TY - JOUR A1 - Edmonson, Michael N. A1 - Patel, Aman N. A1 - Hedges, Dale J. A1 - Wang, Zhaoming A1 - Rampersaud, Evadnie A1 - Kesserwan, Chimene A. A1 - Zhou, Xin A1 - Liu, Yanling A1 - Newman, Scott A1 - Rusch, Michael C. A1 - McLeod, Clay L. A1 - Wilkinson, Mark R. A1 - Rice, Stephen V. A1 - Soussi, Thierry A1 - Taylor, J. Paul A1 - Benatar, Michael A1 - Becksfort, Jared B. A1 - Nichols, Kim E. A1 - Robison, Leslie L. A1 - Downing, James R. A1 - Zhang, Jinghui T1 - Pediatric Cancer Variant Pathogenicity Information Exchange (PeCanPIE): a cloud-based platform for curating and classifying germline variants Y1 - 2019/09/01 JF - Genome Research JO - Genome Research SP - 1555 EP - 1565 DO - 10.1101/gr.250357.119 VL - 29 IS - 9 UR - http://genome.cshlp.org/content/29/9/1555.abstract N2 - Variant interpretation in the era of massively parallel sequencing is challenging. Although many resources and guidelines are available to assist with this task, few integrated end-to-end tools exist. Here, we present the Pediatric Cancer Variant Pathogenicity Information Exchange (PeCanPIE), a web- and cloud-based platform for annotation, identification, and classification of variations in known or putative disease genes. Starting from a set of variants in variant call format (VCF), variants are annotated, ranked by putative pathogenicity, and presented for formal classification using a decision-support interface based on published guidelines from the American College of Medical Genetics and Genomics (ACMG). The system can accept files containing millions of variants and handle single-nucleotide variants (SNVs), simple insertions/deletions (indels), multiple-nucleotide variants (MNVs), and complex substitutions. PeCanPIE has been applied to classify variant pathogenicity in cancer predisposition genes in two large-scale investigations involving >4000 pediatric cancer patients and serves as a repository for the expert-reviewed results. PeCanPIE was originally developed for pediatric cancer but can be easily extended for use for nonpediatric cancers and noncancer genetic diseases. Although PeCanPIE's web-based interface was designed to be accessible to non-bioinformaticians, its back-end pipelines may also be run independently on the cloud, facilitating direct integration and broader adoption. PeCanPIE is publicly available and free for research use. ER -