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HRD主要病因有3种:①突变(包括胚系BRCA基因、胚系HR基因和体细胞HR基因),②结构重排(LOH,杂合性丢失;TAI,端粒等位基因失平衡;LST,大片段迁移),③表观遗传修饰(启动子甲基化)。
1:Loss of Heterozygosity杂合性缺失:1)长于15Mb,2)短于整个染色体LOH区域数量
Abkevich V, Timms K M, Hennessy B T, et al. Patterns of genomic loss of heterozygosity predict homologous recombination repair defects in epithelial ovarian cancer[J]. British journal of cancer, 2012, 107(10): 1776-1782.
2:Large Scale Transitions (LST)大片端迁移:过滤掉小于3 Mb的区域后,超过10 Mb的区域之间的断点数量
Popova, T., E. Manie, G. Rieunier, V. Caux-Moncoutier, C. Tirapo, T. Dubois, O. Delattre, et al. 2012. “Ploidy and large-scale genomic instability consistently identify basal-like breast carcinomas with BRCA1/2 inactivation.” Cancer Res. 72 (21): 5454–62.
3:Telomeric Allelic Imbalances(TAI)端粒等位基因不平衡:1)延长至亚端粒之一;2)不穿过着丝粒;3)大于11Mb的等位基因不平衡区域数量
Birkbak, N. J., Z. C. Wang, J. Y. Kim, A. C. Eklund, Q. Li, R. Tian, C. Bowman-Colin, et al. 2012. “Telomeric allelic imbalance indicates defective DNA repair and sensitivity to DNA-damaging agents.” Cancer Discov 2 (4): 366–75.
HRD score = sum of the TAI, LST, and LOH scores
二代测序数据分析:
scarHRD R软件包 https://github.com/sztup/scarHRD
基于低深度全基因组测序分析:
shallowHRD R软件包 https://github.com/aeeckhou/shallowHRD
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