State of the Art for Autonomous Detection Systems using Genomic Sequencing. Chris Detter (LANL) Gary Resnick (Retired!)

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State of the Art for Autonomous Detection Systems using Genomic Sequencing Chris Detter (LANL) Gary Resnick (Retired!)

1. BioWatch Needs Outline 2. Current State of Sequencing 3. NGS Process Flow and Applications 4. Rapid Response Scenario / Metagenomics at Play 5. Potential for Sequencing to Meet BioWatch Autonomous Detection (Requirement areas) 6. Readiness Levels: Tier 1, 2, 3 7. Key Points

BioWatch Needs 1. Affordable Continuous Coverage of At-Risk Populations 2. Accuracy and Precision Supporting High Regret Responses 3. Responsiveness to Full Scope of BW/BT Threat

High-Throughput DNA/RNA Sequencing Technologies Sanger -1975 ABI gel automated -1986 ABI Capillary 1999 current Past ---> Present ---> Future Who will win and What s next??? 2010 2005 2007 / 2010/2012 2011 (miseq) 2011 Single Molecule Seq. Pyrosequencing Seq. by Synthesis 8 hrs 400bp / 400Mb Roche 454 2 nd Gen 2-10 days 250bp / 600Gb Hiseq2500 2 nd Gen Semiconductor Seq. Capillary Based Sequencer, 70 kb / run Needed higher throughput new technologies Must be relatively cost effective & flexible 4000bp / 80Mb PacBio 3 rd Gen 60 min 2 hrs 400bp / 60Mb Ion Torrent 2 nd Gen

NGS process workflow Sample (throat swab, blood, soil surface, water, etc.) Preparation of a sequencing library Clonal amplification of library fragments Sequencing Computational analysis of sequencing reads

NGS applications Detection and characterization of pathogens: - in the environment (soils, rivers, etc) - facilities (hospitals, dorms, offices, etc) -animals -people Clinical Sample types Environmental Swabs Blood Stool Swipes Soil Liquids Culturing and DNA/RNA extraction (pure cultures) DNA / RNA extraction Preparation of sequencing libraries (amplicons or shotgun libraries) Sequencing on next generation platforms MiSeq (Illumina) PGM / Proton (Ion Torrent/Life Tech)

Sequencing Applications Pipeline Description Information provided Amplicon Sequencing Sequencing mixed samples Sequencing an isolate (one organism) Rapid sequencing of small portions of target genomes Shotgun sequencing of environmentalor clinical samples Full genome sequence of a single organism after laboratory isolation and growth ID &characterize known pathogens and features Can test 100 s of samples ID &characterize both known and emerging pathogens IDsequences associated with specific outbreaks Allows rapid detection of the same pathogen in future outbreaks

Rapid Response Scenario Sample A Environmental Sample Sample prep issues Standard and WGA seq ed 4 platforms generated data for target Francisella tularensis PacBio ID target first at 2.5d (WGA product) Illumina data sets obtained F. tulgenome at 19x coverage with 99.6% of the genome covered (as compared to the FSC198 reference) Individual & combined assemblies and annotations generated and uploaded to BioAgent

Rapid Response Scenario Sample B Clinical Sample Sample prep issues Standard and WGA seq d 4 platforms generated data for target Hepatitis B virus PacBio ID target first at 22hrs (standard product) >19,000x (100%) coverage generated Assembly/Mapping & Annotation generated and uploaded to BioAgent Yersinia enterolitica LANL ID in all platforms. PB: 5 of 226,787 filtered reads (0.002%) map to Yersinia 454: 8 of 398,565 reads (0.002% of reads) (by blast) map to Yersinia Illumina: 279 of 815,836 (.00003%) mapped to Yersinia HepB Virus reads, mapped to H5 reference Described symptoms suggested causative agent was likely Yersinia, not Hep B

Potential for Sequencing to Meet BioWatch Autonomous Detection Sensitivity Specificity Requirement Areas: Size and Functionality Measuring Timelines Measuring Interval Cost Automation Operation Environment

Readiness Levels Tier 1-TRL 6 by 2016 Uses High-throughput Amplicon Sequencing Benefits from comprehensive knowledgebase generated from NGS Requires engineering of existing technology & integration into BioWatch system Detects all known pathogens, antibiotic resistance markers, & virulence factors Has limited ability to identify emerging threats, especially RNA viruses Tier 2-TRL 6 by 2020 Uses improved NGS technology to provide for metagenomic sequencing Can also detect many emerging pathogens, including engineered ones Even with improved sequencing speeds, the requirement to prepare libraries slows the overall process down Tier 3-TRL 6 >2020 Use a future sequencing technology (i.e. Oxford Nanopore or Gen2 Pacbio) to rapidly perform metagenomic sequencing of environmental samples Similar to Tier 2, but no library prep needed and has a much reduced reagent requirement

Key Points 1. Sequencing is rapidly becoming the Gold standard for Biological Identification Phylogeny is being revisited Can cover the entire threat (e.g. SARS, Novel Coronavirus, etc.) 2. We don t yet know the full potential of sequencing for Bio Detection in the field Designed for high-throughput (Human Genome) Hardware and Knowledgebasesare already being built (dual use platforms will be most effective.share cost, risk, & processes) Forensics and Biosurveillance share a similar Seq adoption path Has transformed microbiology in the background (e.g. NIH s human microbiome project, BGI s 10k microbial genome project, JGI s microbial earth project)

Key Points (cont.) 3. Bioinformatics and Metadata will be key Opportunity to have a shared knowledgebase across all venues Possible core analysis brain with many functional nodes Sequence everything and let the bioinformatics gods sort it out! Need a rapid decision process 4. Need autonomous and modular platform Integration & Engineering will be challenging, but huge unknown since we have not really tried it yet Ease of use is critical for wide acceptance (i.e. Apple products) 5. Must be responsive to the public health official s needs Provide acceptable & actionable information for their decision making process