Enhanced computational strategies for categorizing HER2 kinase domain variants of uncertain significance through

Tamizhini Loganathan1, C George Priya Doss2

  • 1Laboratory of Integrative Genomics, Department of Integrative Biology, School of Bio Sciences and Technology, Vellore Institute of Technology (VIT), Vellore, Tamil Nadu, 632014, India.

Insights

Computational analysis of 97 HER2 kinase domain variants, including pathogenic and uncertain significance types, reveals significant structural and functional impacts. This aids in interpreting HER2 variants in cancer.

Area of Science:

  • Oncology
  • Genomics
  • Structural Biology

Background:

  • The HER2 (human epidermal growth factor receptor 2) kinase domain is crucial for cancer signaling and frequently harbors mutations.
  • Variants of Uncertain Significance (VUS) in HER2 present diagnostic challenges.
  • Accurate interpretation of HER2 variants is vital for targeted cancer therapy.

Purpose of the Study:

  • To computationally analyze HER2 kinase domain variants, distinguishing pathogenic from VUS.
  • To evaluate the structural and functional impact of these variants.
  • To improve the clinical interpretation of HER2 VUS.

Main Methods:

  • Utilized 13 predictive algorithms for 97 HER2 kinase domain variants (25 pathogenic, 72 VUS).
  • Prioritized 32 variants for detailed analysis based on concordant predictions.
  • Employed conservation profiling (ConSurf, Align-GVGD), thermodynamic stability (I-Mutant), and molecular dynamics simulations (200 ns).

Main Results:

  • Variants were predominantly located in conserved, functionally critical residues.
  • Most variants destabilized protein structure and reduced intramolecular hydrogen bonding.
  • Molecular dynamics revealed conformational destabilization, altered RMSD, RMSF, and SASA.
  • Specific variants compromised stereochemical integrity and hydrophobic core interactions.

Conclusions:

  • Computational and structural analyses effectively differentiate pathogenic HER2 variants from VUS.
  • Destabilizing effects on protein structure correlate with pathogenicity.
  • Integrating time-resolved simulations with sequence-based predictions is essential for accurate variant interpretation.

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