TY - JOUR A1 - Dolzhenko, Egor A1 - van Vugt, Joke J.F.A. A1 - Shaw, Richard J. A1 - Bekritsky, Mitchell A. A1 - van Blitterswijk, Marka A1 - Narzisi, Giuseppe A1 - Ajay, Subramanian S. A1 - Rajan, Vani A1 - Lajoie, Bryan A1 - Johnson, Nathan H. A1 - Kingsbury, Zoya A1 - Humphray, Sean J. A1 - Schellevis, Raymond D. A1 - Brands, William J. A1 - Baker, Matt A1 - Rademakers, Rosa A1 - Kooyman, Maarten A1 - Tazelaar, Gijs H.P. A1 - van Es, Michael A. A1 - McLaughlin, Russell A1 - Sproviero, William A1 - Shatunov, Aleksey A1 - Jones, Ashley A1 - Al Khleifat, Ahmad A1 - Pittman, Alan A1 - Morgan, Sarah A1 - Hardiman, Orla A1 - Al-Chalabi, Ammar A1 - Shaw, Chris A1 - Smith, Bradley A1 - Neo, Edmund J. A1 - Morrison, Karren A1 - Shaw, Pam A1 - Reeves, Catherine A1 - Winterkorn, Lara A1 - Wexler, Nancy S. A1 - The US-Venezuela Collaborative Research Group A1 - Housman, David E. A1 - Ng, Christopher W. A1 - Li, Alina L. A1 - Taft, Ryan J. A1 - van den Berg, Leonard H. A1 - Bentley, David R. A1 - Veldink, Jan H. A1 - Eberle, Michael A. T1 - Detection of long repeat expansions from PCR-free whole-genome sequence data Y1 - 2017/09/08 JF - Genome Research JO - Genome Research DO - 10.1101/gr.225672.117 SP - gr.225672.117 UR - http://genome.cshlp.org/content/early/2017/09/08/gr.225672.117.abstract N2 - Identifying large expansions of short tandem repeats (STRs) such as those that cause amyotrophic lateral sclerosis (ALS) and fragile X syndrome is challenging for short-read whole-genome sequencing (WGS) data. A solution to this problem is an important step towards integrating WGS into precision medicine. We have developed a software tool called ExpansionHunter that, using PCR-free WGS short-read data, can genotype repeats at the locus of interest, even if the expanded repeat is larger than the read length. We applied our algorithm to WGS data from 3,001 ALS patients who have been tested for the presence of the C9orf72 repeat expansion with repeat-primed PCR (RP-PCR). Compared against this truth data, ExpansionHunter correctly classified all (212/212, 95% CI [0.98, 1.00]) of the expanded samples as either expansions (208) or potential expansions (4). Additionally, 99.9% (2,786/2,789, 95% CI [0.997, 1.00]) of the wild type samples were correctly classified as wild type by this method with the remaining three samples identified as possible expansions. We further applied our algorithm to a set of 152 samples where every sample had one of eight different pathogenic repeat expansions including those associated with fragile X syndrome, Friedreich's ataxia and Huntington's disease and correctly flagged all but one of the known repeat expansions. Thus, ExpansionHunter can be used to accurately detect known pathogenic repeat expansions and provides researchers with a tool that can be used to identify new pathogenic repeat expansions. The software is licensed under GPL v3.0 and the source code is freely available on GitHub. ER -