Measurement of tumor mutational burden (TMB) in routine molecular diagnostics: in silico and real-life analysis of three larger gene panels

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Volker Endris - , Heidelberg University  (Author)
  • Ivo Buchhalter - , Heidelberg University , German Cancer Research Center (DKFZ) (Author)
  • Michael Allgäuer - , Heidelberg University  (Author)
  • Eugen Rempel - , Heidelberg University  (Author)
  • Amelie Lier - , Heidelberg University  (Author)
  • Anna Lena Volckmar - , Heidelberg University  (Author)
  • Martina Kirchner - , Heidelberg University  (Author)
  • Moritz von Winterfeld - , Heidelberg University  (Author)
  • Jonas Leichsenring - , Heidelberg University  (Author)
  • Olaf Neumann - , Heidelberg University  (Author)
  • Roland Penzel - , Heidelberg University  (Author)
  • Wilko Weichert - , Technical University of Munich, German Cancer Research Center (DKFZ) (Author)
  • Hanno Glimm - , National Center for Tumor Diseases Dresden, German Cancer Research Center (DKFZ) (Author)
  • Stefan Fröhling - , German Cancer Research Center (DKFZ) (Author)
  • Hauke Winter - , Heidelberg University , Translational Lung Research Center Heidelberg (TLRC) - DZL Heidelberg (Author)
  • Felix Herth - , Translational Lung Research Center Heidelberg (TLRC) - DZL Heidelberg, Heidelberg University  (Author)
  • Michael Thomas - , Translational Lung Research Center Heidelberg (TLRC) - DZL Heidelberg, Heidelberg University  (Author)
  • Peter Schirmacher - , Heidelberg University , German Cancer Research Center (DKFZ) (Author)
  • Jan Budczies - , Heidelberg University , German Cancer Research Center (DKFZ) (Author)
  • Albrecht Stenzinger - , Heidelberg University , German Cancer Research Center (DKFZ) (Author)

Abstract

Assessment of Tumor Mutational Burden (TMB) for response stratification of cancer patients treated with immune checkpoint inhibitors is emerging as a new biomarker. Commonly defined as the total number of exonic somatic mutations, TMB approximates the amount of neoantigens that potentially are recognized by the immune system. While whole exome sequencing (WES) is an unbiased approach to quantify TMB, implementation in diagnostics is hampered by tissue availability as well as time and cost constrains. Conversely, panel-based targeted sequencing is nowadays widely used in routine molecular diagnostics, but only very limited data are available on its performance for TMB estimation. Here, we evaluated three commercially available larger gene panels with covered genomic regions of 0.39 Megabase pairs (Mbp), 0.53 Mbp and 1.7 Mbp using i) in silico analysis of TCGA (The Cancer Genome Atlas) data and ii) wet-lab sequencing of a total of 92 formalin-fixed and paraffin-embedded (FFPE) cancer samples grouped in three independent cohorts (non-small cell lung cancer, NSCLC; colorectal cancer, CRC; and mixed cancer types) for which matching WES data were available. We observed a strong correlation of the panel data with WES mutation counts especially for the gene panel >1Mbp. Sensitivity and specificity related to TMB cutpoints for checkpoint inhibitor response in NSCLC determined by wet-lab experiments well reflected the in silico data. Additionally, we highlight potential pitfalls in bioinformatics pipelines and provide recommendations for variant filtering. In summary, our study is a valuable data source for researchers working in the field of immuno-oncology as well as for diagnostic laboratories planning TMB testing.

Details

Original languageEnglish
Pages (from-to)2303-2312
Number of pages10
JournalInternational journal of cancer
Volume144
Issue number9
Publication statusPublished - 1 May 2019
Peer-reviewedYes

External IDs

PubMed 30446996

Keywords

Sustainable Development Goals

ASJC Scopus subject areas

Keywords

  • mutational load, NGS, panel sequencing, TMB, tumor mutational burden