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Fine mapping of RNA isoform diversity using an innovative targeted long-read RNA sequencing protocol with novel dedicated bioinformatics pipeline
BMC Genomics volume 25, Article number: 909 (2024)
Abstract
Background
Solving the structure of mRNA transcripts is a major challenge for both research and molecular diagnostic purposes. Current approaches based on short-read RNA sequencing and RT-PCR techniques cannot fully explore the complexity of transcript structure. The emergence of third-generation long-read sequencing addresses this problem by solving this sequence directly. However, genes with low expression levels are difficult to study with the whole transcriptome sequencing approach. To fix this technical limitation, we propose a novel method to capture transcripts of a gene panel using a targeted enrichment approach suitable for Pacific Biosciences and Oxford Nanopore Technologies platforms.
Results
We designed a set of probes to capture transcripts of a panel of genes involved in hereditary breast and ovarian cancer syndrome. We present SOSTAR (iSofOrmS annoTAtoR), a versatile pipeline to assemble, quantify and annotate isoforms from long read sequencing using a new tool specially designed for this application. The significant enrichment of transcripts by our capture protocol, together with the SOSTAR annotation, allowed the identification of 1,231 unique transcripts within the gene panel from the eight patients sequenced. The structure of these transcripts was annotated with a resolution of one base relative to a reference transcript. All major alternative splicing events of the BRCA1 and BRCA2 genes described in the literature were found. Complex splicing events such as pseudoexons were correctly annotated. SOSTAR enabled the identification of abnormal transcripts in the positive controls. In addition, a case of unexplained inheritance in a family with a history of breast and ovarian cancer was solved by identifying an SVA retrotransposon in intron 13 of the BRCA1 gene.
Conclusions
We have validated a new protocol for the enrichment of transcripts of interest using probes adapted to the ONT and PacBio platforms. This protocol allows a complete description of the alternative structures of transcripts, the estimation of their expression and the identification of aberrant transcripts in a single experiment. This proof-of-concept opens new possibilities for RNA structure exploration in both research and molecular diagnostics.
Background
Splicing of pre-mRNAs is a major source of transcript diversity. Also known as alternative splicing, this mechanism concerns at least 90% of multi-cassette genes [1]. Three main mechanisms lead to this transcript diversity: the exon skipping, the use of alternative splice sites and intron retention (Figure S1). As an example for the human gene KCNMA1, more than 500 transcripts were described [2, 3]. The knowledge of this diversity is a crucial step to understand and explore physiological and pathological processes [4,5,6]. Moreover, a variety of genomic variations could affect RNA splicing. Indeed, 3.8% of genomic variations from the Exome Aggregation Consortium (ExAC) had an impact on splicing [7]. The study of RNA transcripts also resolves the functional impact of genomic variation in the context of inheritance disease [8,9,10]. In addition, alternative splicing could interfere with the clinical interpretation of genomic variations [11,12,13].
Over the past decade, several new methods based on short read sequencing (SRS) partially dealt with these challenges. High-throughput RNA sequencing [14], in particular targeted short read RNA sequencing [15, 16] and high-throughput minigene splicing assay [7, 17] have been developed and widely used. Despite the advantage of these technologies, they are limited in exploring the complete structure of isoforms [18]. Then, the recent demonstration of the value of long-read sequencing (LRS) in describing the structure of isoforms represents a significant advance in the field [19]. The two main technologies to perform this sequencing are provided by Oxford Nanopore Technologies (ONT) and Pacific Biosciences (PacBio). Both platforms are based on single molecule sequencing but differ in nucleotide detection. Briefly, ONT sequencing platform uses the variation in ionic current within the pores of an impermeable membrane, while PacBio platform synthetizes the complementary DNA strand with a fluorescent-labeled nucleotide.
RNA long read sequencing by ONT or PacBio platforms was performed either on direct RNA/mRNA [20] or total cDNA. However, this approach does not provide a comprehensive collection of isoforms, especially for genes with low expression levels. The second known approach used long range RT-PCR amplicons [21, 22] but limits targeting to one or a few genes with the potential addition of a major PCR bias. Recent methods using hybridization RNA capture combined with long read sequencing were developed. However, they were used for different applications: long non-coding RNA [23,24,25], single cell RNA [26] or single nucleus RNA [27].
Therefore, we described a new protocol of target enrichment by probes for coding mRNA long read sequencing compatible with both ONT and PacBio sequencing platforms, including a dedicated pipeline of transcript analysis. In this study, we designed probes to capture transcripts from a panel of genes involved in hereditary breast and ovarian cancer (HBOC) syndrome. In addition, we developed and evaluated a dedicated bioinformatics pipeline named SOSTAR for “iSofOrmS annoTAtoR”, to assemble isoforms from ONT sequencing. Using the novel annotation tool, SOSTAR provides the ability to annotate isoforms, regardless of the assembly method used and generates a “human” comprehensive annotation of the isoform structure. We validated our protocol by sequencing negative controls from healthy donors, and positive controls from patients carrying BRCA1 spliceogenic variants.
Methods
Sample collection
Lymphoblastoid cell lines from 8 patients having signed consent were established for this work. Four samples were negative controls, i.e. healthy donors, without any molecular abnormalities. These healthy donor samples were collected as part of the CASOHAR (CAncer du Sein et/ou de l’Ovaire Héréditaire – ARN, N°ID-RCB 2015-A00598-41) clinical protocol. Two patients were positive controls carrying complex variants identified by targeted DNA sequencing on an Illumina NextSeq 500. One control carries a duplication of BRCA1 exon 8, and the other an intronic genomic deletion in BRCA1 intron 15. Several criteria (Table S1) were defined to select highly predisposed families for RNA sequencing to investigate unexplained hereditary causes. An initial screening by targeted short read RNA sequencing was performed on eleven families (Table S2) according to these criteria. Two probands from one of these families with abnormal splice junctions of the BRCA1 gene were added to our cohort to investigate the unexplained inheritance in this family.
Probes design
A custom panel of 28 genes (Table S3) was designed using xGen Lockdown probes from Integrated DNA Technologies (IDT). Transcript structures and sequences described in the RefSeq database [28] were used for the design. Initially, the probe positions were automatically defined with a tailing of 0.1x to 1x in steps of 0.1 according to the transcriptomic sequence of the gene panel (Supplementary material). To reduce the risk of over-selection of a particular isoform, overlapping probes between two contiguous exons were removed. We arbitrarily set a minimum number of 5 probes per gene. Thus, in the second step, probes for genes below this threshold were added to reach this number. These new probes were from previous designs with a higher tailing rate. The percentage of GC and the specificity of the probe sequence to the target were then checked according to IDT recommendations. Finally, a set of 367 probes was used to capture our panel, including, for example, ten probes for the BRCA1 gene (Figure S2).
Library preparation
Specifically, for PacBio platform, the AMPure beads (Beckman, #A63881) required a washing according to the following protocol. From 500 µL of AMPure beads, the supernatant was saved after bead precipitation on a magnetic rack. The beads were washed 5 times with 1 mL of nuclease free water plus one more wash with 1 mL of Qiagen elution buffer (Qiagen, #19086). They were then resuspended with the saved supernatant.
RNAs were extracted from cells using the RNeasy Plus Mini Kit (Qiagen, #74134) according to the manufacturer’s instructions. All samples had a RNA Integrity Number (RIN) above 9.
First strand cDNA synthesis was carried out with the SMARTer PCR cDNA Synthesis Kit (Clontech #634925) according to the manufacturer’s protocol, from 1 µg of total RNA. The resulting first strand product was diluted to 150 µL of H2O and used for large scale PCR.
For each sample, sixteen PCR reactions were performed using the PrimeSTAR GXL DNA Polymerase (Clontech #R050A). Thermal cycling conditions were 98 °C for 30 s, followed by 12 cycles of 98 °C for 10 s, 65 °C for 15 s, and 68 °C for 10 min, and a final extension of 68 °C for 5 min. Amplicons were separated into 2 fractions for purification. Fraction 1 was purified twice using 1X washed AMPure beads and fraction 2 once using 0.4X washed AMPure beads. The two fractions were quantified using the 2200 TapeStation system (Agilent) and then pooled to obtain an equimolar pool of 1 µg of DNA.
The libraries were hybridized according to the IDT manufacturer’s recommendations using the specific blockers (5’ AAG CAG TGG TAT CAA CGC AGA GTA C 3’) and (5’ TTT TTT TTT TTT TTT TTT TTT TTT TTT TTT / 3InvdT/3’) at 1 mM.
Two post-hybridization PCR reactions were performed using Takara LA Taq DNA Polymerase Hot-Start version (Clontech, #RR042A) for each sample. Thermal cycling conditions were 95 °C for 2 min, followed by 14 cycles of 95 °C for 20 s, and 68 °C for 10 min, and a final extension of 72 °C for 10 min. Amplicons were then purified using 1X washed AMPure beads.
After DNA repair, barcodes were ligated using the SMRTbell Library Construction and Sequencing kits (PacBio) according to the manufacturer’s protocol (PN 101-070-200 Version 05 [November 2017]). SMRTbell libraries were multiplexed and loaded onto Sequel II to get the subreads sequencing.
End repair and dA tailing were performed using the NEBNext Ultra™ End Repair/dA-Tailing module (New England BioLabs #E7546S). Barcoding using the PCR Barcoding Expansion kit (#EXP-PBC096) was performed with the SQK-LSK109 ligation sequencing kit (ONT) according to the Nanopore community protocol. Samples were washed twice with Short Fragment Buffer (ONT) before a final elution in 15 µL of elution buffer (ONT). Samples were quantified using Qubit® Fluorometer (ThermoFisher Scientific).
ONT sequencing was performed on the MinIon Mk1B device and PacBio sequencing on a Sequel II device. Prepared libraries were multiplexed and loaded on MinION flow cell (R9.4.1) according to instructions. MinKNOW software (v21.06.0) was used for running the MinION sequencer during 64 h. Additional flush buffer was added as the number of pores used decreased. (Fig. 1A).
Targeted short read RNA sequencing
Targeted short read RNA sequencing was performed on lymphoblastoid cell lines from patients from eleven families selected according to the protocol described by Davy et al. [16]. The data was analyzed using the SpliceLauncher tool [29] to detect aberrant splice junctions. Loss of gene expression was investigated using the DESeq2 tool [30].
The four negative control samples and the two probands were sequenced from the same RNA extraction on the same gene panel using this approach. Splice junctions detected by LRS were verified with those obtained by SRS. Only splice junctions supported by at least 10 reads were retained for further analysis.
Bioinformatics analysis
PacBio Iso-Seq
Highly accurate long reads (HiFi reads) were generated from PacBio sequencing using the Iso-Seq v3 pipeline (https://github.com/PacificBiosciences/IsoSeq) with default parameters. HiFi reads were aligned to version 46 of the human reference genome assembly (GRCh38). Only high quality isoforms were considered for analyses.
ONT SOSTAR
ONT basecalling and data demultiplexing were performed using Guppy tool (v5.0.11) with default options. These data were then processed by the SOSTAR pipeline. SOSTAR is publicly available on GitHub (https://github.com/LBGC-CFB/SOSTAR), and has been split into two modules that can be run separately (Fig. 1B).
The first module aligned ONT data, assembled isoforms and computed the isoform expression. This module uses a combination of existing and recognized tools [31] and was optimized using a range of options to produce isoforms with a good level of confidence. Alignment to version 46 of the human reference genome assembly (GRCh38) was first performed using Minimap2 [32] (v2.24) in the splice mode with the options “-MD --ax splice”. Isoforms were assembled using the StringTie tool [33] (v2.0). From the bam files, StringTie was first used in the assembly mode with the minimum fraction abundance option set to 0 to assemble all possible isoforms and generate a GTF file per sample. These files were then merged using the StringTie “merge mode” to build a reference of all potential isoforms detected in the patient cohort. During this merge step, isoforms were annotated using GENCODE annotation. Using bedtools intersect [34] (v2.30.0), this merge file was then filtered on the 28-gene panel with “-S” option to force strand specificity. A second round of alignment was then performed using Minimap2 with the same options as before, adding the “--junc-bed” option with the isoforms from the merge file produced earlier. Using the new alignment files, isoforms were assembled as described above with the minimum fraction abundance option set to 0.01 (default) up to the new merge file. Finally, isoform expression metrics per patient were calculated using the StringTie expression mode. Expression metrics obtained were coverage, Fragments Per Kilobase Million (FPKM) and Transcripts Per Million (TPM).
The second module is an innovative module that uses a specially designed and written tool to describe the isoforms assembled in the first module. The tool provides a descriptive and comprehensive annotation of each isoform structure. This module is compatible with any long read technology and any assembly method. It only requires the different gtf files per patient containing the isoforms to be annotated and one gtf file containing the reference transcript for each gene (one transcript per gene). Isoforms were described relative to reference transcripts (Table S3) by an annotation including only the alternative splicing events. The alternative splicing events were annotated according to Lopez et al. [13]. This nomenclature uses “∆” to refer to a skipping of a reference exon, “▼” an inclusion of a reference intron, “p” a shift of an acceptor site and “q” a shift of a donor site. For partial skipping or inclusion, number of skipped or retained nucleotides is indicated between brackets (Figure S1). Relative positions are indicated between square brackets. “Exo” refers to an exonization of an intronic sequence, and “int” to an intronization of an exonic sequence with the relative intron or exon number in front. A final table of all annotated isoforms was generated. This table allowed different levels of filtering, including isoform ID, isoform coordinates, gene name, reference annotation, descriptive annotation, expression values of isoform per patient and number of occurrences in the patient cohort. These different levels of filtering allow the user to easily detect abnormal isoforms and quickly understand their structure.
Data Analysis
The aligned data were visualized with Integrative Genomics Viewer (IGV) software [35]. Depth coverage of the 8 patients was calculated using featureCounts tool (v2.0.6) for the 28 captured genes with “-L” option to count the long reads. This tool was used with a reference human genome assembly version 46 (GRCh38) file downloaded from GENCODE (https://www.gencodegenes.org/human/release_46.html) and filtered on the 28 captured genes. Percentages of reads on and off target were calculated using featureCount results. On target reads were calculated as the number of aligned reads assigned to the 28 genes out of the total number of aligned reads. Using the expression module of StringTie tool, expression values per isoform were calculated on the isoforms assembled by SOSTAR pipeline. In the patient cohort, the splicing junction expressions were calculated using formula (1) for LRS or formula (2) for SRS:
Results
Raw sequencing data
Our library preparation yielded 40.16 ng/µL of library, sufficient for both PacBio and ONT sequencing. Average length of library fragments were 2 kb with a range length from few hundreds nucleotides (nt) to over 50,000 nt. From PacBio platform a total of 9 Gb of data were generated, representing 5 M Circular Consensus Sequencing (CCS) reads. ONT platform generated 27 Gb of 10 M reads.
Read count for the 28 genes was correlated between the two sequencing platforms with a correlation coefficient of 0.6977 (Fig. 2A). For both technologies, the STK11 and XRCC3 genes exhibited the lowest level of coverage. PTEN and NBN genes presented the highest coverage. On the gene panel, average reads count per gene was 12,196 reads for PacBio and 29,904 reads for ONT per sample.
On target rate estimated from read count was similar between samples (Fig. 2B) for both platforms. PacBio sequencing reached an average on target of 64%, and ONT sequencing achieved 60% of on target.
IsoSeq (PacBio) and SOSTAR (ONT) pipelines assembled a total of 89,379 and 1,231 unique isoforms in selected genes, respectively. Isoforms length distribution was investigated between these two pipelines (Fig. 2C). IsoSeq-assembled isoforms averaged 2 kb in length, while SOSTAR supported the longest isoforms. Indeed, isoforms detected by IsoSeq had a maximum length of 8,000 nt while SOSTAR reached a maximum of 12,000 nt. The limit of 12,000 nt represented the longest full length transcript of our panel for ATM gene (12,915 nt).
Comparison of splice junctions
Splice junctions from both SRS and LRS (IsoSeq and SOSTAR) were compared for the 28 genes of the panel. A total of 3,214 junctions were found from SRS, compared to 8,110 (PacBio) and 1,370 (SOSTAR) junctions from LRS (Fig. 3A).
Among junctions observed by SRS, 1,360 junctions were not detected by LRS but were supported by a lower average read count per sample (29.90 [1.83; 2,957.5]) compared with the 1,854 junctions identified by at least one long-read pipeline (8,740.55 [1.83; 264,893.5]). Among these common SRS-LRS junctions, SOSTAR mostly detected junctions supported by a high average read count (Fig. 3B). While PacBio mainly detected junctions with a low average read count.
Common junctions between SRS and the LRS pipelines represented 897 splicing events. Among these common junctions, physiological junctions were the most represented. All MANE select transcripts from Refseq were found for the 28 genes.
Comparison of the expression values of common junctions between SRS and LRS
Correlation between expression values of the common splice junctions from LRS (SOSTAR isoforms) and SRS was investigated. Expression values were correlated for the 28 genes panel (r = 0.722, p-value < 0.001) between LRS and SRS (Fig. 4).
Alternative splicing of BRCA1 and BRCA2 genes
Alternative splicing events of the BRCA1 (NM_007294.4) and BRCA2 (NM_000059.3) genes were explored on the aligned long read from ONT sequencing to validate the data obtained by our protocol. Indeed, alternative splice sites of the BRCA1 (NM_007294, OMIM#113705) and BRCA2 (NM_000059, OMIM#600185) transcripts involved in this syndrome were well known [36, 37].
Previously, Colombo et al. [36] described 10 predominant BRCA1 splicing events; the in-frame events: Δ1q(6), Δ5, Δ8p(3), Δ(9–10), Δ(9–11), Δ11q(3309), Δ13p(3), Δ14p(3) and the out-of-frame events: Δ5q(22), Δ9. All of these BRCA1 events were found in our data. The major alternative splicing event found was the Δ5. The two out-of-frame splicing events were the least represented of all splicing events. Our results showed that these events co-occur (Fig. 5A). Interestingly, all pairwise combinations of these splicing events are possible, except when the 2 events are physically incompatible i.e. Δ(9–11) and Δ11q(3309). Pairwise combination of Δ5 and Δ(9–10) represented the majority of all possible pairwise splicing events. These combinations of splicing events were in-frame.
For BRCA2 gene, four predominant alternative splicing events were described by Fackenthal et al. [37]: the Δ3, Δ(6–7), Δ12 in-frame events and the Δ(17–18) out-of-frame event. As observed in BRCA1, all pairwise combinations were found in the long reads (Fig. 5B). The Δ(6–7) splicing event was mostly found, and combination of Δ3 and Δ(6–7) represented the major pairwise combinations. This combination was out-of-frame.
Among the alternative junctions detected by SRS, the five most frequent combinations within BRCA1 gene [▼1q(534)/Δ(9_10); Δ11q(3309)/Δ14p(3); Δ1q(6)/Δ11q(3309); Δ(9_10)/Δ11q(3309); Δ8p(3)/Δ11q(3309)] represented 25.35% (72/284) of total junction combinations. In addition, other major event were found: ▼1q(89) (Fig. 5C). This event was mainly observed with the alternative junctions previously described by Colombo et al. [36]. Several pseudo-exons were also identified in intron 3 (▼3p(4047) and ▼3q(5261) corresponding to an exon of 116 nt) and in intron 13 (▼13p(2785) and ▼13q(3070) corresponding to an exon of 66 nt).
For BRCA2 gene, ▼20p(1327), ▼20q(4306); ▼25p(907), ▼25q(1183) and ▼24p(11650), ▼24q(2984), junctions were over represented (Fig. 5D). These junctions corresponded to pseudo-exons creation in intron 20 (64 nt), intron 25 (126 nt) and in intron 24 (91 nt), respectively.
Detection of aberrant isoforms
Both technologies enabled the detection of the two positive controls. They also allowed the characterization of the effects at the transcript level. The first control carried a 28 bases genomic deletion of intron 15 of BRCA1 (c.4676-31_4676-4del). In silico predictions of SPiP [38] were in favor of an abolition of the acceptor splice site. The second control was a duplication of exon 8 of BRCA1 gene.
The BAM alignment files from LRS of these two positive controls were loaded into the IGV software to visualise the events. An intronic retention, due to the use of a new acceptor splice site 64 nt upstream the natural splice site in intron 15 was observed. The intronic retention embedded the genomic deletion (Fig. 6A). This event was out-of-frame (p.Gly1560Tyrfs*5).
For the second control, different insert sizes, corresponding to the exon 8 sequence, were observed at the end of exon 8 (Fig. 6E). Several long reads were observed supporting both the exon 8 duplication and other proximal exons (exon 7 or exon 9). The duplicated exon was spliced normally. Then, we were able to assert that this duplication was a tandem duplication, leading to an out-of-frame event.
Sanger sequencing confirmed these aberrant isoforms on specific RT-PCR amplicons (Fig. 6B-D, Figure S3, Fig. 6F-H, Figure S4) using primer pair 1 for the first control and primer pair 2 for the second control (Table S4).
Final table generated by SOSTAR pipeline allowed the complete identification and annotation of these two controls. In the first control, two isoforms carrying the aberrant event were found. According to our annotation algorithm, the aberrant event was annotated: 15exo(33)[p3028,q31]. Due to the genomic deletion, StringTie detected the use of a new exon corresponding to the 33 nt retention of intron 15 after the genomic deletion. Consequently, SOSTAR annotated this as a pseudo exon creation in intron 15. This aberrant event was assembled with previously known alternative splicing event: Δ(9–10) in one isoform and combined with the ▼1q(534) in the other. In the second control, the aberrant event was annotated: ▼8q(95). Due to misalignment, the insert size did not exactly match the 106 nt of exon 8. Two different isoforms supporting this aberrant event were assembled. Of these two isoforms, one isoform only supported this aberrant event, while the other one also supported previously known alternative splicing events: Δ(9–10) & Δ11q(3309). Indeed, the comparison of isoform expression metrics in the patient cohort allowed the identification of these aberrant isoforms for all these controls (Table S5 and Table S6).
Characterization of an unexplained heredity
The final two patients included in this analysis were two probands from a family with a history of cancer (Table S2, family number 11). The first proband (III.1) developed a breast cancer at the age of 39 and an ovarian cancer at the age of 56. Her sister (III.2) developed an ovarian cancer at the age of 49. The mother (II.2) died at the age of 51 due to breast cancer. The grandmother (I) died of a gynecological cancer (Fig. 7A). The initial targeted short read DNA sequencing [39] screening of the two probands was inconclusive.
Targeted short read RNA sequencing revealed two abnormal splice junctions using SpliceLauncher tool. These two junctions were present in both probands and absent in the other samples in the run. They were both located in intron 13 of the BRCA1 gene and were annotated as ▼13p(5373) starting at position c.4357 + 417 and ▼13q(5400) ending at position c.4358 − 390. These junctions were in favor of the presence of a cryptic event in this deep intronic region. The loss of BRCA1 gene expression was calculated using the DESeq2 tool on these sequencing data.
SOSTAR pipeline assembled two different isoforms carrying an aberrant event in the BRCA1 gene. These two isoforms were present on all the samples but with a significantly higher expression value in the probands. The aberrant event was annotated as 13exo(104)[p416,q5269] and corresponded to a pseudo-exon of 104 bp in intron 13 of BRCA1. Looking at the alignment files on IGV, we identified this pseudo-exon as well as an insertion of about 900 bp of a repeated sequence in intron 13 of BRCA1 (Fig. 7B). Asking the Dfam transposable element database (https://www.dfam.org/home), we identified that this sequence corresponded to an SVA retrotransposon.
Long read sequencing was also performed on high molecular weight DNA using the adaptive sampling method. Regions of interest, comprising 153 genes, were enriched with an average coverage of 50 reads per base, compared to 5 reads per base for the off-target region. The SVA retrotransposon was found in intron 13 of the BRCA1 gene at a length of approximately 2,700 bp. Comparison between SVA sequence from RNA and SVA sequence from DNA was performed. The RNA sequence matched a portion of the complete DNA sequence.
RT-PCR with primers located on BRCA1 exons 13 and 15 was performed (Table S4, primer pair 3). Gel electrophoresis and Sanger sequencing of theses amplicons confirmed the insertion of a sequence of approximately 1000 bp, present in the probands and absent in the controls (Fig. 7C, Figure S5). This sequence included 102 bp of a cryptic exon, followed by the beginning of the SVA retrotransposon with the hexamer repeats. Another RT-PCR with primers located on BRCA1 exon 11 and 14 amplified only the full-length transcript with a polymorphism at position c.3548T > C (Table S4, primer pair 4). Sanger sequencing of this polymorphism revealed the absence of the mutated allele (data not shown). Thus, this mutated allele had a total effect on splicing, producing only the abnormal transcripts.
Analysis of the ovarian tumor of the second proband (III.2) highlighted a genomic instability using the GIScar test [40]. Specific RT-PCR on this ovarian tumor with primer located specifically on the SVA retrotransposon and on exon 14 of BRCA1 (Table S4, primer pair 5) identified the abnormal transcript. Furthermore, the sequencing of the ovarian tumour revealed a loss of heterozygosity on two polymorphisms.
A specific PCR test was designed (Table S4, primer pair 6) for the identification of this SVA retrotransposon from DNA blood samples. In a first time, the unaffected father (II.1) and sister (III.3) were tested and found to be negative. The daughters (IV.1, IV.2, IV.3) were then tested. The test was positive for one of them, she underwent a prophylactic salpingo-oophorectomy which led to the diagnosis of ovarian cancer. These results showed that this SVA insertion segregated with cancers in this family. According to the ACMG classification [41], this variant met the following arguments: PS3 (from our RNA functional studies), PM2_supporting (variant absent in the general population), PP1_moderate (variant in three patients with breast or ovarian cancer and absent in disease-free relatives). The sum of these arguments allowed us to classify this SVA insertion as likely pathogenic.
Discussion
We developed an innovative targeted capture enrichment for a panel of 28 genes involved in predisposition to breast and ovarian cancer suitable for long read RNAseq analysis. Looking at the high percentage of on target rate, our approach allowed an enrichment of these genes. Therefore, we achieved sufficient coverage rate to detect a collection of isoform structures. The study of BRCA1 and BRCA2 transcripts demonstrated the reliability of these data since all well-known alternative splicing events were found with an expression level coherent with the literature data [36, 37]. Common splice junctions obtained by both LRS and SRS were the most expressed compared to junctions identified only by SRS. Additionally, we identified novel associations of these splicing events leading to novel isoforms. LRS simplified the detection of complex events such as pseudo-exon, while SRS only detected the donor and acceptor splice site separately.
Regarding the positive controls, both PacBio and ONT platforms allowed the complete identification of aberrant transcripts in a single experiment. While previous experiments, based on RT-PCR or SRS, could only detected these events indirectly and required several steps of analysis. These results highlight the advantage in time and ease of LRS. Another advantage of the target enrichment was the possibility to sequence multiple patients at once, reducing sequencing cost. As a result, decreasing costs facilitate the implementation of LRS in both research and diagnostic laboratories. Multiplexing also allowed the highlighting of aberrant isoforms by comparing the isoform expression metrics between samples.
In this study, RNA from LCL samples were used. Indeed, a sufficient RNA quality (RIN > 9) is required for our RNA LRS. This constraint could be a limit for ex vivo samples such as PAXgene sample, where RNA is partially decayed. Also, the design of probes played a major role in the final isoform length. Previous designs with overlapping probes or a 1x tailing were tried but resulted in increased isoform fragmentation (data not shown). This phenomenon could be explained by mechanic constraints applied to the cDNA by two probes.
Our protocol was compatible with both long read technologies (PacBio or ONT). Nanopore sequencing allowed to sequence fragments longer than PacBio sequencing. PacBio provides an all-in-one pipeline (IsoSeq) to analyze sequencing data with read consensus generation and high-quality isoforms auto-assembly. While IsoSeq assembled more isoforms, isoforms assembled by SOSTAR pipeline were the most relevant. Indeed, isoforms identified by SOSTAR were the longest and the most expressed. This pipeline is consistent with a diagnostic approach to detect aberrant isoforms with good confidence and without background noise. The versatility of SOSTAR pipeline allows the annotation module to be used separately with any GTF file comprising isoforms assembled by other tools from any LRS data. SOSTAR facilitates interpretation of LRS data by providing a descriptive and a “human” understandable annotation of isoform structures.
SOSTAR pipeline helped us to identify a mobile element in a family with an unexplained heredity, where current techniques failed. This mobile element corresponded to an SVA retrotransposon. Characterization of this element allowed us to develop a specific PCR test suitable for genetic counselling of the family. This long read approach contributes to optimize preventive and therapeutic cares. Combination of SOSTAR and other ONT pipelines could be an interesting strategy to detect aberrant isoforms with good confidence, and a comprehensive collection of isoforms. Such an insertion of an SVA retrotransposon into intron 13 of BRCA1 was previously described in the literature [42]. This could indicate the presence of a fragile region within the BRCA1 gene, which could potentially be susceptible to the insertion of mobile elements.
Conclusion
In conclusion, we validated a new protocol of targeted enrichment by probes for mRNA long read sequencing suitable for ONT and PacBio platforms on both negative and positive controls. We provide a pipeline, suitable for diagnostic purpose, to detect and annotate aberrant isoforms from LRS data. This pipeline elucidates an unexplained hereditary by characterizing a complex event. This proof-of-concept offers new opportunities in RNA structure exploration for research and molecular diagnostic purposes.
Data availability
The datasets analysed during the current study have been deposited in the European Nucleotide Archive (ENA) at EMBL-EBI under accession number PRJEB75906 (https://www.ebi.ac.uk/ena/browser/view/PRJEB75906). The code of the pipeline is publicly available on the SOSTAR GitHub repository (https://github.com/LBGC-CFB/SOSTAR).
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Acknowledgements
We are grateful to the Site de Recherche Intégrée sur le Cancer (SiRIC, PhD Sylvain Baulande) of Curie Institut and the Génotypage et Séquençage en Auvergne (GENTYANE, PhD Charles Poncet) of Centre de Clermont Auvergne Rhône Alpes for performing the PacBio sequencing. We also thank Nolan Talhi and Peter Verhasselt, from Integrated Dna Technologies (IDT®), for their help during the design of capture probes. Finally, we thank Bénédicte Clarisse and Alexandra Leconte from the clinical trials unit of the François Baclesse Cancer Center (Caen, Normandy), Doctor Catherine Baudouin from the Clinique du Parc (Caen, Normandy), and Doctor Marie-Yolande Louis from from the surgery unit of the François Baclesse Cancer Center for managing and enrolling patients in the CASOHAR protocol.
Funding
This work was supported by a grant from the French Cancéropôle Nord-Ouest (CNO) n° 2018/06.
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C.A. Conceptualization, data curation, methodology, validation, visualization, writing–original draft, writing–review and editing. N.S. Conceptualization, methodology. L.C. Conceptualization, methodology, validation, writing–review and editing. D.B Conceptualization, methodology. A.A Resources. T.L. Resources. N.G Resources. C.Q. Resources. J.L. Resources. S.B. Resources. A.L. Resources. O.C. Resources. L.C. Resources. P.D. Resources. P.B. Resources. A.R. Validation, resources. F.B. Validation, resources. D.V. Validation, resources. S.K. Conceptualization, methodology, validation, writing–review and editing. R.L. Conceptualization, methodology, validation, writing–review and editing.
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All negative controls were from a CASOHAR (CAncer du Sein et/ou de l’Ovaire Héréditaire – ARN, N°ID-RCB 2015-A00598-41) clinical trial and were submitted to and approved by the ethics committee (NTC02560818), Comité de Protection des Personnes CPP Nord Ouest III. All participants gave informed consent for genetic analysis and were approved by the French Biomedicine Agency.
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All authors except N.S. and D.B. declare that they have no competing interests. N.S. is employed by SeqOne Genomics for the time period October 2020 to present in the context of a public-private PhD project (CIFRE fellowship #2020/0103) partnership between INSERM and SeqOne Genomics. D.B. is employed by SeqOne Genomics as Head Bioinformatics.
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Aucouturier, C., Soirat, N., Castéra, L. et al. Fine mapping of RNA isoform diversity using an innovative targeted long-read RNA sequencing protocol with novel dedicated bioinformatics pipeline. BMC Genomics 25, 909 (2024). https://doi.org/10.1186/s12864-024-10741-0
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DOI: https://doi.org/10.1186/s12864-024-10741-0