Aperture: alignment-free detection of structural variations and viral integrations in circulating tumor DNA

Hongchao Liu1, Huihui Yin2, Guangyu Li1

  • 1State Key Laboratory of Medical Molecular Biology, Center for Bioinformatics, Institute of Basic Medical Sciences Chinese Academy of Medical Sciences,School of Basic Medicine Peking Union Medical College.

Insights

A new tool called Aperture accurately detects structural variations and viral integrations in circulating tumor DNA. This advancement improves precision oncology by enhancing sensitivity and specificity in analyzing low-frequency mutations.

Area of Science:

  • Genomics and Bioinformatics
  • Cancer Research
  • Molecular Diagnostics

Background:

  • Precision oncology relies on identifying structural variations (SVs) and viral integrations in circulating tumor DNA (ctDNA) for treatment decisions.
  • Detecting low-frequency SVs and complex junctions in short ctDNA fragments presents significant analytical challenges.

Purpose of the Study:

  • To introduce Aperture, a novel computational tool designed for sensitive and specific detection of SVs and viral integrations in ctDNA.
  • To address the limitations of existing methods in identifying complex SVs and low-abundance variants within ctDNA sequencing data.

Main Methods:

  • Aperture utilizes a k-mer-based search strategy combined with binary label-based breakpoint detection and candidate clustering.
  • The tool incorporates a barcode-based filter to enhance specificity and accurately identify viral integration sites.
  • Performance was evaluated using simulated, reference, and real patient ctDNA sequencing data, including low-dilution samples.

Main Results:

  • Aperture demonstrated superior sensitivity and specificity compared to existing SV callers, particularly for low-frequency variants and complex junctions in repetitive regions.
  • The tool successfully identified complex SVs, including novel insertions and repetitive sequences, in real patient data.
  • Aperture accurately predicted viral integration sites, offering valuable insights for oncological treatment and monitoring.

Conclusions:

  • Aperture provides a robust and efficient solution for detecting structural variations and viral integrations in ctDNA.
  • The tool's high sensitivity and specificity, especially in challenging scenarios like repetitive regions and low variant frequencies, advance the field of precision oncology.
  • Aperture is freely available, facilitating its adoption and further development in clinical and research settings.

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