Related Experiment Video
Updated: Mar 24, 2026

Integration of Wet and Dry Bench Processes Optimizes Targeted Next-generation Sequencing of Low-quality and Low-quantity Tumor Biopsies
Published on: April 11, 2016
Mutation based treatment recommendations from next generation sequencing data: a comparison of web tools
Jaymin M Patel1, Joshua Knopf1, Eric Reiner2
1Medical Oncology, Yale Cancer Center, Yale School of Medicine, New Haven, CT 06520, USA.
Abstract:
Interpretation of complex cancer genome data, generated by tumor target profiling platforms, is key for the success of personalized cancer therapy. How to draw therapeutic conclusions from tumor profiling results is not standardized and may vary among commercial and academically-affiliated recommendation tools. We performed targeted sequencing of 315 genes from 75 metastatic breast cancer biopsies using the FoundationOne assay. Results were run through 4 different web tools including the Drug-Gene Interaction Database (DGidb), My Cancer Genome (MCG), Personalized Cancer Therapy (PCT), and cBioPortal, for drug and clinical trial recommendations. These recommendations were compared amongst each other and to those provided by FoundationOne. The identification of a gene as targetable varied across the different recommendation sources. Only 33% of cases had 4 or more sources recommend the same drug for at least one of the usually several altered genes found in tumor biopsies. These results indicate further development and standardization of broadly applicable software tools that assist in our therapeutic interpretation of genomic data is needed. Existing algorithms for data acquisition, integration and interpretation will likely need to incorporate artificial intelligence tools to improve both content and real-time status.
Insights
Interpreting cancer genome data for personalized therapy is challenging due to non-standardized tools. A study found significant variation in drug recommendations from different genomic data interpretation platforms, highlighting the need for improved standardization.
Area of Science:
- Genomic medicine
- Computational oncology
- Translational oncology
Background:
- Personalized cancer therapy relies on interpreting complex tumor genome data.
- Current methods for deriving therapeutic conclusions from tumor profiling are not standardized.
- Discrepancies exist between commercial and academic cancer genome data interpretation tools.
Purpose of the Study:
- To compare drug and clinical trial recommendations from multiple web-based tools using targeted sequencing data from metastatic breast cancer.
- To assess the concordance of therapeutic recommendations generated by different genomic data interpretation platforms.
Main Methods:
- Targeted sequencing of 315 cancer genes was performed on 75 metastatic breast cancer biopsies.
- Results were analyzed using four distinct web tools: Drug-Gene Interaction Database (DGidb), My Cancer Genome (MCG), Personalized Cancer Therapy (PCT), and cBioPortal.
- Recommendations were compared against each other and the FoundationOne assay's own recommendations.
Main Results:
- The identification of actionable genomic alterations varied significantly across the evaluated recommendation sources.
- Only 33% of cases received concordant drug recommendations from four or more sources for at least one altered gene.
- Substantial heterogeneity in therapeutic recommendations was observed among the different tools.
Conclusions:
- There is a critical need for the development and standardization of robust software tools for interpreting cancer genomic data.
- Current algorithms require enhancement, potentially through artificial intelligence, to improve accuracy and real-time status updates for therapeutic recommendations.
- Standardization is essential for reliable clinical decision-making in precision oncology.
More Related Videos
09:34Targeted Next-generation Sequencing and Bioinformatics Pipeline to Evaluate Genetic Determinants of Constitutional Disease
Published on: April 4, 2018
11:02Detecting Somatic Genetic Alterations in Tumor Specimens by Exon Capture and Massively Parallel Sequencing
Published on: October 18, 2013
Related Concept Videos
Evolutionary Relationships through Genome Comparisons
Next-generation Sequencing
Next-Generation Sequencing Methods
Although all next-generation methods use different technologies, they all share a set of standard features....
Modern Molecular Taxonomy
Combination Therapies and Personalized Medicine
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...