RT Journal 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 JF Genome Research JO Genome Research YR 2019 FD September 01 VO 29 IS 9 SP 1555 OP 1565 DO 10.1101/gr.250357.119 UL http://genome.cshlp.org/content/29/9/1555.abstract AB 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.