In oncology research, identifying potentially actionable gene alterations and exploiting cancer’s molecular vulnerabilities is becoming increasingly difficult. Due to the sporadic nature of somatic cancers, the number of variants detected is rapidly rising.

Clinical research labs are tasked with confidently identifying meaningful mutations that could influence or improve decisions at the point of care. To do this, they need ready-access to trusted data to validate biomarkers and better assess their biological and clinical relevance. And this is precisely what the Human Somatic Mutation Database (HSMD) provides.

 

HSMD can be used to:

  1. Gain insights from real-world data and two decades of expert curation: HSMD’s oncology dataset combines manually-curated content from the QIAGEN Knowledge Base─the industry’s largest collection of biological and clinical findings─with data from over 419,000 real-world clinical oncology cases that have been analyzed and interpreted by QIAGEN’s professional clinical interpretation service. With HSMD, researchers don't need to collect information manually across different knowledge bases and resources.
  2. Quickly classify VUS’ and controversial variants: Labs sometimes risk of over-interpreting variants of unknown significance (VUS), which could lead to unnecessary or potentially harmful treatments. When you encounter a variant with limited information, you can use HSMD to look for observed clinical case distribution, biochemical impact, functional impact, and actionability.
  3. Analyze complex genetic reports: Molecular tissue profiling often generates difficult-to-interpret genomic information─making the resulting reports either too complex or lacking in data on the clinical actionability of detected variants. HSMD can be used to rapidly drill down to variant-level information, derive actionable data from complex reports and evaluate clinical impact.
  4. Stay up to date: HSMD’s content is updated weekly, so labs can ensure that variant interpretation reports are based on the most relevant and timely evidence. Over 5,000 manually curated alterations are added to it each month.
  5. Establish an in-house bioinformatics pipeline: HSMD can be used to develop an in-house pipeline to help manual variant curation. Using HSMD, labs can annotate a single variant in under 15 minutes. Ordinarily, manually curating one variant can take an experienced curator 3-4 hours to complete. Depending on the size of the panel, a single VCF file can contain thousands of variants to annotate. This requires the lab to search for available data online and query population databases and gene-and/or locus-specific databases to perform in silico analysis, evaluate the literature, analyze functional studies, and find clinical trials and relevant therapies.

 

HSMD 2.0 comes with over 140,000 new alterations, improved data visualization and new structural variants. The dataset now contains over 419,000 clinical oncology cases and over 1.5 million mutations associated with over 4.2 million relationships from PubMed, drug labels, clinical trials, clinical guidelines and public databases such as gnomAD and HGMD.

Read the statistics sheet.

Experts forecast this year’s cancer research advances

In cancer research, the focus has shifted to precision medicine and much progress has been made developing therapies that have improved and prolonged the lives of patients with advanced cancer. While we have made great strides, there is still an infinite amount of information to learn. In this article, experts shed light on 3 trends in cancer research that will have major implications this year and beyond.

 

Trend 1: A record-breaking 2 million new cases of cancer are expected to be diagnosed this year.

In 2022, the annual report from the American Cancer Society (ACS) estimates that 1,918,030 Americans will be diagnosed with cancer, equivalent to 5,250 new cases being detected every day. This is up from approximately 1.8 million new cases that likely occurred in 2021.

Both figures—for cases and deaths—are the highest estimates made by the ACS since 2007.

Health experts suggest that people missing cancer screenings and doctor's appointments due to the COVID-19 pandemic may cause cancer rates to rise in the coming years. In fact, 44% of countries around the world reported an increase in service backlogs for cancer screening in the second half 2021.

What does this mean for cancer researchers? First and foremost, there will be more patients undergoing genetic testing for cancer risk and diagnosis this year than ever before. To keep up with demand, labs analyzing and interpreting these tests will need to develop new workflows to efficiently handle a higher-throughput of samples.

Second, as more patients undergo genetic testing, the number of detected variants will continue to grow, challenging researchers to confidently identify meaningful mutations that could influence or improve decisions in experimental design, at point-of-care, or in drug development.

 

Trend 2: The vast majority of genes have been tied to cancer—and that can complicate research.

In a recent paper published in Trends in Genetics, researchers at the University of Liverpool found that of the 17,371 human genes studied and documented in PubMed, approximately 90% have some connection to cancer.

The results may indicate a trend that is complicating science’s ability to tease out which genes are underpinning true drivers of cancer and which are just passengers. For researchers, the main challenge is that if you’re trying to interpret results or identify new drug targets in the context of cancer, you may have too many genes associated with it.

If every gene can be associated with cancer, then figuring out which cancer-related genes are driving different types of cancer and identifying the best biomarkers becomes challenging. This trend underscores the need for high-quality somatic databases that can provide gene-level, alteration-level, and disease-level information including clinically observed gene and variant frequencies across diseases.

 

Trend 3: Augmented Molecular Intelligence (AMI) will become the gold-standard method of variant curation.

The combination of human expertise and artificial intelligence, Augmented Molecular Intelligence is an approach to variant curation that uses machines to rapidly index millions of articles and human curators to review and certify the accuracy, relevancy, and consistency of the information pulled.

The “gold standard” of variant curation, platforms, software and databases that offer AMI can gather all types of data (both structured and unstructured) from many sources, across disparate and siloed systems. Then a team of certified human curators examine the data to ensure there are no errors or inconsistencies in the data collected.

The result? Research and clinical labs that use platforms, software, and databases powered by AMI are better informed with deeper insight that can be trusted.

 

The “industry’s best kept secret”

Across oncology applications, from research to molecular testing and pharmaceutical development, the ability to identify potentially actionable genetic alterations and exploit the molecular vulnerabilities of cancer is becoming increasingly difficult.

The Human Somatic Mutation Database (HSMD) is a new somatic database developed by QIAGEN that contains extensive genomic content relevant to solid tumors and hematological malignancies. The resource contains over 3.7 million curated alteration findings and focuses on providing deep insight into small variants, such as SNVs, indels, and frameshifts, that have been clinically observed or curated from scientific literature to help users better understand and define precise function and actionability.

Powered by Augmented Molecular Intelligence, HSMD contains content from two sources: expert-curated content from the QIAGEN Knowledge Base (QKB) and data from over 300,000 real-world clinical oncology cases sourced from our professional clinical interpretation services. Users can easily search and explore mutational characteristics across genes, synthesize key findings from drug labels, clinical trials, and professional guidelines, and receive detailed annotations for each observed variant.

 

Try HSMD for free

Explore, search, and test HSMD for free. To demonstrate the quality, flexibility, and simplicity of HSMD, QIAGEN Digital Insights offers complimentary, 5-day trials of the new somatic database.

You will gain access to:

Learn more about HSMD and request your trial here.

 

As more research emerges surrounding the standardization of tumor mutational burden (TMB) assessment, a universal definition of “high TMB” across cancer types does not appear to be feasible.

 

Check out this recent article published in Genes, Chromosomes & Cancer on how QIAGEN is collaborating with leading institutions in cancer research and treatment to harmonize TMB estimation and reporting in clinical samples.

 

Read the full article here!


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