes with as specified custom  annotation     4    s191114 Add    Applying Filters    1 NOTE    If you click Clear Filters  the gene list is also cleared  To save a gene list  create a favorite  filter  For more information  see Create Favorite Filters on page 52     Consequence Filters    42    Consequence    ET Show only variants that are     Missense  Polyphen  damaging   SIFT  deleterious   Frameshift  Stop gained  Stop lost  Initiator codon  In frame insertion  In frame deletion    Splice    Select All       Use the Consequence filters to filter data by variants that alter the coding potential of the    transcript     1 Select the checkbox Show only variants that are     2 Select the checkbox for each individual consequence settin
75. om Annotation       VariantStudio v2 1 Software User Guide 1 Q    se qeL OIPn SJUENEA ul e eq    Getting Started    VCF Fields Reported inthe Variants Table    Several columns of the Variants table are populated from columns or fields in the VCF file   as described in the following table     Variants Table  Column Heading    Allelic Depth  Alt Read Depth  Alt Variant Freq    Chr  Coordinate    Exonic    Filters    Gene    Genotype  GQX  Quality  Read Depth  Type    Variant    i NOTE    VCF File Column or Field Description    Based on values listed for AD in INFO or FORMAT  Sample  Name      Based on the second value listed for AD in INFO or FORMAT    Sample Name      Based on values listed for VF in INFO or FORMAT  Sample  Name      Based on values in the CHROM column   Based on values in the POS column     Based on values in the CHROM and POS columns  and calculated  from a list of exonic regions     Based on values in the FILTER column     Based on values in the CHROM and POS columns  and calculated  using a list of gene coordinates     Based on values listed for GT in FORMAT  Sample Name    Based on values listed for GOX in FORMAT  Sample Name    Based on values in the QUAL column    Based on values listed for DP in FORMAT  Sample Name    Based on the number of bases in the REF and ALT columns     Based on values in the REF and ALT columns   e At a heterozygous position  the value is REF  gt  REF ALT   e Ata homozygous position  the value is REF  gt  ALT ALT       Some fie
76. ommands on the Samples menu to import variant call files in  VCF file format and manage samples in the project     Figure 8 Samples Menu Commands      A E Current Sample  Inherited_Dise      3    Import Add Variants  WCF to Sample    Import Remove  Folder Sample    Samples       Command    Import VCF    Add Variants to  Sample    Import Folder    Current Sample    Remove Sample    VCF Import Options    Description    Opens a window to browse to a file location and import one  selected VCF file     Opens a window to browse to a file location and import SNPs  and indels from another VCF file  This command imports  data from the selected VCF file and adds it to the current  sample     Important  There is no change to the sample name to denote  that variant calls have been merged     Opens a window to browse to a folder location and import all  VCF files in the selected folder     Shows the active sample name  The Current Sample drop   down list shows all samples in the project  To change to  another sample in the project  select a sample name from the  drop down list     Removes the current sample from the project  A confirmation  dialog box opens before the sample is removed from the  project     With any command to import variant calls  the VCF Import Options dialog box opens   From this dialog box  specify which variants to import using one of four options     VariantStudio v2 1 Software User Guide    S9  4  29 uenea odui     Getting Started    10    Figure 9 VCF Import Optio
77. on   Position of the amino acid in the protein    Amino acid or amino acid change  If the variant is synonymous   then there is no change and one amino acid is listed     Specific codon noted with and without the variant  highlighted in  uppercase     The exon number in which the variant is present     Part   15040890 Rev  D    Column Heading  Intron  Transcript HGNC    Distance    Canonical  SIFT  PolyPhen  ENSP  HGVSc  HGVSp    Custom Gene  Annotation    Google Scholar    PubMed    UCSC Browser    Description  The intron number in which the variant is present   The transcript name  expressed as official HGNC nomenclature     Distance between the variant and the nearest end of the gene     e For upstream variants  this value is the distance to the beginning  of the first exon     e For downstream variants  this value is the distance to the end of  the last exon     Indicates whether the transcript is the canonical transcript    SIFT score    PolyPhen score    Protein ID  Ensembl ID     Human Genome Variation Society  HGVS  notation in the cDNA   Human Genome Variation Society  HGVS  notation in the protein     Annotations according to values provided in the Annotation  column of an optional custom gene annotation file     Link to the Google Scholar search page for the selected variant   cDNA  and amino acid  The page opens with an auto populated  search field  Click search to continue     The search is transcript dependent  If a rs number is present  the  number is included 
78. ort of all filters applied to the project   Export Charts  From the Charts menu  select a preferred format to export results in a histogram or a pie  chart   Command Description  Histogram Generates a histogram of filtered results from the Variants  table     e Use the Plot drop down list on the generated histogram   Figure 38  to represent variant quality values or indel  variant length     e Use Data Source options to show all variants or only  filtered variants     Pie Chart Generates a pie chart of filtered results from the Variants  table     e Use the Plot drop down list on the generated pie chart   Figure 39  to represent percentages of variant call filters   variant type  genotype  coding regions  or filtered variants     e Use Data Source options to show all variants or only  filtered variants     From the generated chart  click Copy to Clipboard to transfer the image from the  VariantStudio software to an application that supports images     VariantStudio v2 1 Software User Guide 61    seyn pue sa   4 1x9  j10dXx3    Generating Reports    Figure 38 Histogram    O Histograms       Data Source    e    Quality    n Del Variant Length    Filtered Variants Copy to Clipboard       Quality    Num Variants       1000 2000 3000 4000 5000 6000 7000 8000 9000 10000    Figure 39 Pie Chart       Pie Chart    11000 12000          Data Source    Piot  int up   Refresh     All variants      Variant Call Filters    Variant Type    Filtered variants Copy to Clipboard    Genotype     
79. page 46     Best Practices When Using the Family Based Filter  Variants that were not called in the parents can be filtered out  Regardless of VCF or  eVCF input  no call information is not considered for this filter  Always examine the  child sample without filtering to make sure that a variant of interest is not missed due  to lack of coverage   If you have a gVCF file  use a gVCF viewer such as the Integrative Genomics Browser   IGV  to examine the no coverage regions  Check for the presence of a disease gene of    Part   15040890 Rev  D    interest in samples from the child and other family members  For more information  see  www broadinstitute org 1gv      Custom Filters    Custom      Do not filter on custom annotation        Show variants with annotation     gt  Show variants without annotation       Show variants that contain    in Custom  in Custom2  in Custom3    in Custom4       Custom filters enable filtering based on input provided in the custom annotations input  file  For more information  see Create Custom Annotations on page 27     Filter Name Setting Description   Do not filter on custom   Turns off custom annotations  This setting is on by default   annotation   Show variants with Filters data to show variants that match criteria provided in  annotation the custom annotations input file with an assigned    annotation value in the annotations column     Show variants without Filters data to show variants that match criteria provided in  annotation the custom
80. r facility of Purchaser  unless Illumina conducts such move    a Warranty for Consumables   lumina warrants that Consumables  other than custom Consumables  will conform to  their Specifications until the later of  i  3 months from the date of shipment from Illumina  and  ii  any expiration  date or the end of the shelf life pre printed on such Consumable by Illumina  but in no event later than 12 months  from the date of shipment  With respect to custom Consumables  i e   Consumables made to specifications or  designs made by Purchaser or provided to  lumina by  or on behalf of  Purchaser    lumina only warrants that the  custom Consumables will be made and tested in accordance with Illumina s standard manufacturing and quality  control processes   lumina makes no warranty that custom Consumables will work as intended by Purchaser or for  Purchaser s intended uses    b Warranty for Hardware  Illumina warrants that Hardware  other than Upgraded Components  will conform to its  Specifications for a period of 12 months after its shipment date from Illumina unless the Hardware includes  lumina  provided installation in which case the warranty period begins on the date of installation or 30 days after the date it  was delivered  whichever occurs first   Base Hardware Warranty     Upgraded Components    means Illumina  provided components  modifications  or enhancements to Hardware that was previously acquired by Purchaser   Illumina warrants that Upgraded Components will conform 
81. requency  100         EYS Frequency  lt   100    Setallto    5 Set All                Use the Population Frequency filters to filter data based on the allele frequency in   population studies    Options include global frequency  American  Asian  African  European  and EVS   American  Asian  African  and European are allele frequency from 1000 Genomes   EVS is allele frequency from the NHLBI exome sequencing project     1 Select the checkbox and then use the up down arrows to specify a value expressed as  percentage     2 To set the same value to all populations  use the up down arrows in the Set all to field   Click Set All     Cross Sample Subtraction Filter    Cross Sample Subtraction    Use Cross Sample Subtraction    Remove variants that also exist in     Inherited_Disease_12880       If multiple samples are present in the project  use the cross sample filter to exclude variants  that are also present in another sample     1 Select the checkbox Use Cross Sample Subtraction     2 From the drop down list  select a sample in the project  Only one sample can be  selected as the cross sample filter     This filter is helpful when filtering variants present in tumor normal samples     VariantStudio v2 1 Software User Guide A 3    s191114 Add    Applying Filters    Family Based Filter    44    Family Based        V  Use Family Based Filtering    Type   X inked Recessive    Mother  v    Child   NA12877_S1 exom                   Affected Siblings          Edit Affected Siblinas   
82. rious  filtering is  necessary to remove variants that are not disease causing and identify disease causing  variants     A 6 Part  15040890 Rev  D    X Linked Recessive Transmission Workflow     gt  A variant is on the X chromosome      The variant is heterozygous  0 1  in the mother      The variant is not present in the father      The variant is homozygous  1 1  in the affected child    Figure 26 X Linked Recessive Transmission Logic           0 0 0 1               X    11          _  Unaffected reference  L   Unaffected carrier     Affected      Mutation    Y X X  1 1 0         X Y  0 0           SMO 410M Buna paseg AIILUE      w w v w    X Linked Recessive Transmission Workflow    Proband     Subtract    All variants not on X       Y Subtract    All variants that are not heterozygous  0 1  in mother    Y Subtract    All variants that are homozygous  1 1  in father       Y Subtract    All variants that are not homozygous  1 1  in affected siblings    Y Subtract    All variants that are homozygous  1 1  in unaffected siblings    Filtering results  Deleterious variants    VariantStudio v2 1 Software User Guide         Applying Filters    Autosomal Recessive Transmission Workflow  There are two possibilities for recessive transmission     1 A single gene contains a variant that is      Heterozygous  0 1  in the mother     Heterozygous  0 1  in the father    Homozygous  1 1  in the affected children    Figure 27 Autosomal Recessive Transmission Logic  1    I I    0 1 0 1    
83. rt commands 9   Import options 9 V  initiator codon 42 ee  input file    add to current sample 9    default transcripts 26 annotating 24    insertion  in frame 42    i i i i importing 9  installation  side by side 2 ME bl 11  M VCF files  fields in the variants table 20  missense 42 eVCF 4  N import options 9  importing 9  NCBI 65 requirements 3  NHLBI Exome Variant Server 66 ao VCF 21    no call regions table 16  P W    padding with import 9 workflow 2    PA chart  creating 61 X   olyPhen 15  42   population frequency 43 X linked variants  filtering by 44  PubMed    in genes table 16    R    recessive transmission  filtering by 44  reportin   filter history 61   sample report 57  60   templates 58   variants 61  reports 56  requirements   system 2   CF input 3    S    sample reports  creating 57  60  creating a templates 58  SIFT 15  42  somatic variant calls 21  splice 42  Start menu 5  system requirements 2    T    table views  modifying 17  tables   genes 5  15   no call regions 5  16   variants 5  11  technical assistance 69  templates   example report 58   sample report 58  transcript source 25  transcripts   input file 25   input file  default transcripts 26    Part   15040890 Rev  D    Technical Assistance    For technical assistance  contact Illumina Technical Support     Table 1 Ilumina General Contact Information    Illumina Website www  illumina com    Email   techsupport illumina com    Table 2 Ilumina Customer Support Telephone Numbers    Region Contact Number R
84. s human_9606 VCE 00 All vef gz  Values   rsID    RefSeq Transcript ID and HGNC    VariantStudio v2 1 Software User Guide 6 b    sa82 nos UOI E OUU     Annotation Sources    Sources   ftp ncbi nlm nih gov gene DATA gene_info gz  ftp  ncbi nlm nih gov gene DATA gene2refseq gz  Values   Transcript ID and gene name are mapped as follows  Transcript ID  gt  Gene ID  gt   HGNC  using the NCBI unique Gene ID to link the two databases     NHLBI Exome Variant Server    Version ESP6500SI V2  updated June 7  2013    Source  evs gs washington edu EVS   ESP6500SI V2 SSA137 dbSNP138 snps_indels vcf tar gz  ESP650051 V2 coverage all_sites txt tar gz   Values    For SNVs and indels     Allele frequency computed from the TAC field  which  reports alternate alleles observed and reference alleles observed  From the all_sites file  identifies captured positions  even if a variant is not present   TotalSamplesCovered  AvgSampleReadDepth    UCSC  hg19     Placental mammalian phastCons elements  downloaded from UCSC table browser     6 6 Part   15040890 Rev  D    Index    x   NDD  25    1    1000 Genomes  annotation source 65  in variants table 13    A    alelle frequency 13  43  annotation  commands 24  custom 24  options 25  sources 64  transcript source 25    B    BED file  importing 9    C    cancer analysis pipeline 21  canonical transcript 25  classification filter 45  classifications   adding  removing 33   applying to variants 29   database 29   database backup 34   database storage options
85. s shall be  pursuant to the original manufacturer s or licensor s indemnity  Upon written request Illumina will attempt to pass  through such indemnity  if any  to Purchaser     Part   15040890 Rev  D    Revision History    Part   Revision Date  15040890 D December  2013  15040890 C November  2013    VariantStudio v2 1 Software User Guide    Description of Change    Updated to clarify VCF version requirements are 4 0  and  later  and that only SNPs and indels are imported to  VariantStudio     Updated to clarify functionality in VariantStudio v2 1      Importing   e Added best practices for importing classifications   e Annotating    e Noted that all genomic coordinates are on the positive  strand     e Noted that VariantStudio assumes that custom  annotations are expressed on the positive strand        Reporting  e Noted which transcripts are exported for variants that  overlap multiple genes     Part      15040890    15040890    Revision    B    A    Date    October  2013    May 2013    Description of Change    Updated with descriptions of the following features  introduced in VariantStudio v2 1     e Software interface  e Added description of gene table and no call regions table   e Added descriptions of new columns in variants table     e Added description of settings for fixed columns and  show hide features        Importing  e Added feature to import variants in exons with specified  padding   e Added description of g VCF files for import     e Added feature to import v
86. s with Illumina Hardware  The limitations in  a   b  do not apply if the Documentation or  Specifications for this Product state otherwise  Purchaser agrees not to  nor authorize any third party to  engage in any of  the following activities   i  disassemble  reverse engineer  reverse compile  or reverse assemble the Product   ii  separate   extract  or isolate components of this Product or subject this Product or components thereof to any analysis not expressly  authorized in this Product s Documentation   iii  gain access to or attempt to determine the methods of operation of this  Product  or  iv  transfer to a third party  or grant a sublicense  to any Software or any third party software  Purchaser  further agrees that the contents of and methods of operation of this Product are proprietary to Illumina and this Product  contains or embodies trade secrets of Illumina  The conditions and restrictions found in these terms and conditions are  bargained for conditions of sale and therefore control the sale of and use of this Product by Purchaser     5 Limited Liability  TO THE EXTENT PERMITTED BY LAW  IN NO EVENT SHALL ILLUMINA OR ITS  SUPPLIERS BE LIABLE TO PURCHASER OR ANY THIRD PARTY FOR COSTS OF PROCUREMENT OF  SUBSTITUTE PRODUCTS OR SERVICES  LOST PROFITS  DATA OR BUSINESS  OR FOR ANY INDIRECT   SPECIAL  INCIDENTAL  EXEMPLARY  CONSEQUENTIAL  OR PUNITIVE DAMAGES OF ANY KIND ARISING  OUT OF OR IN CONNECTION WITH  WITHOUT LIMITATION  THE SALE OF THIS PRODUCT  ITS USE   ILLU
87. sification database     Figure 34 Example of a Results Section      Gene Variant Classification Details  CG NM_000064 2 c 941C gt T Benign  GHRHR NM_000823 3 c 169G gt A Benign  GHRHR NM_000823 3 c 363G gt T Benign  ABCC9 NM_020297 2 c 1165 6delT Presumed Benign  c NM_000064 2 c 304C gt G Presumed Benign  APOE NM_000041 2 c 388T gt C Pathogenic  CASP10 NM_032977 3 c 1228G gt A Pathogenic  CLCN1 NM_000083 2 c 2680C gt T Pathogenic  NCF1 NM_000265 4 c 73_74delGT Pathogenic  POLG NM_002693 2 c 1399G gt A Pathogenic  SLC4A1 NM_000342 3 c 1664 gt G Pathogenic  BCHE NM_000055 2 c 1699G gt A Unknown Significance  MEFV NM_000243 2 c 1772T gt C Unknown Significance    Methodology   This section is reserved for a description of the methodology specific to  the report  Set up preferred content and formatting in the template  Add information  specific to the report when you create the report    References   This section is reserved for references applicable to the contents of the  report    Page footer   Typically  this section is defined in the template  For example  the footer  can contain the facility address and contact information  or it can be blank     VariantStudio v2 1 Software User Guide b      MeIAI9AQO od  y ejdues    Generating Reports    08    Create aSample Report Template    Use the Manage Templates feature to create a customized template for sample reports  After  templates are created  use Manage Templates to duplicate  edit  rename  or delete templates  in the template
88. ss can take time to  complete depending on the number of samples in the  project     Opens a window to browse to the location of the custom  annotations file for variant level annotation  For more  information  see Input File for Custom Variant Annotations on  page 27     Opens a window to browse to the location of the custom  annotations file for gene level annotation  For more  information  see Input File for Custom Gene Annotations on  page 27     This command is not enabled for the desktop version of  VariantStudio     Opens a window that lists the default transcript for each gene  and options for changing to other than the default transcript     Although mitochondrial variants can be imported  the annotation database does not provide  annotations for these variants     24    Part   15040890 Rev  D    Annotation Options    From the Annotate menu  click Annotation Options  The Annotation Options form opens with  options to annotate only certain variants     Figure 14 Variant Option Form    Annotation Options                   Include Intronic       Transcript Source Type    Ref Seq    This option can be changed by editing the Mode entry in the  Variant Studio  exe config file and restarting the application  allowed values are    RefSeq or Ensembl        Option    Transcript Annotation    Transcript Source  Type    Forget BaseSpace  Logon    Set Default Transcripts    1 Click Set Default Transcripts  A window opens that lists the default transcript for each          Descrip
89. t Fragmer    877831 T  981931 A  1147422      1254841 C  3352784 A  3354615 T  3697663 C  13036587 C  131220864 T    4 Recordiof31   WOW        lt  Y Xx 4    Pathogenic   Benign Notes for report  Pathogenic   Pathogenic   Unknown Signific      Disease Causing   Benign    Benign    Pa aA GY Al      6V         Presumed Patho       z  a Ne nm     lt  ne mememe          Add or Remove Classification Categories  Click Classification Settings to add  remove  or rename classification categories     Add   In the Add Category field  enter a new category name  Click Add   Remove    Select a category from the list  Click Remove   Rename     Select a category from the list  Click Rename and enter a new name     Figure 22 Classifications Options Dialog Box    Llassitl on fons    Classification Categories       Benign  Presumed Benign Add Category  Presumed Pathogenic  Pathogenic   Unknown Significance    New category    Remove                OK J   Cancel          VariantStudio v2 1 Software User Guide 3 3    Suoljeoiisse y aSPeueln    Applying Annotations and Classifications    Classification Database Location    By default  the classification database is saved locally in  C   ProgramData   lumina Nillumina VariantStudio ClassificationDb bin     When the database is stored locally  classifications are available for the current project and  any future projects opened on that computer     If the classification database is stored on a network location  classifications are available to  proje
90. t Freq column in the Variants table   e DP    Represented in the Read Depth column in the Variants table     e AD    Represented in the Alt Read Depth and Allelic Depth columns in  the Variants table     e SOMATIC     Represented in the Genotype column in the Variants table   This value applies only to somatic variants     A list of fields that define values in the Sample column  Possible values are  VF  alt variant frequency   DP  read depth   AD  allelic depth   GT   genotype   and      none     e VF   Represented in the Alt Variant Freq column in the Variants table    e DP    Represented in the Read Depth column in the Variants table     e AD    Represented in the Alt Read Depth and Allelic Depth columns in  the Variants table     Genotype Values   Not present in somatic VCF files      e Acceptable GT values are 0 0  0 1  and 1 1  Non numeric GT values  or      as in a no call  are not imported     e Hemizygous alt GT values   1     are accepted  Hemizygous reference calls   0     are not imported     e If FORMAT and Sample are not empty  then a GT value is required     e IF FORMAT and Sample are empty  the software assumes that GT is  heterozygous  0 1     siuouweiinbsy indu  JODA    Getting Started    Genome VCF Files  Importing genome VCF  gVCF  files is supported as of VariantStudio v2 1 for targeted  enrichment data   Using gVCF is not recommended for whole genomes without pre processing with gV CF    tools  Alternatively  you can load only exonic regions  or only reg
91. t limitation   the Exclusions to Illumina s Indemnification Obligations  Section 9 b  below   the Conditions to Indemnification  Obligations  Section 9 d  below   Illumina shall  i  defend  indemnify and hold harmless Purchaser against any  third party claim or action alleging that this Product when used for research use purposes  in accordance with these  terms and conditions  and in accordance with this Product s Documentation and Specifications infringes the valid  and enforceable intellectual property rights of a third party  and  ii  pay all settlements entered into  and all final  judgments and costs  including reasonable attorneys    fees  awarded against Purchaser in connection with such  infringement claim  If this Product or any part thereof  becomes  or in Illumina s opinion may become  the subject of  an infringement claim   lumina shall have the right  at its option  to  A  procure for Purchaser the right to continue  using this Product   B  modify or replace this Product with a substantially equivalent non infringing substitute  or   C  require the return of this Product and terminate the rights  license  and any other permissions provided to  Purchaser with respect this Product and refund to Purchaser the depreciated value  as shown in Purchaser s official  records  of the returned Product at the time of such return  provided that  no refund will be given for used up or  expired Consumables  This Section states the entire liability of Illumina for any infringem
92. the variant you want to change  A  window opens that shows information about the variant  the current classification  and  any comments in the Report Fragment field     2 Click Edit Classification in Classification Database  The Classification for Variant in  Database window opens     Figure 18 Edit Classifications    Wariant Information    Gene Transcript  NM_0014093   Global Freq   Chromosome HGWSc  NM_001409 3 c 409164   Polyphen  Position HGVSp NP_001400 3 p Arg1364His   SIFT  Variant Consequence  missense_variant   Amino Acid  R  H    SUOI EOIJISSE O JUBIIBA ypg                Classification for for this sample       Classification  Benign i      Report Fragment  displayed as a column in the sample report            Apply Classification from Classification Database     Edit Classification in Classification Database               3 Do one of the following   To change the classification in the database  select a new classification from the  Classification drop down list and click Save Changes in Database   To remove the classification from the database  click Remove Classification from  Database     Figure 19 Remove Classification from Database    lassification for Variant in ase    Wariant Information    Gene Transcript Global Freq   Chromosome i HGVSc  NM_001409 3 c 4091G gt 4   Polyphen  Position HGVSp NP_001400 3 p A191364His   SIFT  Variant Consequence Amino Acid  R  H          Information in Variant Classification Database  Classification  Bengn    Notes  not display
93. tion    Provides options to annotate only variants in the canonical  transcript  which is the longest translated transcript in the  gene  and variants in intronic regions     Annotates variants identified in a specific annotation source   which is RefSeq  by default     The default can be changed to Ensembl by editing the mode  entry in the VariantStudio configuration file   VariantStudio exe config   as follows      lt add key  Mode  value  Ensembl   gt   Close and reopen VariantStudio to enable the change     Clears BaseSpace login information  such as ID and password     gene  By default  VariantStudio lists the canonical transcript  which is the longest  translated transcript in the gene     2 For genes with multiple transcripts  use the drop down list to set the default to another    transcript     VariantStudio v2 1 Software User Guide    29    S UEIIE A a ejo0uuy    Applying Annotations and Classifications    20    Figure 15 Set Default Transcripts       Lo GeneTranscript    Use this tool to specify which transcript to display for the variants in the Variant Table that have multiple transcripts associated with them     You can use a text file to import the desired default transcript for each gene  The file should be a tab delimitted text file with two columns     gene_name and transcript_name  Gene   Transcript File        gt        Cu       8975150  9381129  43088127  137842560  53701240  125549925  178191862  151531861  151451704  12776118  12704566  170981373  99403
94. to their Specifications for a period of 90 days from the  date the Upgraded Components are installed  Upgraded Components do not extend the warranty for the Hardware  unless the upgrade was conducted by Illumina at Ilumina s facilities in which case the upgraded Hard ware shipped  to Purchaser comes with a Base Hardware Warranty    c Exclusions from Warranty Coverage  The foregoing warranties do not apply to the extent a non conformance is  due to  i  abuse  misuse  neglect  negligence  accident  improper storage  or use contrary to the Documentation or  Specifications   ii  improper handling  installation  maintenance  or repair  other than if performed by Illumina s  personnel    iii  unauthorized alterations   iv  Force Majeure events  or  v  use with a third party s good not provided  by Illumina  unless the Products Documentation or Specifications expressly state such third party s good is for use  with the Product      VariantStudio v2 1 Software User Guide    Procedure for Warranty Coverage  In order to be eligible for repair or replacement under this warranty Purchaser  must  i  promptly contact lllumina s support department to report the non conformance   ii  cooperate with  lumina  in confirming or diagnosing the non conformance  and  iii  return this Product  transportation charges prepaid to  Illumina following Ilumina s instructions or  if agreed by Illumina and Purchaser  grant Illumina s authorized repair  personnel access to this Product in order to confirm th
95. variant on the chromosome   Ref   The reference base  or bases  for an insert or deletion at the specified position   Variant   The base  or bases  for an insert or deletion at the specified position   Classification    The value assigned to a variant with matching values for chr  position   ref  and variant  The classification name must match one of the classifications listed in  your database   Notes     Note about the entry  Information in this field is not included in the sample  report   Fragment   Notes about the entry that are intended for the sample report    i NOTE      Make sure that you add any new classification names to the database using the  Classifications Settings command     Best Practices for Importing Classifications  J NOTE    All coordinates used in VariantStudio are genomic coordinates on the positive strand     Before importing previously classified variants into the VariantStudio classification  database  convert classifications to genomic coordinates  This step is especially important  for variants that were classified based on HGVSc notations and transcripts     Importing classifications before converting to genomic coordinates can result in some  variants not being annotated with imported classifications when you use the command  Apply Classifications from Database  Because VariantStudio assumes that all annotations  are expressed in genomic coordinates on the positive strand  the classification database  requires an exact match for variants to be 
96. y    For RefSeq  see NCBI on page 65    Transcript specific    Feature  Feature Type  Consequence  cDNA Position  CDS Position  Protein Position  Amino Acids  Codons  Exon  Intron  HGNC     Direct from Ensembl for ENST  For RefSeq  same as NCBI   Distance  Canonical  Sift  PolyPhen  ENSP  Domains  CCDS     Reported for Ensemble annotations only  HGVSc  HGVSp  Positional    Specific to the position  not necessarily matching the allele     6 A Part  15040890 Rev  D    Feature ID   Feature Type  Consequence   Motif Name   Motif Position   High Influence Position  Motif Score Change  Cell Type    1000 Genomes  April 2012 v3     Source   ftp 1000genomes ebi ac uk vol1 ftp release 20110521 ALL wgs phasel_release_  v3 20101123 snps_indels_sv sites vcf gz   Values    Ancestral Allele  AA   Global allele Frequency  AF   Population allele frequencies    www 1000genomes org category frequently asked questions population   African  AFR_AF   Ad Mixed American  AMR_AF   East Asian  ASN   European  EUR     COSMIC  v65     Source   ngs sanger ac uk production cosmic  _noLimit vcf gz  Additional annotation for COSMIC entries were obtained from  ftp sanger ac uk pub CGP cosmic data_export CosmicCompleteExport_  tsv gz  From the CosmicCompleteExport data file  the following four fields were added   primary_site  site_subtype  primary_histology  histology_subtype    ClinVar    Version September 5  2013  www ncbi nlm nih gov clinvar     NCBI  dbSNP  v137     Source   ftp ncbi nih gov snp organism
    
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