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The PCGR software comes with a range of options to configure the analyses performed and to customize the output report.

Key settings

Below, we will outline key settings that are important with respect to the sequencing assay that has been conducted.

Whole-genome, whole-exome or targeted sequencing assay

By default, PCGR expects that the input VCF comes from whole-exome sequencing. This can be adjusted with the assay option, which takes three alternative values:

  • --assay <WGS|WES|TARGETED>

If the input VCF comes from a targeted sequencing assay/panel (i.e. --assay TARGETED), the target size of the assay/panel should be adjusted accordingly, which is critical for tumor mutational burden estimation. Assay target size, reflecting the protein-coding portion of the assayed genomic region in megabases, can be configured through the following option:

  • --target_size_mb <value>

Tumor-control vs. tumor-only

By default, PCGR expects that the input VCF contains somatic variants identified from a tumor-control sequencing setup. This implies that the VCF contains information with respect to variant allelic depth/support both for the tumor sample and the corresponding control sample.

If the input VCF comes from a tumor-only assay, turn on the --tumor_only option. In this mode, PCGR conducts a set of successive filtering steps on the raw input set of variants, aiming to exclude the majority of germline variants from the tumor-only input set. In addition to default filtering applied against variants found in the gnomAD/1000 Genomes Project databases (population-specific allele frequency thresholds can be configured, see below), additional filtering procedures can be explicitly set, i.e.:

  • --exclude_dbsnp_nonsomatic (recommended)
  • --exclude_likely_het_germline
  • --exclude_likely_hom_germline
  • --exclude_nonexonic

If the user has provided a panel-of-normals VCF file as input(--pon_vcf), one may also opt to remove variants found in that variant collection using a dedicated option:

  • --exclude_pon

IMPORTANT NOTE 1: A number of the analyses available in PCGR are not particularly well-suited for tumor-only input, e.g. mutational signature analysis and MSI status prediction. IMPORTANT NOTE 2: If you run PCGR on tumor-only WGS assays, we strongly recommend that you pre-filter your VCF against the exome, since we have frequently encountered that the large unfiltered variant set from such assays will cause a crash in PCGR. See also this issue.

Sample properties

A few properties of the tumor sample can be fed to the report, currently only used for display/reporting:

  • --tumor_ploidy <value> - ploidy estimate
  • --tumor_purity <value> - purity estimate
  • --cell_line - cell line sample

Allelic support

Proper designation of INFO tags in the input VCF that denote variant depth/allelic fraction is critical to make the report as comprehensive as possible. See the input section on how to accomplish this.

Several options are used to inform PCGR about tags in the VCF INFO field that encodes this information:

  • --tumor_dp_tag <value>
  • --tumor_af_tag <value>
  • --control_dp_tag <value>
  • --control_af_tag <value>
  • --call_conf_tag <value>

If these tags are set correctly, one may set thresholds (sequencing depth and/or allelic fraction) on the variants to be included in the report, i.e. through:

  • --tumor_dp_min <value>
  • --tumor_af_min <value>
  • --control_dp_min <value>
  • --control_af_max <value>

Tumor site

The primary tissue/site of the tumor sample that is analyzed can and should be be provided, through the following option:

  • --tumor_site <value>

This option takes a value between 0 and 30, reflecting the main primary sites/tissues for human cancers. Note that the default value is 0 (implies Any tissue/site), which essentially prohibits the presence of tier 1 variants occurring in the report. If you want to check the nature of cancer subtypes attributed to each of the primary tissue/sites, take a look at the table with phenotype terms and associated primary sites.

Large input sets (VCF)

For input VCF files with > 500,000 variants, note that these will be subject to filtering prior to the final step in PCGR (step 4: reporting). For such scenarios, raw input sets will be filtered according to consequence type, in the sense that intergenic/intronic/upstream/downstream gene variants will be excluded prior to reporting. This is a necessary step to avoid memory issues etc. during processing with the PCGR R package.

If you have a large input VCF, and have sufficient memory capacity on your compute platform, we also recommend to increase the VEP buffer size (option --vep_buffer_size), as this will speed up the VEP processing significantly.

All options

A tumor sample report is generated by running the pcgr command, which takes the following arguments and options:

usage: 
    pcgr -h [options] 
    --input_vcf <INPUT_VCF>
    --pcgr_dir <PCGR_DIR>
    --output_dir <OUTPUT_DIR>
    --genome_assembly <GENOME_ASSEMBLY>
    --sample_id <SAMPLE_ID> 

Personal Cancer Genome Reporter (PCGR) workflow for clinical interpretation of somatic nucleotide variants and copy number aberration segments

Required arguments:
  --input_vcf INPUT_VCF
                        VCF input file with somatic variants in tumor sample, SNVs/InDels
  --pcgr_dir PCGR_DIR   PCGR base directory with accompanying data directory, e.g. ~/pcgr-1.2.0
  --output_dir OUTPUT_DIR
                        Output directory
  --genome_assembly {grch37,grch38}
                        Human genome assembly build: grch37 or grch38
  --sample_id SAMPLE_ID
                        Tumor sample/cancer genome identifier - prefix for output files

vcfanno options:
  --vcfanno_n_proc VCFANNO_N_PROC
                        Number of vcfanno processes (option '-p' in vcfanno), default: 4

VEP options:
  --vep_n_forks VEP_N_FORKS
                        Number of forks (option '--fork' in VEP), default: 4
  --vep_buffer_size VEP_BUFFER_SIZE
                        Variant buffer size (variants read into memory simultaneously, option '--buffer_size' in VEP)
                        - set lower to reduce memory usage, default: 100
  --vep_pick_order VEP_PICK_ORDER
                        Comma-separated string of ordered transcript/variant properties for selection of primary variant consequence
                        (option '--pick_order' in VEP), default: canonical,appris,biotype,ccds,rank,tsl,length,mane
  --vep_no_intergenic   Skip intergenic variants during processing (option '--no_intergenic' in VEP), default: False
  --vep_regulatory      Add VEP regulatory annotations (option '--regulatory') or non-coding interpretation, default: False
  --vep_gencode_all     Consider all GENCODE transcripts with Variant Effect Predictor (VEP) (option '--gencode_basic' in VEP is used by default in PCGR).

Tumor mutational burden (TMB) and MSI options:
  --target_size_mb TARGET_SIZE_MB
                        For mutational burden analysis - approximate protein-coding target size in Mb of sequencing assay (default: 34 (WES/WGS))
  --estimate_tmb        Estimate tumor mutational burden from the total number of somatic mutations and target region size, default: False
  --estimate_msi_status
                        Predict microsatellite instability status from patterns of somatic mutations/indels, default: False
  --tmb_algorithm {all_coding,nonsyn}
                        Method for calculation of TMB, all coding variants (Chalmers et al., Genome Medicine, 2017), or non-synonymous variants only, default: all_coding

Mutational signature options:
  --estimate_signatures
                        Estimate relative contributions of reference mutational signatures in query sample and detect potential kataegis events, default: False
  --min_mutations_signatures MIN_MUTATIONS_SIGNATURES
                        Minimum number of SNVs required for reconstruction of mutational signatures (SBS) by MutationalPatterns (default: 200, minimum n = 100)
  --all_reference_signatures
                        Use all reference mutational signatures (SBS, n = 67) in signature reconstruction rather than only those already attributed to the tumor type (default: False)
  --include_artefact_signatures
                        Include sequencing artefacts in the collection of reference signatures (default: False
  --prevalence_reference_signatures {1,2,5,10,15,20}
                        Minimum tumor-type prevalence (in percent) of reference signatures to be included in refitting procedure (default: 5)

Tumor-only options:
  --tumor_only          Input VCF comes from tumor-only sequencing, calls will be filtered for variants of germline origin, (default: False)
  --cell_line           Input VCF comes from tumor cell line sequencing (requires --tumor_only), calls will be filtered for variants of germline origin, (default: False)
  --pon_vcf PON_VCF     VCF file with germline calls from Panel of Normals (PON) - i.e. blacklisted variants, (default: None)
  --maf_onekg_eur MAF_ONEKG_EUR
                        Exclude variants in tumor (SNVs/InDels, tumor-only mode) with MAF > pct, (1000 Genomes Project - European pop, default: 0.002)
  --maf_onekg_amr MAF_ONEKG_AMR
                        Exclude variants in tumor (SNVs/InDels, tumor-only mode) with MAF > pct, (1000 Genomes Project - Ad Mixed American pop, default: 0.002)
  --maf_onekg_afr MAF_ONEKG_AFR
                        Exclude variants in tumor (SNVs/InDels, tumor-only mode) with MAF > pct, (1000 Genomes Project - African pop, default: 0.002)
  --maf_onekg_eas MAF_ONEKG_EAS
                        Exclude variants in tumor (SNVs/InDels, tumor-only mode) with MAF > pct, (1000 Genomes Project - East Asian pop, default: 0.002)
  --maf_onekg_sas MAF_ONEKG_SAS
                        Exclude variants in tumor (SNVs/InDels, tumor-only mode) with MAF > pct, (1000 Genomes Project - South Asian pop, default: 0.002)
  --maf_onekg_global MAF_ONEKG_GLOBAL
                        Exclude variants in tumor (SNVs/InDels, tumor-only mode) with MAF > pct, (1000 Genomes Project - global pop, default: 0.002)
  --maf_gnomad_nfe MAF_GNOMAD_NFE
                        Exclude variants in tumor (SNVs/InDels, tumor-only mode) with MAF > pct, (gnomAD - European (non-Finnish), default: 0.002)
  --maf_gnomad_asj MAF_GNOMAD_ASJ
                        Exclude variants in tumor (SNVs/InDels, tumor-only mode) with MAF > pct, (gnomAD - Ashkenazi Jewish, default: 0.002)
  --maf_gnomad_fin MAF_GNOMAD_FIN
                        Exclude variants in tumor (SNVs/InDels, tumor-only mode) with MAF > pct, (gnomAD - European (Finnish), default: 0.002)
  --maf_gnomad_oth MAF_GNOMAD_OTH
                        Exclude variants in tumor (SNVs/InDels, tumor-only mode) with MAF > pct, (gnomAD - Other, default: 0.002)
  --maf_gnomad_amr MAF_GNOMAD_AMR
                        Exclude variants in tumor (SNVs/InDels, tumor-only mode) with MAF > pct, (gnomAD - Latino/Admixed American, default: 0.002)
  --maf_gnomad_afr MAF_GNOMAD_AFR
                        Exclude variants in tumor (SNVs/InDels, tumor-only mode) with MAF > pct, (gnomAD - African/African-American, default: 0.002)
  --maf_gnomad_eas MAF_GNOMAD_EAS
                        Exclude variants in tumor (SNVs/InDels, tumor-only mode) with MAF > pct, (gnomAD - East Asian, default: 0.002)
  --maf_gnomad_sas MAF_GNOMAD_SAS
                        Exclude variants in tumor (SNVs/InDels, tumor-only mode) with MAF > pct, (gnomAD - South Asian, default: 0.002)
  --maf_gnomad_global MAF_GNOMAD_GLOBAL
                        Exclude variants in tumor (SNVs/InDels, tumor-only mode) with MAF > pct, (gnomAD - global population, default: 0.002)
  --exclude_pon         Exclude variants occurring in PoN (Panel of Normals, if provided as VCF (--pon_vcf), default: False)
  --exclude_likely_hom_germline
                        Exclude likely homozygous germline variants (100 pct allelic fraction for alternate allele in tumor, very unlikely somatic event, default: False)
  --exclude_likely_het_germline
                        Exclude likely heterozygous germline variants (40-60 pct allelic fraction, AND presence in dbSNP + gnomAD, AND not existing as somatic event in COSMIC/TCGA, default: False)
  --exclude_dbsnp_nonsomatic
                        Exclude variants found in dbSNP (only those that are NOT found in ClinVar(somatic origin)/DoCM/TCGA/COSMIC, defult: False)
  --exclude_nonexonic   Exclude non-exonic variants, default: False)

Allelic support options:
  --tumor_dp_tag TUMOR_DP_TAG
                        Specify VCF INFO tag for sequencing depth (tumor, must be Type=Integer, default: _NA_
  --tumor_af_tag TUMOR_AF_TAG
                        Specify VCF INFO tag for variant allelic fraction (tumor,  must be Type=Float, default: _NA_
  --control_dp_tag CONTROL_DP_TAG
                        Specify VCF INFO tag for sequencing depth (control, must be Type=Integer, default: _NA_
  --control_af_tag CONTROL_AF_TAG
                        Specify VCF INFO tag for variant allelic fraction (control, must be Type=Float, default: _NA_
  --call_conf_tag CALL_CONF_TAG
                        Specify VCF INFO tag for somatic variant call confidence (must be categorical, e.g. Type=String, default: _NA_
  --tumor_dp_min TUMOR_DP_MIN
                        If VCF INFO tag for sequencing depth (tumor) is specified and found, set minimum required depth for inclusion in report (default: 0)
  --tumor_af_min TUMOR_AF_MIN
                        If VCF INFO tag for variant allelic fraction (tumor) is specified and found, set minimum required AF for inclusion in report (default: 0)
  --control_dp_min CONTROL_DP_MIN
                        If VCF INFO tag for sequencing depth (control) is specified and found, set minimum required depth for inclusion in report (default: 0)
  --control_af_max CONTROL_AF_MAX
                        If VCF INFO tag for variant allelic fraction (control) is specified and found, set maximum tolerated AF for inclusion in report (default: 1)

Other options:
  --input_cna INPUT_CNA
                        Somatic copy number alteration segments (tab-separated values)
  --logr_gain LOGR_GAIN
                        Log ratio-threshold (minimum) for segments containing copy number gains/amplifications (default: 0.8)
  --logr_homdel LOGR_HOMDEL
                        Log ratio-threshold (maximum) for segments containing homozygous deletions (default: -0.8)
  --cna_overlap_pct CNA_OVERLAP_PCT
                        Mean percent overlap between copy number segment and gene transcripts for reporting of gains/losses in tumor suppressor genes/oncogenes, (default: 50)
  --tumor_site TSITE    Optional integer code to specify primary tumor type/site of query sample,
                        choose any of the following identifiers:
                        0 = Any
                        1 = Adrenal Gland
                        2 = Ampulla of Vater
                        3 = Biliary Tract
                        4 = Bladder/Urinary Tract
                        5 = Bone
                        6 = Breast
                        7 = Cervix
                        8 = CNS/Brain
                        9 = Colon/Rectum
                        10 = Esophagus/Stomach
                        11 = Eye
                        12 = Head and Neck
                        13 = Kidney
                        14 = Liver
                        15 = Lung
                        16 = Lymphoid
                        17 = Myeloid
                        18 = Ovary/Fallopian Tube
                        19 = Pancreas
                        20 = Peripheral Nervous System
                        21 = Peritoneum
                        22 = Pleura
                        23 = Prostate
                        24 = Skin
                        25 = Soft Tissue
                        26 = Testis
                        27 = Thymus
                        28 = Thyroid
                        29 = Uterus
                        30 = Vulva/Vagina
                        (default: 0 - any tumor type)
  --tumor_purity TUMOR_PURITY
                        Estimated tumor purity (between 0 and 1) (default: None)
  --tumor_ploidy TUMOR_PLOIDY
                        Estimated tumor ploidy (default: None)
  --cpsr_report CPSR_REPORT
                        CPSR report file (Gzipped JSON - file ending with 'cpsr.<genome_assembly>.json.gz' -  germline report of patient's blood/control sample
  --vcf2maf             Generate a MAF file for input VCF using https://github.com/mskcc/vcf2maf (default: False)
  --show_noncoding      List non-coding (i.e. non protein-altering) variants in report, default: False
  --assay {WES,WGS,TARGETED}
                        Type of DNA sequencing assay performed for input data (VCF) default: WES
  --include_trials      (Beta) Include relevant ongoing or future clinical trials, focusing on studies with molecularly targeted interventions
  --preserved_info_tags PRESERVED_INFO_TAGS
                        Comma-separated string of VCF INFO tags from query VCF that should be kept in PCGR output TSV file
  --report_theme {default,cerulean,journal,flatly,readable,spacelab,united,cosmo,lumen,paper,sandstone,simplex,yeti}
                        Visual report theme (rmarkdown)
  --report_nonfloating_toc
                        Do not float the table of contents (TOC) in output report (rmarkdown), default: False
  --force_overwrite     By default, the script will fail with an error if any output file already exists. You can force the overwrite of existing result files by using this flag, default: False
  --version             show program's version number and exit
  --basic               Run functional variant annotation on VCF through VEP/vcfanno, omit other analyses (i.e. Tier assignment/MSI/TMB/Signatures etc. and report generation (STEP 4), default: False
  --no_vcf_validate     Skip validation of input VCF with Ensembl's vcf-validator, default: False
  --debug               Print full commands to log
  --pcgrr_conda PCGRR_CONDA
                        pcgrr conda env name (default: pcgrr)

Example run

The examples folder contains input VCF files from two tumor samples sequenced within TCGA (GRCh37 only). A report for a colorectal tumor case can be generated by running the following command in your terminal window:

$ (base) conda activate pcgr
$ (pcgr)
pcgr \
    --pcgr_dir /Users/you/dir2/data \
    --output_dir /Users/you/dir3/pcgr_outputs \
    --sample_id tumor_sample.COAD \
    --tumor_dp_tag TDP \
    --tumor_af_tag TVAF \
    --call_conf_tag TAL \
    --genome_assembly grch37 \
    --input_vcf /Users/you/pcgr/examples/tumor_sample.COAD.vcf.gz \
    --tumor_site 9 \
    --input_cna /Users/you/pcgr/examples/tumor_sample.COAD.cna.tsv \
    --tumor_purity 0.9 \
    --tumor_ploidy 2.0 \
    --include_trials \
    --assay WES \
    --estimate_signatures \
    --estimate_msi_status \
    --estimate_tmb \
    --force_overwrite

This command will run the Conda-based PCGR workflow and produce the following files in the examples folder:

N File Description
1 pcgr_acmg.grch37.html An interactive HTML report for clinical interpretation (rmarkdown)
2 pcgr_acmg.grch37.flexdb.html An interactive HTML report for clinical interpretation (flexdashboard)
3 pcgr_acmg.grch37.vcf.gz (.tbi) Bgzipped VCF file with rich set of annotations for precision oncology
4 pcgr_acmg.grch37.pass.vcf.gz (.tbi) Bgzipped VCF file with rich set of annotations for precision oncology (PASS variants only)
5 pcgr_acmg.grch37.pass.tsv.gz Compressed vcf2tsv-converted file with rich set of annotations for precision oncology
6 pcgr_acmg.grch37.snvs_indels.tiers.tsv Tab-separated values file with variants organized according to tiers of functional relevance
7 pcgr_acmg.grch37.mutational_signatures.tsv Tab-separated values file with information on contribution of mutational signatures
8 pcgr_acmg.grch37.json.gz Compressed JSON dump of HTML report content
9 pcgr_acmg.grch37.cna_segments.tsv.gz Compressed tab-separated values file with annotations of gene transcripts that overlap with somatic copy number aberrations
10 pcgr_config.rds PCGR configuration object (RDS format), mostly for debugging purposes