Somatic WES Tumor Normal

DRAGEN Recipe - Somatic WES Tumor Normal

Overview

This recipe is for processing whole exome sequencing data for somatic tumor normal workflows.

Example Command Line

For most scenarios, simply creating the union of the command line options from the single caller scenarios will work.

• Configure the INPUT options

• Configure the OUTPUT options

• Configure MAP/ALIGN depending on if realignment is desired or not

• Configure the VARIANT CALLERs based on the application

• Configure any additional options

• Build up the necessary options for each component separately, so that they can be re-used in the final command line.

We recommend using a linear (non-pangenome) reference for somatic analysis. For more details, refer to Dragen Reference Support.

The following are partial templates that can be used as starting points. Adjust them accordingly for your specific use case.

#!/bin/bash
set -euo pipefail

# Path to DRAGEN hashtable
DRAGEN_HASH_TABLE=<REF_DIR>

# Path to output directory for the DRAGEN run
OUTPUT=<OUT_DIR>

# File prefix for DRAGEN output files
PREFIX=<OUT_PREFIX>

# Path to VC systematic noise BED file. In tumor-normal variant calling, this filter
# is recommended for removing systematic noise observed in normal samples. Prebuilt
# systematic noise files are available for download on the DRAGEN Software 
# Support Site page. Alternatively, running the somatic TO pipeline on
# normal samples can generate a systematic noise file. We recommend using a
# systematic noise file based on normal samples that match the library prep of
# the tumor samples. A prebuilt systematic noise BED file can be downloaded from
# https://support.illumina.com/sequencing/sequencing_software/dragen-bio-it-platform/product_files.html
VC_SYSTEMATIC_NOISE_FILE=<VC_SYSTEMATIC_NOISE_BED_FILE_PATH>

# Define the input sources, select fastq list, fastq, bam, or cram.
INPUT_FASTQ_LIST="
  --tumor-fastq-list $TUMOR_FASTQ_LIST \
  --tumor-fastq-list-sample-id $TUMOR_FASTQ_LIST_SAMPLE_ID \
  --fastq-list $FASTQ_LIST \
  --fastq-list-sample-id $FASTQ_LIST_SAMPLE_ID \
"

INPUT_FASTQ="
  --tumor-fastq1 $TUMOR_FASTQ1 \
  --tumor-fastq2 $TUMOR_FASTQ2 \
  --RGSM-tumor $RGSM_TUMOR \
  --RGID-tumor $RGID_TUMOR \
  --fastq-file1 $FASTQ1 \
  --fastq-file2 $FASTQ2 \
  --RGSM $RGSM \
  --RGID $RGID \
"

INPUT_BAM="
  --tumor-bam-input $TUMOR_BAM \
  --bam-input $BAM \
"

INPUT_CRAM="
  --tumor-cram-input $TUMOR_CRAM \
  --cram-input $CRAM \
"

# Select input source, here in this example we use INPUT_FASTQ_LIST
INPUT_OPTIONS="
  --ref-dir $DRAGEN_HASH_TABLE \
  $INPUT_FASTQ_LIST \
"

OUTPUT_OPTIONS="
  --output-directory $OUTPUT \
  --output-file-prefix $PREFIX \
"

MA_OPTIONS="
  --enable-map-align true \
  --enable-sort true \
  --enable-duplicate-marking true \
"

CNV_OPTIONS="
  --enable-cnv true \
  --cnv-target-bed $CNV_TARGET_BED \
  --cnv-combined-counts $CNV_PANEL_OF_NORMALS \
  --cnv-use-somatic-vc-baf true \
"

# HRD requires enabling CNV
HRD_OPTIONS="
--enable-hrd=true \
"

SNV_OPTIONS="
  --enable-variant-caller true \
  --vc-target-bed $VC_TARGET_BED \
  --vc-systematic-noise $VC_SYSTEMATIC_NOISE_FILE \
  --vc-systematic-noise-method mean \
"

SV_OPTIONS="
  --enable-sv true \
  --sv-exome true \
  --sv-call-regions-bed $SV_TARGET_BED \
"

SNV_SV_DEDUPLICATION_OPTIONS="
  --enable-variant-deduplication true \
"

TMB_OPTIONS="
--enable-tmb=true
# Nirvana settings required for TMB
--enable-variant-annotation=true  
--variant-annotation-data=PATH
--variant-annotation-assembly=GRCh37/8
"

MSI_OPTIONS="
--msi-command=tumor-normal \
--msi-coverage-threshold=60 \
--msi-microsatellites-file=$MSI_MICROSATELLITES_FILE \
"

HLA_OPTIONS="
--enable-hla=true \
--hla-enable-class-2=true \ # only if the panel has sufficient coverage for class II HLA typing 
"

# Construct final command line
CMD="
  dragen \
  $INPUT_OPTIONS \
  $OUTPUT_OPTIONS \
  $MA_OPTIONS \
  $CNV_OPTIONS \
  $SNV_OPTIONS \
  $SV_OPTIONS \
  $SNV_SV_DEDUPLICATION_OPTIONS \
  $HRD_OPTIONS \
  $TMB_OPTIONS \
  $MSI_OPTIONS \
  $HLA_OPTIONS \
"

# Execute
echo $CMD
bash -c $CMD

Additional Notes and Options

Optional settings per component are listed below. Full option list at this page.

CNV

Please include the matched normal sample in the CNV panel of normals.

Option	Description
--cnv-enable-gcbias-correction true	Enable or disable GC bias correction when generating target counts. For more information, see GC Bias Correction.
--cnv-segmentation-mode $SEG_MODE	Specifies the segmentation algorithm to perform. For more information, see Segmentation.

Generating Panel of Normals (PON)

Somatic WES CNV requires PON files. Follow the two steps below to generate CNV PON:

1. Target counts generation (per normal sample): Target counts of individual normal sample should be generated as baseline. Any options used for panel of normals generation (BED file, GC Bias Correction, etc) should be matched when processing the case sample.

CNV_PON_OPTIONS="
  --enable-cnv true \
  --cnv-target-bed $CNV_TARGET_BED \
"

CMD="
  dragen \
  $INPUT_OPTIONS \
  $OUTPUT_OPTIONS \
  $CNV_PON_OPTIONS \
"

1. Combined counts generation: Individual PON counts can be merged into a single file as a <prefix>.combined.counts.txt.gz file.

CNV_COMBINED_COUNTS_OPTIONS="
  --enable-cnv true \
  --cnv-generate-combined-counts true \
  --cnv-normals-list $CNV_NORMALS_LIST \
"

CMD="
  dragen \
  $INPUT_OPTIONS \
  $OUTPUT_OPTIONS \
  $CNV_COMBINED_COUNTS_OPTIONS \
"

$CNV_NORMALS_LIST is a single text file with paths to each target counts file generated by step1 (either .target.counts.gz or .target.counts.gc-corrected.gz). Output will have a PON file with suffix .combined.counts.txt.gz file. Use the PON file in case sample runs of DRAGEN CNV with --cnv-combined-counts option.

For more information, see Panel of Normals.

SNV

Option	Description
--vc-sq-filter-threshold $THRESHOLD	Threshold for sensitivity-specificity tradeoff. The default threshold is 17.5. Raise this value to improve specificity at the cost of sensitivity, or lower it to improve sensitivity at the cost of specificity.
--vc-systematic-noise $SYSTEMATIC_NOISE_FILE	Systematic noise filter. In tumor-normal calling, this filter is recommended for removing systematic noise observed in normal samples. Prebuilt systematic noise files are available for download on the DRAGEN Software Support Site page. Alternatively, a systematic noise file can be generated by running the somatic TO pipeline on normal samples. We recommend using a systematic noise file based on normal samples that match the library prep of the tumor samples.
--vc-somatic-hotspots somatic_hotspots_GRCh38.vcf.gz	Hotspots file. By default, DRAGEN treats positions in the COSMIC database as hotspots, assigning an increased prior probability to variants at these positions. Use this option to override with a custom hotspots file if a list of positions of interest is available.
--vc-combine-phased-variants-distance $DIST	Combining phased variants. By default, DRAGEN will not combine nearby phased calls into MNVs or indels. To combine such calls, set this parameter to a value greater than zero indicating the maximum distance at which calls should be combined. If the user wants to enable the combining of phased variants the recommended value of the distance is 15 base pairs. The valid range is [0; 15]
--vc-enable-liquid-tumor-mode true	Tumor-in-normal contamination. Only use if there is some tumor leakage in the normal control.
--vc-override-tumor-pcr-params-with-normal false	Mixed sample preparation. Only use if the tumor and normal samples exhibit different PCR (indel) noise patterns, e.g., due to using different sample preparation.
--vc-target-vaf FLOAT	This option is only available starting in V4.2. The vc-target-vaf is used to select the variant allele frequencies of interest. The variant caller will aim to detect variants with allele frequencies equal to and larger than this setting. This setting will not apply a hard filter and it is possible to detect variants with allele frequencies lower than the selected threshold. On high coverage and clean datasets, a lower target-vaf may help increase sensitivity. On noisy samples (like FFPE) a higher target-vaf maybe help reduce false positives. Using a low target-vaf may also increase runtime. The valid range is [0, 1]. The default is 0.03 (or 0.001 when --vc-enable-umi-liquid=true).
--vc-systematic-noise-method	The 'max' method is recommended for WGS and results in a more aggressive filter. The 'mean' method is recommended for UMI/PANELs/WES and results in a less aggressive filter. The default is specified in the noise file header.

SNV library specific settings

Option	FFPE
--vc-excluded-regions-bed $BED	Some FFPE samples may have a high rate of FP calls in SINE (and specifically in ALU) regions. Optionally use an ALU bed to hard filter all calls in this region. Steps are provided below to download an ALU region bed.

SNV systematic noise file

Generic SNV noise files can be downloaded here: DRAGEN Software Support Site page

When possible it is recommended to build a pipeline specific systematic noise file that matches the library prep and sequencer of interest:

Step 1. Run DRAGEN somatic tumor-only on each of approximately 20-50 normal samples:

### choose input either from
### i) BAM
INPUT="--tumor-bam-input ${NORMAL_BAM}"
### ii) FASTQs
INPUT="--tumor-fastq-list ${NORMAL_FASTQ_LIST} \
  --tumor-fastq-list-sample-id ${NORMAL_FASTQ_LIST_SAMPLE_ID}"
###

dragen \
-r ${REFERENCE} \
${INPUT} \
--vc-detect-systematic-noise=true \
--vc-enable-germline-tagging=true \
--enable-variant-annotation=true \
--variant-annotation-data ${NIRVANA_ANNOTATION_FOLDER} \
--variant-annotation-assembly ${REF_TYPE} \  # GRCh37 or GRCh38
--intermediate-results-dir ${TMP} \
--output-directory ${DIR} \
--output-file-prefix ${PREFIX}

Gather the full paths to the VCFs from step 1 in ${VCF_LIST} by specifying 1 file per line.

Step 2. Generate the final noise file with:

dragen \
-r ${REF_DIR} \
--build-sys-noise-vcfs-list ${VCF_LIST} \  
--build-sys-noise-method=mean \ # sets the default noise mode for this noise file by tagging the noise file header with '##NoiseMethod=mean' 
--output-directory ${DIR} \
--output-file-prefix ${PREFIX}

To download a SINE/ALU regions bed for SNV excluded regions

ALUs comprise approximately 11% of the genome and are common in introns. High rates of deamination FP calls have been observed in some FFPE libraries. If the ALU regions are not clinically significant for a specific analysis, then it is recommended to simply filter out the entire ALU region using the DRAGEN excluded regions filter: --vc-excluded-regions-bed $BED.

The ALU bed file can be downloaded as part of the Bed File Collection: DRAGEN Software Support Site page

SV

Option	Description
--sv-enable-liquid-tumor-mode true	Enable liquid tumor mode. For more information, see Liquid Tumor Mode.
--sv-tin-contam-tolerance $TIN_CONTAM_TOLERANCE	Set the Tumor-in-Normal (TiN) contamination tolerance level. For more information, see Liquid Tumor Mode.

SNV-SV deduplication

We recommend using --enable-variant-deduplication true to filter all small indels in the structural variant VCF that appear and are passing in the small variant VCF (PASS in the FILTER column of the small variant VCF file). Using this feature, DRAGEN will create a new VCF that contains variants in SV VCF that are not matching a variant from SNV VCF file. The new deduplicated SV VCF file will have the same prefix passed by --output-file-prefix followed by sv.small_indel_dedup. DRAGEN normalizes variants by trimming and left shifting by up to 500 bases. An instance of utilizing this feature is when incorporating both SV and SNV callers in somatic workflows, which can increase sensitivity and prevent the occurrence of replicated variants within genes such as FLT3 and KMT2A.

MSI

Microsatellite sites file

Microsatellite sites file can be downloaded here: DRAGEN Software Support Site page

HLA

Option	Description
enable-hla	Enable HLA typer (this setting by default will only genotype class 1 genes)
hla-enable-class-2	Extend genotyping to HLA class 2 genes