Term 
        
        | Outline the work flow of cancer genome sequencing |  
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        Definition 
        
        | 1)Biopsy,matched tissue collection and pathology 2)DNA/RNA extraction 3) Sequencing 4) Alignment to the reference genome 5)Analysis and genomic characterization 6)integration and interpretation 7)treatment plan |  
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        Term 
        
        | Outline the problems with cancer genome sequencing |  
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        Definition 
        
        | Sample purity (fraction of tumor cells >60%),Sample quality (amount),degraded DNA (formalin fixed samples), cancer heterogeneity (different clones),coverage |  
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        Term 
        
        | What types of mutation exist in cancer? |  
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        Definition 
        
        Single nucleotide variants Chromosomal rearragmenets, amplifications Small indels |  
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        Term 
        
        | What problems with cancer genome sequencing are linked to soma vs. germline or polymorphisms vs. rare? |  
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        Definition 
        
        –Matched normal control –Exclude common SNPs using databases |  
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        Term 
        
        | What should we do to minimize false positive rate of mutation discovery in cancer sequencing? |  
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        Definition 
        
        –Matched normal control –Exclude common SNPs using databases |  
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        Term 
        
        | What is better for cancer genome sequencing paired or single ends? |  
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        Definition 
        
        | Paired end sequencing provides important structural information |  
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        Term 
        
        | What coverage should we achieve for genome sequencing? |  
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        Definition 
        
        –30-60 coverage for whole genome –100-150 fold for exomes |  
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        Term 
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        Definition 
        
        | A mutation that exists in the vast majority of the neoplastic cells within a tumor. |  
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        Term 
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        Definition 
        
        A gene that is expressed aberrantly in cancers in a fashion that confers a selective growth advantage. |  
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        Term 
        
        | What is gatekeeper mutations? |  
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        Definition 
        
        | A gene that, when mutated, initiates tumorigenesis (RB,VHL) |  
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        Term 
        
        | What is human leukocyte antigen? |  
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        Definition 
        
        | A protein encoded by genes that determine an individual’s capacity to respond to specific antigens or reject transplants from other individuals |  
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        Term 
        
        | What is missence mutation? |  
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        Definition 
        
        | A single-nucleotide substitution that results in an amino acid substitution (e.g., histidine to arginine). |  
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        Term 
        
        | What is nonsence mutation? |  
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        Definition 
        
        | A single-nucleotide substitution (e.g., C to T) that results in the production of a stop codon |  
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        Term 
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        Definition 
        
        | A gene that, when activated by mutation, increases the selective growth advantage of the cell in which it resides |  
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        Term 
        
        | What is passenger mutation? |  
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        Definition 
        
        | A mutation that has no direct or indirect effect on the selective growth advantage of the cell in which it occurred. |  
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        Term 
        
        | Outline the most common mutations in cancer |  
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        Definition 
        
        | single-base substitutions, indels, amplification, deletion, translocation |  
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        Term 
        
        | PINGO: You sequence an autosomal gene by high-throughput sequencing from a cancer sample of a patient. You find that of 1000 reads covering a particular site ~20% carry a particular mutation changing a conserved arginine to a histidine. Which conclusions can be drawn: |  
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        Definition 
        
        -Since the frequency is significantly below 50% it is likely that this mutation is not present in the germline -If the fraction of cancer cells in the sample is ~80% than this mutation is likely to be heterozygous in all cancer cells in the patient |  
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        Term 
        
        | PINGO: You sequence an exome of a cancer sample and a germline control, run a pipeline to identify single nucleotide variants specific to the cancer sample and are told that the sequencing error rate is 1 in a million bases. You identify in the ~30 Mbp of exome sequence 60 single nucleotide variants. What percentage of these variants do you expect to be really present in the cancer sample? |  
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        Definition 
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