SlideShare a Scribd company logo
Computing on phenotypes across scale
and species
Chris Mungall, PhD
AMP 2015
@monarchinit @chrismungall
Patient
Genome
/Exome
Diagnosis,
treatment
filtering
****
** ***** ****
Genomic data
Patient
Genome
/Exome
Improved
Diagnosis,
treatment
filtering
*
** ***** ****
Phenome
Gene
to
Phenotype
Database
Genomic data
Hyperkeratosis,
hearing impairment,
…
Obstacles to phenome-based
interpretation
• Building a comprehensive phenomic
database
– Multiple disparate sources:
• Human Genes, Variants, etc databases
• Orthologous genes in model organisms
• Phenotype Search and Matching
• How do utilize phenotypes in a variant filtering pipeline?
• How do we match phenotypes in different species?
• How much difference does phenotype make?
monarchinitiative.org
Interpretation requires prior
knowledge of gene-phenotype
effects
monarchinitiative.org
Model organisms supply ~50%
phenotypic knowledge to human genes
Other organisms provide deeper
molecular pathological perspective
SNCA (Hsap) phenotypes
• Mental deterioration
• Urinary urgency
• Lewy bodies
• Tremor
• Urinary Urgency
• Substantia nigra gliosis
• …
Snca (Mmus) phenotypes
• Retinal dopaminergic
neuron degeration
(OMIM)
(MGI)
• Abnormal synaptic
dopamine release
• Alpha-synuclein inclusion
body
• Dopamine neuron loss
• …
Transgenic Snca (Dmel)
phenotypes
(FlyBase)
Monarch Portal: linking human
diseases to model systems
• One stop shop for
gene-phenotype data
and analysis:
• Humans
• Models
– Data:
• Genes
• Variants
• Complex genotypes
• Phenotypes
• Disease
http://monarchinitiative.org/
Mungall, C. J., Washington, N. L., Nguyen-Xuan, J., Condit, C.,
Smedley, D., Köhler, S., … Haendel, M. A. (2015). Use of Model
Organism and Disease Databases to Support Matchmaking for
Human Disease Gene Discovery. Human Mutation, 36(10), 979–
84. doi:10.1002/humu.22857
monarchinitiative.org
Building the knowledge base
+ in-house curation
Phenotypes
From 60 metazoan
species
How do we search phenome
databases?
• Given a patient
phenotypic profile
• What are the relevant
genes implicated in…
– Humans?
– Model systems?
Patient
Phenome
Gene
<->
Phenotype
Database
Hyperkeratosis,
hearing impairment,
…
Candidate
genes
KRT2
GJB2
monarchinitiative.org
We have a common
computable language for
sequence data….
ATCTTAGCACGTTAC…
OR g.241T>c
….not so much for phenotypes
monarchinitiative.org
Ulcerated
paws
Palmoplantar
hyperkeratosis
Thick hand skin
monarchinitiative.org
Ulcerated
paws
Palmoplantar
hyperkeratosis
Thick hand skin
Abnormal
autopod skin
Ontologies:
Concepts
Inter-related in a graph
Hyperkeratosis
monarchinitiative.org
Ulcerated
paws
Palmoplantar
hyperkeratosis
Thick hand skin
Abnormal
autopod skin
id: HP:0000972
Synonyms: “Thick palms and soles”
Def: “Hyperkeratosis affecting the palm of
the hand and the sole of the foot”
Köhler, S., Doelken, S. C., Mungall, … Robinson, P. N. (2013). The
Human Phenotype Ontology project: linking molecular biology and
disease through phenotype data. Nucleic Acids Res., Kohler, S.(1),
gkt1026–. doi:10.1093/nar/gkt1026
OMIM:309560
OMIM:613989
…
MP:0000578
Ctsk
Ntrk1
Lamc2
monarchinitiative.org
Ulcerated
paws
Palmoplantar
hyperkeratosis
Thick hand skin
Abnormal
autopod skin
id: HP:0000972
Synonyms: “Thick palms and soles”
Def: “Hyperkeratosis affecting the palm of
the hand and the sole of the foot”
OMIM:309560
OMIM:613989
…
?
Ctsk
Ntrk1
Lamc2
MP:0000578
monarchinitiative.org
paw
skin
hand
autopod =
epidermis
stratum
corneum
Mungall, C. J., Torniai, C., Gkoutos, G. V, Lewis, S. E., & Haendel, M.
A. (2012). Uberon, an integrative multi-species anatomy ontology.
Genome Biology, 13(1), R5. doi:10.1186/gb-2012-13-1-r5
Keratinization
(GO)
Uberon bridges multiple ontologies
monarchinitiative.org
Ulcerated
paws
Palmoplantar
hyperkeratosis
Thick hand skin
Abnormal
autopod skin
id: HP:0000972
Synonyms: “Thick palms and soles”
Def: “Hyperkeratosis affecting the palm of
the hand and the sole of the foot”
Ctsk
Ntrk1
Lamc2
MRCA
Phenotype
What model organism genes are relevant
for my phenotype?
monarchinitiative.org
Smedley, D., Oellrich, A., Köhler, S., Ruef, B., Westerfield, M., Robinson, P., … Mungall, C. (2013). PhenoDigm: analyzing curated
annotations to associate animal models with human diseases. Database : The Journal of Biological Databases and Curation,
2013, bat025. doi:10.1093/database/bat025
Multi-phenotype search
Smedley, D., Oellrich, A., Köhler, S., Ruef, B., Westerfield, M., Robinson, P., … Mungall, C. (2013). PhenoDigm: analyzing curated
annotations to associate animal models with human diseases. Database : The Journal of Biological Databases and Curation,
2013, bat025. doi:10.1093/database/bat025
monarchinitiative.org
PhenoGrid phenotype comparison
widget
Patient phenotypes
Compare patients with:
 Other patients
 Known diseases
 Models
http://monarchinitiative.
org/page/phenogrid
PHenotypic Interpretation of
Variants in Exomes
Whole exome
Remove off-target and
common variants
Variant score from allele
freq and pathogenicity
Phenotype score from phenotypic similarity
(hi)PHIVE score to give final candidates
Mendelian filters
https://www.sanger.ac.uk/reso
urces/software/exomiser/
monarchinitiative.org
Adding phenotype improves variant
interpretation
Robinson, P., Kohler, S., Oellrich, A., Wang, K., Mungall, C., Lewis, S.
E., … Köhler, S. (2013). Improved exome prioritization of disease
genes through cross species phenotype comparison. Genome
Research. doi:10.1101/gr.160325.113
monarchinitiative.org
Patient diagnosis example
Deleteriousness Phenotype Score
P
ID
Gen
e
MT P2 S Clinical Pheno Matching Pheno gene P Var ES Ran
k
92
9
SMS 1.00 0.99 0.00 Ostopenia Decreased BMD Sms 0.4 1.00 0.89 1/25
Short stature Decreased body length
Neonatal hyoglycemia Decreased circulating glucose
levels
acidosis Decreased circulating
potassion levels
Decreased body weight Decreased body weight
Bone, W. P. et al. Computational evaluation of exome sequence
data using human and model organism phenotypes improves
diagnostic efficiency. Genet. Med. in press, (2015)
monarchinitiative.org
From exomes to genomes
Smedley D. et al, under review
Building up a massive phenomic
database
• Initial efforts
• Manual curation of OMIM records
• Expert biocurators and clinicians
• Lag between publication and phenotype capture
• How are we scaling up?
• Phenotypes at time of publication
• Working with patient registries
• Natural Language Processing
• Integration with Gene Ontology curation
Each case
Report
Associated
With HPO
profile
Robinson, P. N., Mungall, C. J., & Haendel, M. (2015). Capturing phenotypes for precision medicine.
Molecular Case Studies, 1(1), a000372. doi:10.1101/mcs.a000372
Beyond mendelian phenotypes
• First pass
• Mendelian or ‘rare’ diseases
• Can we include a broader definition of
‘phenotype’
• Quantitative traits, e.g. hippocampus volume
• Common disease phenotypes
• Cancer
monarchinitiative.org
Groza, T., … Robinson, P. N. (2015). The Human Phenotype Ontology: Semantic Unification of Common and Rare Disease. The
American Journal of Human Genetics, 1–14. doi:10.1016/j.ajhg.2015.05.020
Mining pubmed for phenotypes
F-Score: 45%
Computing on Phenotypes AMP 2015
Building causal molecular
pathological models
http://create.monarchinitiative.org
http://noctua.berkeleybop.org
Conclusions
• Phenotypes are crucial for precision medicine
• Variant interpretation needs more than genome data
• Methods of incorporating phenotypes are evolving
• We need all the organisms
• The Monarch Portal integrates and organizes
gene-phenotype data
• Ontologies make phenotypes computable
• Depth and breadth of structured phenotype data is
growing
Monarch team
Lawrence Berkeley
Chris Mungall
Nicole Washington
Suzanna Lewis
Jeremy Nguyen
Seth Carbon
Charité
Peter Robinson
Sebastian Kohler
Max Schubach
Tomasz Zemojtel
U of Pittsburgh
Harry Hochheiser
Mike Davis
Joe Zhou
OHSU
Melissa Haendel
Nicole Vasilesky
Matt Brush
Kent Shefchek
Julie McMurry
Mark Engelstead
Sanger Institute
Damian Smedley
Jules Jacobson
Garvan
Tudor Groza
Craig McNamara
Edwin Zhang
Funding:
NIH Office of Director: 1R24OD011883
NIH-UDP: HHSN268201300036C, HHSN268201400093P
http://monarchinitiative.org
Computing on Phenotypes AMP 2015
From phenomes to exposomes
• Environmental context
• Microbiome
• Drugs
Buttigieg, P. L., Morrison, N., Smith, B., Mungall, C. J., & Lewis, S. E. (2013). The environment ontology: contextualising biological
and biomedical entities. Journal of Biomedical Semantics, 4(1), 43. doi:10.1186/2041-1480-4-43

More Related Content

PPTX
Mungall keynote-biocurator-2017
PPTX
Representation of kidney structures in Uberon
PPTX
Collaboratively Creating the Knowledge Graph of Life
PPTX
Causal reasoning using the Relation Ontology
PPTX
GIGA2 Structuring Phenotype Data
PPTX
Mapping Phenotype Ontologies for Obesity and Diabetes
PPTX
Uberon EBI industry workshop
PPTX
The Crop Ontology - Harmonizing Semantics for Agricultural Field Data, by Eli...
Mungall keynote-biocurator-2017
Representation of kidney structures in Uberon
Collaboratively Creating the Knowledge Graph of Life
Causal reasoning using the Relation Ontology
GIGA2 Structuring Phenotype Data
Mapping Phenotype Ontologies for Obesity and Diabetes
Uberon EBI industry workshop
The Crop Ontology - Harmonizing Semantics for Agricultural Field Data, by Eli...

What's hot (20)

PPTX
Why the world needs phenopacketeers, and how to be one
PPT
Basic Formal Ontology (BFO) and Disease
PPTX
Phenopackets as applied to variant interpretation
PPTX
Beiko taconic-nov3
ODP
Mikel egana itbam_2010_ogo_system
PDF
Molecular scaffolds poster
PPTX
Cracking the code of life
PDF
Molecular scaffolds are special and useful guides to discovery
PPTX
encode project
PPTX
Making the most of phenotypes in ontology-based biomedical knowledge discovery
PPTX
New insights into the human genome by ENCODE project
PPTX
Introduction to Gene Mining Part A: BLASTn-off!
PPTX
Human encodeproject
PPTX
Computational Genomics - Bioinformatics - IK
PPTX
Global Phenotypic Data Sharing Standards to Maximize Diagnostics and Mechanis...
PPT
Use of data
PDF
Phylogenetic and Phylogenomic Approaches to the Study of Microbes and Microbi...
PPT
Genomics and Plant Genomics
PPTX
Development of animal model (Knockout Mice)
PPT
Kidney and Urinary Pathways Knowledge Base (part of e-LICO)
Why the world needs phenopacketeers, and how to be one
Basic Formal Ontology (BFO) and Disease
Phenopackets as applied to variant interpretation
Beiko taconic-nov3
Mikel egana itbam_2010_ogo_system
Molecular scaffolds poster
Cracking the code of life
Molecular scaffolds are special and useful guides to discovery
encode project
Making the most of phenotypes in ontology-based biomedical knowledge discovery
New insights into the human genome by ENCODE project
Introduction to Gene Mining Part A: BLASTn-off!
Human encodeproject
Computational Genomics - Bioinformatics - IK
Global Phenotypic Data Sharing Standards to Maximize Diagnostics and Mechanis...
Use of data
Phylogenetic and Phylogenomic Approaches to the Study of Microbes and Microbi...
Genomics and Plant Genomics
Development of animal model (Knockout Mice)
Kidney and Urinary Pathways Knowledge Base (part of e-LICO)

Similar to Computing on Phenotypes AMP 2015 (20)

PPTX
Haendel clingenetics.3.14.14
PPTX
Deep phenotyping for everyone
PPTX
GA4GH Monarch Driver Project Introduction
PPTX
Envisioning a world where everyone helps solve disease
PDF
The Monarch Initiative: From Model Organism to Precision Medicine
PPTX
GA4GH Phenotype Ontologies Task team update
PPTX
Monarch Initiative Poster - Rare Disease Symposium 2015
PPT
10 Liu, Dajiang
PPTX
The Application of the Human Phenotype Ontology
PPTX
Identify Disease-Associated Genetic Variants Via 3D Genomics Structure and Re...
PPTX
Use of semantic phenotyping to aid disease diagnosis
PDF
TLSC Biotech 101 Noc 2010 (Moore)
PDF
The Monarch Initiative Phenotype Grid
PPTX
Human Disease Ontology Project presented at ISB's Biocurator meeting April 2014
PDF
Toward interactive visual tools for comparing phenotype profiles
PDF
How to transform genomic big data into valuable clinical information
PPT
Human genome project 1
PPTX
The Monarch Initiative: An integrated genotype-phenotype platform for disease...
PPTX
Enhancing Rare Disease Literature for Researchers and Patients
PPTX
Human genome project.pptx (nursing )M.SC
Haendel clingenetics.3.14.14
Deep phenotyping for everyone
GA4GH Monarch Driver Project Introduction
Envisioning a world where everyone helps solve disease
The Monarch Initiative: From Model Organism to Precision Medicine
GA4GH Phenotype Ontologies Task team update
Monarch Initiative Poster - Rare Disease Symposium 2015
10 Liu, Dajiang
The Application of the Human Phenotype Ontology
Identify Disease-Associated Genetic Variants Via 3D Genomics Structure and Re...
Use of semantic phenotyping to aid disease diagnosis
TLSC Biotech 101 Noc 2010 (Moore)
The Monarch Initiative Phenotype Grid
Human Disease Ontology Project presented at ISB's Biocurator meeting April 2014
Toward interactive visual tools for comparing phenotype profiles
How to transform genomic big data into valuable clinical information
Human genome project 1
The Monarch Initiative: An integrated genotype-phenotype platform for disease...
Enhancing Rare Disease Literature for Researchers and Patients
Human genome project.pptx (nursing )M.SC

More from Chris Mungall (20)

PPTX
MADICES Mungall 2022.pptx
PPTX
Scaling up semantics; lessons learned across the life sciences
PPTX
LinkML Intro July 2022.pptx PLEASE VIEW THIS ON ZENODO
PPTX
Ontology Access Kit_ Workshop Intro Slides.pptx
PPTX
LinkML Intro (for Monarch devs)
PPTX
LinkML presentation to Yosemite Group
PPTX
Experiences in the biosciences with the open biological ontologies foundry an...
PPTX
All together now: piecing together the knowledge graph of life
PPTX
SparqlProg (BioHackathon 2019)
PPTX
Ontology Development Kit: Bio-Ontologies 2019
PPTX
US2TS: Reasoning over multiple open bio-ontologies to make machines and human...
PPTX
Uberon: opening up to community contributions
PPTX
Modeling exposure events and adverse outcome pathways using ontologies
PPTX
US2TS presentation on Gene Ontology
PPTX
Introduction to the BioLink datamodel
PPTX
ENVO GSC 2015
PPTX
Kboom phenoday-2016
PPTX
BioMake PAG 2017
PPTX
Increased Expressivity of Gene Ontology Annotations - Biocuration 2013
PPTX
Uberon PAG 2013
MADICES Mungall 2022.pptx
Scaling up semantics; lessons learned across the life sciences
LinkML Intro July 2022.pptx PLEASE VIEW THIS ON ZENODO
Ontology Access Kit_ Workshop Intro Slides.pptx
LinkML Intro (for Monarch devs)
LinkML presentation to Yosemite Group
Experiences in the biosciences with the open biological ontologies foundry an...
All together now: piecing together the knowledge graph of life
SparqlProg (BioHackathon 2019)
Ontology Development Kit: Bio-Ontologies 2019
US2TS: Reasoning over multiple open bio-ontologies to make machines and human...
Uberon: opening up to community contributions
Modeling exposure events and adverse outcome pathways using ontologies
US2TS presentation on Gene Ontology
Introduction to the BioLink datamodel
ENVO GSC 2015
Kboom phenoday-2016
BioMake PAG 2017
Increased Expressivity of Gene Ontology Annotations - Biocuration 2013
Uberon PAG 2013

Recently uploaded (20)

PPT
6.1 High Risk New Born. Padetric health ppt
PPTX
famous lake in india and its disturibution and importance
PDF
Phytochemical Investigation of Miliusa longipes.pdf
PPTX
TOTAL hIP ARTHROPLASTY Presentation.pptx
PDF
Biophysics 2.pdffffffffffffffffffffffffff
PPT
POSITIONING IN OPERATION THEATRE ROOM.ppt
PDF
Unveiling a 36 billion solar mass black hole at the centre of the Cosmic Hors...
PDF
. Radiology Case Scenariosssssssssssssss
PPTX
EPIDURAL ANESTHESIA ANATOMY AND PHYSIOLOGY.pptx
PPT
protein biochemistry.ppt for university classes
PPTX
Taita Taveta Laboratory Technician Workshop Presentation.pptx
PDF
Mastering Bioreactors and Media Sterilization: A Complete Guide to Sterile Fe...
PDF
Cosmic Outliers: Low-spin Halos Explain the Abundance, Compactness, and Redsh...
PPTX
Vitamins & Minerals: Complete Guide to Functions, Food Sources, Deficiency Si...
PDF
HPLC-PPT.docx high performance liquid chromatography
PPTX
BIOMOLECULES PPT........................
PPTX
The KM-GBF monitoring framework – status & key messages.pptx
PDF
The scientific heritage No 166 (166) (2025)
PPTX
Pharmacology of Autonomic nervous system
PPTX
INTRODUCTION TO EVS | Concept of sustainability
6.1 High Risk New Born. Padetric health ppt
famous lake in india and its disturibution and importance
Phytochemical Investigation of Miliusa longipes.pdf
TOTAL hIP ARTHROPLASTY Presentation.pptx
Biophysics 2.pdffffffffffffffffffffffffff
POSITIONING IN OPERATION THEATRE ROOM.ppt
Unveiling a 36 billion solar mass black hole at the centre of the Cosmic Hors...
. Radiology Case Scenariosssssssssssssss
EPIDURAL ANESTHESIA ANATOMY AND PHYSIOLOGY.pptx
protein biochemistry.ppt for university classes
Taita Taveta Laboratory Technician Workshop Presentation.pptx
Mastering Bioreactors and Media Sterilization: A Complete Guide to Sterile Fe...
Cosmic Outliers: Low-spin Halos Explain the Abundance, Compactness, and Redsh...
Vitamins & Minerals: Complete Guide to Functions, Food Sources, Deficiency Si...
HPLC-PPT.docx high performance liquid chromatography
BIOMOLECULES PPT........................
The KM-GBF monitoring framework – status & key messages.pptx
The scientific heritage No 166 (166) (2025)
Pharmacology of Autonomic nervous system
INTRODUCTION TO EVS | Concept of sustainability

Computing on Phenotypes AMP 2015

  • 1. Computing on phenotypes across scale and species Chris Mungall, PhD AMP 2015 @monarchinit @chrismungall
  • 4. Obstacles to phenome-based interpretation • Building a comprehensive phenomic database – Multiple disparate sources: • Human Genes, Variants, etc databases • Orthologous genes in model organisms • Phenotype Search and Matching • How do utilize phenotypes in a variant filtering pipeline? • How do we match phenotypes in different species? • How much difference does phenotype make?
  • 6. monarchinitiative.org Model organisms supply ~50% phenotypic knowledge to human genes
  • 7. Other organisms provide deeper molecular pathological perspective SNCA (Hsap) phenotypes • Mental deterioration • Urinary urgency • Lewy bodies • Tremor • Urinary Urgency • Substantia nigra gliosis • … Snca (Mmus) phenotypes • Retinal dopaminergic neuron degeration (OMIM) (MGI) • Abnormal synaptic dopamine release • Alpha-synuclein inclusion body • Dopamine neuron loss • … Transgenic Snca (Dmel) phenotypes (FlyBase)
  • 8. Monarch Portal: linking human diseases to model systems • One stop shop for gene-phenotype data and analysis: • Humans • Models – Data: • Genes • Variants • Complex genotypes • Phenotypes • Disease http://monarchinitiative.org/ Mungall, C. J., Washington, N. L., Nguyen-Xuan, J., Condit, C., Smedley, D., Köhler, S., … Haendel, M. A. (2015). Use of Model Organism and Disease Databases to Support Matchmaking for Human Disease Gene Discovery. Human Mutation, 36(10), 979– 84. doi:10.1002/humu.22857
  • 9. monarchinitiative.org Building the knowledge base + in-house curation Phenotypes From 60 metazoan species
  • 10. How do we search phenome databases? • Given a patient phenotypic profile • What are the relevant genes implicated in… – Humans? – Model systems? Patient Phenome Gene <-> Phenotype Database Hyperkeratosis, hearing impairment, … Candidate genes KRT2 GJB2
  • 11. monarchinitiative.org We have a common computable language for sequence data…. ATCTTAGCACGTTAC… OR g.241T>c ….not so much for phenotypes
  • 13. monarchinitiative.org Ulcerated paws Palmoplantar hyperkeratosis Thick hand skin Abnormal autopod skin Ontologies: Concepts Inter-related in a graph Hyperkeratosis
  • 14. monarchinitiative.org Ulcerated paws Palmoplantar hyperkeratosis Thick hand skin Abnormal autopod skin id: HP:0000972 Synonyms: “Thick palms and soles” Def: “Hyperkeratosis affecting the palm of the hand and the sole of the foot” Köhler, S., Doelken, S. C., Mungall, … Robinson, P. N. (2013). The Human Phenotype Ontology project: linking molecular biology and disease through phenotype data. Nucleic Acids Res., Kohler, S.(1), gkt1026–. doi:10.1093/nar/gkt1026 OMIM:309560 OMIM:613989 … MP:0000578 Ctsk Ntrk1 Lamc2
  • 15. monarchinitiative.org Ulcerated paws Palmoplantar hyperkeratosis Thick hand skin Abnormal autopod skin id: HP:0000972 Synonyms: “Thick palms and soles” Def: “Hyperkeratosis affecting the palm of the hand and the sole of the foot” OMIM:309560 OMIM:613989 … ? Ctsk Ntrk1 Lamc2 MP:0000578
  • 16. monarchinitiative.org paw skin hand autopod = epidermis stratum corneum Mungall, C. J., Torniai, C., Gkoutos, G. V, Lewis, S. E., & Haendel, M. A. (2012). Uberon, an integrative multi-species anatomy ontology. Genome Biology, 13(1), R5. doi:10.1186/gb-2012-13-1-r5 Keratinization (GO) Uberon bridges multiple ontologies
  • 17. monarchinitiative.org Ulcerated paws Palmoplantar hyperkeratosis Thick hand skin Abnormal autopod skin id: HP:0000972 Synonyms: “Thick palms and soles” Def: “Hyperkeratosis affecting the palm of the hand and the sole of the foot” Ctsk Ntrk1 Lamc2 MRCA Phenotype What model organism genes are relevant for my phenotype?
  • 18. monarchinitiative.org Smedley, D., Oellrich, A., Köhler, S., Ruef, B., Westerfield, M., Robinson, P., … Mungall, C. (2013). PhenoDigm: analyzing curated annotations to associate animal models with human diseases. Database : The Journal of Biological Databases and Curation, 2013, bat025. doi:10.1093/database/bat025 Multi-phenotype search
  • 19. Smedley, D., Oellrich, A., Köhler, S., Ruef, B., Westerfield, M., Robinson, P., … Mungall, C. (2013). PhenoDigm: analyzing curated annotations to associate animal models with human diseases. Database : The Journal of Biological Databases and Curation, 2013, bat025. doi:10.1093/database/bat025
  • 20. monarchinitiative.org PhenoGrid phenotype comparison widget Patient phenotypes Compare patients with:  Other patients  Known diseases  Models http://monarchinitiative. org/page/phenogrid
  • 21. PHenotypic Interpretation of Variants in Exomes Whole exome Remove off-target and common variants Variant score from allele freq and pathogenicity Phenotype score from phenotypic similarity (hi)PHIVE score to give final candidates Mendelian filters https://www.sanger.ac.uk/reso urces/software/exomiser/
  • 22. monarchinitiative.org Adding phenotype improves variant interpretation Robinson, P., Kohler, S., Oellrich, A., Wang, K., Mungall, C., Lewis, S. E., … Köhler, S. (2013). Improved exome prioritization of disease genes through cross species phenotype comparison. Genome Research. doi:10.1101/gr.160325.113
  • 23. monarchinitiative.org Patient diagnosis example Deleteriousness Phenotype Score P ID Gen e MT P2 S Clinical Pheno Matching Pheno gene P Var ES Ran k 92 9 SMS 1.00 0.99 0.00 Ostopenia Decreased BMD Sms 0.4 1.00 0.89 1/25 Short stature Decreased body length Neonatal hyoglycemia Decreased circulating glucose levels acidosis Decreased circulating potassion levels Decreased body weight Decreased body weight Bone, W. P. et al. Computational evaluation of exome sequence data using human and model organism phenotypes improves diagnostic efficiency. Genet. Med. in press, (2015)
  • 24. monarchinitiative.org From exomes to genomes Smedley D. et al, under review
  • 25. Building up a massive phenomic database • Initial efforts • Manual curation of OMIM records • Expert biocurators and clinicians • Lag between publication and phenotype capture • How are we scaling up? • Phenotypes at time of publication • Working with patient registries • Natural Language Processing • Integration with Gene Ontology curation
  • 26. Each case Report Associated With HPO profile Robinson, P. N., Mungall, C. J., & Haendel, M. (2015). Capturing phenotypes for precision medicine. Molecular Case Studies, 1(1), a000372. doi:10.1101/mcs.a000372
  • 27. Beyond mendelian phenotypes • First pass • Mendelian or ‘rare’ diseases • Can we include a broader definition of ‘phenotype’ • Quantitative traits, e.g. hippocampus volume • Common disease phenotypes • Cancer
  • 28. monarchinitiative.org Groza, T., … Robinson, P. N. (2015). The Human Phenotype Ontology: Semantic Unification of Common and Rare Disease. The American Journal of Human Genetics, 1–14. doi:10.1016/j.ajhg.2015.05.020 Mining pubmed for phenotypes F-Score: 45%
  • 30. Building causal molecular pathological models http://create.monarchinitiative.org http://noctua.berkeleybop.org
  • 31. Conclusions • Phenotypes are crucial for precision medicine • Variant interpretation needs more than genome data • Methods of incorporating phenotypes are evolving • We need all the organisms • The Monarch Portal integrates and organizes gene-phenotype data • Ontologies make phenotypes computable • Depth and breadth of structured phenotype data is growing
  • 32. Monarch team Lawrence Berkeley Chris Mungall Nicole Washington Suzanna Lewis Jeremy Nguyen Seth Carbon Charité Peter Robinson Sebastian Kohler Max Schubach Tomasz Zemojtel U of Pittsburgh Harry Hochheiser Mike Davis Joe Zhou OHSU Melissa Haendel Nicole Vasilesky Matt Brush Kent Shefchek Julie McMurry Mark Engelstead Sanger Institute Damian Smedley Jules Jacobson Garvan Tudor Groza Craig McNamara Edwin Zhang Funding: NIH Office of Director: 1R24OD011883 NIH-UDP: HHSN268201300036C, HHSN268201400093P http://monarchinitiative.org
  • 34. From phenomes to exposomes • Environmental context • Microbiome • Drugs Buttigieg, P. L., Morrison, N., Smith, B., Mungall, C. J., & Lewis, S. E. (2013). The environment ontology: contextualising biological and biomedical entities. Journal of Biomedical Semantics, 4(1), 43. doi:10.1186/2041-1480-4-43

Editor's Notes

  • #2: Phenotype-Gene Associations in Variant Interpretation
  • #3: Even with increased genomic data e.g. EXAC, it can still be hard to pinpoint the causative variant, or to be sure the real variant hasn’t been filtered
  • #6: Human: GWAS, OMIM, clinvar Orthology via PANTHER v9 When put together, they bring the phenotypic coverage of human genes (either directly or inferred via orthology) up to nearly 80%. That is A LOT of coverage. How can we better tap that?
  • #7: Human: GWAS, OMIM, clinvar Orthology via PANTHER v9 When put together, they bring the phenotypic coverage of human genes (either directly or inferred via orthology) up to nearly 80%. That is A LOT of coverage. How can we better tap that?
  • #8: More molecular. Just as the exome is only an incomplete view of the genome, only part of the phenome is observed and measured
  • #12: We can quantify distance due to shared ancestry. Draw trees.
  • #15: Mention HPOA
  • #16: Mention HPOA
  • #17: Backbone ontology. Bridges anatomical and pathological levels
  • #33: There are a lot of people who have contributed to this work over many years. 
  • #38: If we include bridging ontologies, we can unify diseases across sources AND phenotypes across sources and organisms.
  • #39: Represent Human as a biological subject Represent diseases as collections of nodes in the graph 3. Interoperable with other bioinformatics resources and leverage modern semantic standards