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THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS Pr. Thierry Soussi [email protected] [email protected]

THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

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Page 1: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

THE UMD TP53 MUTATION DATABASE

UPDATES AND BENEFITS

Pr. Thierry Soussi

[email protected] [email protected]

Page 2: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

TP53: 33 YEARS AND COUNTING

P. May

STRUCTURE FUNCTION RELATIONSHIP OF WILD AND MUTANT TP53

1983 Oren et al.

1984 Crawford et al.

1988 Soussi et al.

1987 Soussi et al.

1988 Soussi et al.

2000 Levine et al.

37°C

37°C

25°C

25°C

40°C

Page 3: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

TP53: 33 YEARS AND COUNTING

P. May

STRUCTURE FUNCTION RELATIONSHIP OF WILD AND MUTANT TP53

1983 Oren et al.

1984 Crawford et al.

1988 Soussi et al.

1987 Soussi et al.

1988 Soussi et al.

2000 Levine et al.

2015 Soussi et al. A. Pompeii 60°C

Which TP53 residues are important for TP53 folding ? How these residues have evolved to ensure TP53 function from 0° to 60°C What is the status of these residues in human cancer ?

Wild type ? mutant ? associated with more deleterious clinical features ? http://p53.fr

37°C

37°C

25°C

25°C

40°C

Page 4: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

TP53 MUTATIONS IN HUMAN CANCER

GENE MUTATION: FROM DISCOVERY TO APPLICATION

THE TP53 MUTATION DATABASE

TP53 MUTATION ANALYSIS IN THE NEXT DECADE

Page 5: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

TP53 MUTATIONS IN HUMAN CANCER

ONCE UPON A TIME

OR

A NEW MUTATED GENE IN HUMAN CANCER

IT iS STORY TIME!

A NEW MUTATED GENE IN HUMAN CANCER!

TP53!

Page 6: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

Inci

denc

e

Discovery PHASE I Causes

Total number of variants (cumulated)

Discovery rate of novel variants

Variant detection

Page 7: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

Inci

denc

e In

cide

nce

Discovery

I.F.

PHASE I Causes

Total number of variants (cumulated)

Discovery rate of novel variants

Consequences

Variant detection

Publications Inconsistant

reports

Page 8: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

Inci

denc

e

Discovery Consolidation PHASE II

Variant detection

Causes

Total number of variants (cumulated)

Discovery rate of novel variants

Clinical value

No clinical value X

Page 9: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

Inci

denc

e In

cide

nce

Discovery

I.F.

Publications

Consolidation PHASE II

Variant detection

Causes

Total number of variants (cumulated)

Discovery rate of novel variants

Consequences

Inconsistant reports

Clinical value

No clinical value X

Page 10: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

Inci

denc

e

Causes

Total number of variants (cumulated)

Discovery Application Consolidation PHASE III

Variant detection

Discovery rate of novel variants

Page 11: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

Inci

denc

e In

cide

nce

Causes

Total number of variants (cumulated)

Discovery

Consequences I.F.

Publications Inconsistant

reports

Application Consolidation PHASE III

Variant detection

Discovery rate of novel variants

Page 12: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

TP53 MUTATIONS IN HUMAN CANCER

GENE MUTATION: FROM DISCOVERY TO APPLICATION

THE TP53 MUTATION DATABASE

TP53 MUTATION ANALYSIS IN THE NEXT DECADE

Page 13: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

THE p53 MUTATION DATABASE

October 2015

3,900 PUBLICATIONS 60,000 MUTATIONS

"unbiased" compilation of "every" TP53 mutations published in the literature

+ TCGA and ICGC unpublished data

http://p53.fr

Bernard Leroy and Thierry Soussi

7 200 TP53 VARIANTS 1750 missense variants 5450 indel variants

Page 14: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

TP53 MUTATION HETEROGENEITY AND DATABASE FREQUENCY

TP53 MUTANTS (1,750 VARIANTS)

R175H (1 600 x) R273H (1 100x)

800 variants 1x 400 variants 2x

hot spot variants

rare variants

WHAT IS THE BIOLOGICAL SIGNIFICANCE OF THESE RARE VARIANTS ????

Page 15: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

2,314 p53 mutants representing all possible amino acid substitutions caused by a point mutation throughout the entire protein (5.9 substitutions per residue) have been constructed The transcriptional activity of all these mutants was analyzed in a yeast based functional assay For each p53 mutant, a quantitative value of the remaining activity is available

TP53 MUTATION HETEROGENEITY

Page 16: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

0

25

50

75

100

125

150

175

1x 2x 3-5x 6-9x 10-49x 50-99x >99

AC

TIVI

TY (%

wt p

53)

FREQUENCY

TP53 MUTATION HETEROGENEITY

ONLY TUMORS HAVE BEEN INCLUDED IN THE ANALYSIS

Page 17: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

161_

+

81_1

60

41_8

0

21_4

09_

20 4-8

2_3 1

Tum

ors

cell l

ine

germ

line

-2

0

2

4

0

AC

TIVI

TY (%

)

100

REMAINING ACTIVITY OF MUTANT TP53 ACCORDING TO THEIR FREQUENCY IN THE DATABASE

FREQUENCY

NS

NS

NS

P<0.001

Page 18: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

TP53 MUTATION HETEROGENEITY

Are they randomly distributed in the

literature ?

Are they associated with other unusual features ?

What is the contribution of these "rare" mutations to tumorigenesis

passenger mutations ? PCR and sequencing artefacts ? Weak mutations ?

Page 19: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

TP53 MUTATION HETEROGENEITY

2,018 publications with 5 or more reported mutations

Frequency of each mutant in the db

Each publication was ranked according:

Remaining activity of each mutant

Number of tumors with multiple mutations

Number of tumors synonymous mutations

Tum 2x Tum 3x Tum >3x

Number of tumors with recurrent mutations

Edlund, K. et al. Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep sequencing of human tumors. Proc Natl Acad Sci U S A 109, 9551-9556 (2012).

Page 20: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

THE p53 MUTATION DATABASE

Included >90% of the publications

Outliers 7 % of the publications (2 sigma) or 1% (5 sigma) Multiple tumours with more than 1 TP53 mutations Multiple tumours with rare variants Multiple tumours with a high frequency of synonymous variants

PARAFFIN EMBEDDED TISSUE

Page 21: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

THE p53 MUTATION DATABASE

Only 2 papers describing TP53 mutations in lymphoma have been flagged Both papers used DNA from paraffin embeded tissue

Page 22: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

TP53 MUTATIONS IN HUMAN CANCER

GENE MUTATION: FROM DISCOVERY TO APPLICATION

THE TP53 MUTATION DATABASE

TP53 MUTATION ANALYSIS IN THE NEXT DECADE

Page 23: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

THE TP53 PATHWAY: A COMPLEX NETWORK

1985-2005

Page 24: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

2005-

TP53 activities are modulated by the ratio of the various isoforms

THE TP53 PATHWAY: A COMPLEX NETWORK

Page 25: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

TP53 ISOFORMS: WHATS IMPORTANCE ?

6.6%

17.8%

p.P110L

Page 26: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

TP53 exon 9 beta and gamma are poorly analyzed

They are not included in the majority of commercial exon selection kit

They are excluded from most analytical pipelines (labeled as intron)

They are excluded in custom arrays

TP53 ISOFORMS: WHATS IMPORTANCE ?

Page 27: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

Revised guidelines for screening of TP53 gene mutations Bernard Leroy , Mandy L. Ballinger , Gareth L. Bond , Antony Braithwaite , Nicole Concin , Lawrence A. Donehower , Wafik S. El-Deiry , Pierre Fenaux , Gianluca Gaidano , Anita Langerød , Eva Hellstrom-Lindberg , Richard Iggo , Jacqueline Lehmann-Che , Phuong L. Mai , David Malkin , Ute M. Moll , Jeffrey N. Myers , Kim E. Nichols , Sarka Pospisilova , Davide Rossi, Sharon A. Savage, Louise C. Strong , Patricia N. Tonin , Robert Zeillinger , Thorsten Zenz ,Joseph F. Fraumeni Jr. , Pierre Hainaut and Thierry Soussi

TP53 ISOFORMS: WHATS IMPORTANCE ?

Page 28: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

ASSESSING TP53 STATUS IN HUMAN CANCER

STRATEGY

MUTATION VALIDATION

METHODOLOGY

Page 29: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

ANALYSIS OF TP53 MUTATIONS IN HUMAN CANCER

All coding exons with +/- 5 intronic extension Application phase

Page 30: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

Intron 9

ANALYSIS OF TP53 MUTATIONS IN HUMAN CANCER

screening beta and gamma exons

Discovery phase

Page 31: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

TP53 RE Int Promoter

ASSESSING TP53 STATUS IN HUMAN CANCER

Intron 4

Intron 4 promoter

Discovery phase

Page 32: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

TP53 RE Int Promoter Intron 4

Intron 9

ASSESSING TP53 STATUS IN HUMAN CANCER

3'UTR

3’UTR ? Discovery phase

Page 33: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

ASSESSING TP53 STATUS IN HUMAN CANCER

STRATEGY

MUTATION VALIDATION

METHODOLOGY

Page 34: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

ASSESSING TP53 STATUS IN HUMAN CANCER

CONVENTIONAL SEQUENCING SANGER

HIGH-THROUGHPUT SEQUENCING

TUMOUR WITH MULTIPLE TP53 MUTATIONS

Multiple tumoral clones with different mutations

TUMOR HETEROGENEITY

Page 35: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

ASSESSING TP53 STATUS IN HUMAN CANCER

STRATEGY

MUTATION VALIDATION

METHODOLOGY

Sequencing artefacts ? Passenger mutations ? Very rare neutral SNP ? Driver mutations ?

Page 36: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

R72P R213R P47S

R283C R283H R156H P222L

?

N235S R290H

TP53 SNP CAN BE VERY UNFREQUENT

More than 150,000 TP53 gene have been sequenced

P36P

Page 37: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

R72P R213R P47S

R283C R283H R156H P222L

?

N235S R290H

TP53 SNP CAN BE VERY UNFREQUENT

More than 150,000 TP53 gene have been sequenced

P36P

Page 38: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

R72P R213R P36P

Page 39: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

ASSESSING TP53 STATUS IN HUMAN CANCER

STRATEGY

MUTATION VALIDATION

METHODOLOGY

Sequencing artefacts ? Passenger mutations ? Very rare neutral SNP ? Driver mutations ?

Page 40: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

Inci

denc

e In

cide

nce

Causes

Total number of variants (cumulated)

Discovery

Consequences I.F.

Publications Inconsistant

reports

Application Consolidation PHASE III

Variant detection

Discovery rate of novel variants

Page 41: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

TP53 MUTATION HETEROGENEITY AND DATABASE FREQUENCY

TP53 MUTANTS (1,750 VARIANTS)

R175H (1 600 x) R273H (1 100x)

800 variants 1x 400 variants 2x

hot spot variants

rare variants

cut off: TP53 frequeny Remaining activity Frequency in outliers studies

Page 42: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

THE p53 MUTATION DATABASE

http://p53.fr

TP53 Variants 7,200 Variants

TP53 Mutation 60,000 mutations

Each publication are flagged with a statistical index

Page 43: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

cDNA variant

c.524G>A

Polyphen: Damaging Mutassessor: Damaging Condel: Damaging Provean: Damaging Splice assessor: Splice Neutral Variant

PREDICTION

wt

p.R175H

RESIDUAL ACTIVITY

Comment Isoforms

This mutation targets the 12 TP53 isoforms

Comment Frequency

This mutation is very frequent

Comment Activity

No activity

Comment Prediction

Damaging

Comment Outliers

No specific association

Comment Splice

No defect predicted

Frequency

2307

138

Hemopathies

38

CLL

14

MDS

for ERIC

Protein variant

p.R175H

ALL ISOFORMS

p.R175H p.R175H p.R136H p.R136H p.R136H p.R43H p.R43H p.R43H p.R16H p.R16H p.R16H

Page 44: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

cDNA variant

c.375G>T

Protein variant

p.T125T

p.T125T p.T125T p.T86T p.T86T p.T86T p.= p.= p.= p.= p.= p.=

wt

p.T125T

Polyphen: No data Mutassessor: No data Condel: No data Provean: No data Splice assessor: Splice Neutral Variant

PREDICTION RESIDUAL ACTIVITY

ALL ISOFORMS

Frequency

74

4

Hemopathies

4

CLL

0

MDS

for ERIC

Comment Frequency

This mutation is not frequent

Comment Activity

No data

Comment Isoforms

This mutation targets 6 TP53 isoforms

Comment Prediction

No data

Comment Outliers

No specific association

Comment Splice

This exonic mutation, close to a splice site, has been predicted to impair splicing; high confidence index

No data

Page 45: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

cDNA variant

c.704A>G

Protein variant

p.N235S

p.N235S p.N235S p.N196S p.N196S p.N196S p.N103S p.N103S p.N103S p.N76S p.N76S p.N76S

wt

p.N235S

Polyphen: Tolerated Mutassessor: Low Condel: Benign Provean: Damaging Splice assessor: Splice Neutral Variant

PREDICTION RESIDUAL ACTIVITY

ALL ISOFORMS

Frequency

39

8

Hemopathies

5

CLL

0

MDS

for ERIC

Comment Frequency

This mutation is no frequent

Comment Activity

Fully active

Comment Isoforms

This mutation targets the 12 TP53 isoforms

Comment Prediction

Probably Benign

Comment Outliers

No specific association

Comment Splice

No defect predicted

Page 46: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

TP53 MUTATIONS ARE HETEROGENOUS

EXON 4 -9

R175H deficient for apoptosis and cell cycle arrest R175P deficient for apoptosis only

Page 47: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

17p deletion Notch deletion association with another TP53 mutation early versus late

TP53 MUTATIONS AND ERIC

TP53 MUTATIONS IN CLL

ERIC program

Other parameters can be discussed

Page 48: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep

Ola Larsson

Thierry Soussi

Adam Ameur

Ignas Bunikis

Ulf Gyllensten

Bernard Leroy Jean L. Fournier

Karolina Edlund

Magnus Sundström

Patrick Micke

Johan Botling

ACKNOWLEDGEMENTS

Page 49: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep
Page 50: THE UMD TP53 MUTATION DATABASE UPDATES AND BENEFITS … · 2019. 12. 12. · Data-driven unbiased curation of the TP53 tumor suppressor gene mutation database and validation by ultradeep