WHOLE GENOME SEQUENCING: Transforming health research - UK Biobank

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WHOLE GENOME SEQUENCING: Transforming health research - UK Biobank
WHOLE GENOME SEQUENCING: Transforming health research

A ground-breaking initiative to sequence the whole genomes of 450,000 UK Biobank
participants has been announced. The venture is funded by government, charity and
industry and is in addition to the 50,000 volunteer samples already being sequenced
by UK Biobank with funding from the MRC. It is the biggest endeavour of its kind
ever undertaken, and will transform the way in which scientists study health.

What is the purpose of whole      treatments. In UK Biobank’s       Why is this important?
genome sequencing?                case, the genome from a single    UK Biobank’s goal, with your
Whole genome sequencing           person is of no real interest.    support and the support of
turns blood samples into          However, by making it possible    our other 500,000 volunteer
usable data. Sequencing all       for researchers to                participants, is to create
of the participants in UK         compare thousands of              a resource of detailed
Biobank means that these data     genomes – or hundreds of          information that will help
can be readily shared among       thousands – patterns will         scientists find out why some
all approved researchers,         emerge, differences will          people get illnesses like cancer,
anywhere in the world,            become clearer and the            heart disease, diabetes and
whenever they are needed.         impact on a wide range of         depression and others do not.
Each individual has a unique      diseases of individual genes or   With knowledge, comes the
genetic code of 3 billion         combination of genes, along       power to produce change.
building blocks. These make up    with lifestyle and envrionment,   Detailed information on
the 24,000 active genes (and      are likely to be found. This      genetics, linked to lots of other
much more) inside a human         might suggest new ways            information about your lives,
cell that control biochemical     to tackle disease, and help       the illnesses you get and how
processes that underpin life.     identify people at higher risk,   you are treated will boost
The vast majority of genes        so that preventive strategies     understanding, and speed up
are the same in everyone, but     such as screening programmes      advances in health care.
small changes account for our     can be better targeted.
differences, and can make us
more susceptible to illness, or
affect the way we respond to

                                   How will participants’ privacy be protected?
                                   UK Biobank has a number of systems in place to ensure that
                                   you are not identified when data you have generously provided
                                   is used for health research. For instance, data are separated
                                   at the point of collection from personal information (such as
                                   name, date of birth) and retained separately. Data are also
                                   extensively encrypted and access to the decryption keys is
                                   very limited (to those that need them). Further, when data are
                                   released to researchers they are fully de-identified. In addition,
                                   all research is undertaken under a legal agreement with UK
                                   Biobank which prohibits any researchers from identifying
                                   participants.

                                   Will UK Biobank participants be identifiable through the
                                   data? No, identifiable data are not provided to researchers.
WHOLE GENOME SEQUENCING: Transforming health research - UK Biobank
Where will the sequencing take place?
                                   Having gained UK Biobank approval for the sequencing, the
                                   applicants appointed the Wellcome Sanger Institute and
                                   deCODE in Iceland to conduct the next phase of work in
                                   roughly equal measures. UK Biobank will provide them with a
                                   small portion of blood, currently stored at minus 80 degrees in
                                   our Coordinating Centre in Stockport, from each participant.
                                   They will then provide the sequence data to UK Biobank.
                                   Why now?
                                   In recent years, advances in technology have revolutionised
                                   the time it takes to sequence the human genome, and the cost
                                   involved. The first human genome was sequenced in 2003
                                   after several years and at a cost of nearly US $3Bn. It is now
                                   feasible to sequence large numbers very much more rapidly
                                   and at far lower costs. Sequencing all 500,000 UK Biobank
Who is funding the work?           participants now will deliver the project’s genetic promise
A pilot project (the Vanguard)     very much quicker than would have been expected when
to sequence the whole              recruitment began in 2006.
genomes of 50,000 UK
Biobank participants is already    When will the genetic data        participants) linked to all
underway. (You may remember        be used for research?             of the other data in the UK
reading about its launch in last   Scientists are already using      Biobank resource.
year’s Newsletter.) The £30        participants’ genetic data
million funding was provided       in the form of genotype         • After an exclusive access
to UK Biobank by the UK’s          and exome sequence data.          period of 9 months to the
Medical Research Council           However, these data make          benefit of the applicants,
(MRC) and the sequencing is        up only a proportion of the       these data will be made
being done at the Wellcome         human genome. It is intended      available to all other
Sanger Institute in Cambridge.     to complete the whole             approved researchers
                                   genome sequencing of all          around the world in March
This new project, to sequence      500,000 participants during       2021.
the other 450,000 participants,    the next 2 years. An outline
is funded by government,           timetable is as follows:        • Similarly, after completing
charity and industry:                                                the sequencing of all
                                   • At the end of May 2020,         500,000 participants in
• £50 million from the               the four pharmaceutical         early 2022, the consortium
  government’s UK Research           companies will be provided      will again have exclusive
  & Innovation (UKRI)                with access for analysis to     access to these linked data
  Industrial Strategy Challenge      the first tranche of            for 9 months before all of
  Fund;                              sequence data (anticipated      the data are made widely
                                     to be for about 125,000         available by the end of
• £50 million from the charity                                       2022.
  The Wellcome Trust;
                                   Why do the industry partners get an exclusive period to
                                   use the data?
• £100 million (£25 million
                                   With government, industry and charity working together,
  each) from four of the
                                   a vast amount of genetic data will be made available to
  world’s leading
                                   the health research community. Without this investment
  pharmaceutical companies,
                                   from industry, these data would not be available. Providing
  GlaxoSmithKline (GSK),
                                   an exclusive period has already been used successfully
  AstraZeneca (AZ), Johnson &
                                   to secure the investment for exome sequencing led by
  Johnson (J&J) and Amgen.
                                   Regeneron and partners. Those exome data are now
                                   available to health researchers, and more than 100 health
                                   studies using them are now under way.
WHOLE GENOME SEQUENCING: Transforming health research - UK Biobank
What other genetic analyses have taken place?

This new sequencing work supports other genetic analyses which are already contributing to
research:

• Genotyping (completed) – analysis of around 800,000 key points of the 3 billion building blocks
  that make up the human genome. This enables statisticians to impute (i.e. estimate, based on past
  analysis) a further 90 million points;

• Exome sequencing (under way) – this involves the study of about 3% of the human genome,
  and targets the active genes that produce proteins that build cells and control cell activity.
  50,000 exomes were sequenced in a joint venture by the pharmaceutical companies GSK in the
  UK and Regeneron in the US. The first exome sequenced data were released to the global
  research community in March 2019. Regeneron and a consortium of five other companies are
  now exome sequencing the other 450,000 samples. Again, these data will be made available to
  other researchers, with an additional 100,000 exomes to be released in April 2020.

                                     How will UK Biobank and          and last year UK Biobank
                                     health research benefit from     featured in one of the most
                                     this collaboration?              prestigious, Nature. New
                                     Researchers are already          release of sequence data will
                                     using UK Biobank genetic         provide even more impetus
                                     information, linked to a wide    for research to bring about
                                     range of health outcomes,        advances in preventing and
                                     to study health. Many            treating a wide range of
                                     studies have published in        disorders more quickly.
                                     expert scientific journals,
                                     Is there a requirement that      their findings public and tell
                                     results must be published        us what, if anything, they
                                     within a particular time?        have patented or otherwise
                                     If so, when and where?           found out that is significant
                                     All researchers using the        for health. Researchers are
                                     UK Biobank resource are          also obliged to return their
                                     required to report annually      results to UK Biobank so that
                                     on the progress of their work.   other researchers can benefit
                                     They are expected to make        from them.
WHOLE GENOME SEQUENCING: Transforming health research - UK Biobank
How big – and how important       you provided when you joined     data on 100,000, eye measures
– is this development?            the study, and subsequent        on 80,000 and a number
UK Biobank is of national         enhancements (genotyping all     of well-supported online
and international strategic       500,000 participants, exome      questionnaires). Research
importance in the global effort   sequencing currently under       based on all of this information
to improve health. The addition   way, detailed imaging of         will contribute to better
of whole genome sequencing        100,000 participants, links to   treatments and improved
is tremendously exciting. It      health records, biochemistry     prevention and diagnosis in the
builds on the baseline data       on 500,000, week-long activity   coming years.

                                  What is the benefit for UK       the potential benefits for the
                                  Biobank participants and the     wider public (including UK
                                  wider public?                    Biobank participants) of having
                                  On joining UK Biobank,           these whole genome sequence
                                  you were told that your          data available for research are
                                  participation may be of no       enormous in understanding and
                                  direct benefit to you, but       treating diseases. Your data and
                                  that it was an investment        samples now comprise one of
                                  for future generations. UK       (if not the) most extensive and
                                  Biobank does not provide         widely used research resources
                                  feedback to participants, but    worldwide.

 Relevant links:

 Whole genome sequencing – first 50,000 announced: https://www.ukbiobank.ac.uk/2018/04/
 whole-genome-sequencing-will-transform-the-research-landscape-for-a-wide-range-of-
 diseases/

 UK Biobank genetics in the news: https://www.ukbiobank.ac.uk/genetics-in-the-news/

 Tantalising and exciting: UK Biobank genetics opens the door to a new era of health
 research: http://www.ukbiobank.ac.uk/2018/10/tantalising-and-exciting-uk-biobank-genetics-
 opens-the-door-to-a-new-era-of-health-research-2/
WHOLE GENOME SEQUENCING: Transforming health research - UK Biobank WHOLE GENOME SEQUENCING: Transforming health research - UK Biobank WHOLE GENOME SEQUENCING: Transforming health research - UK Biobank
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