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Unraveling the power of unique molecular identifiers in cancer research.

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Introduction

Unique molecular identifiers (UMIs) help distinguish original molecules from PCR duplicates in next-generation sequencing (NGS). This article explains their use in cancer genomics.

What Are UMIs?

UMIs, also referred to as “Molecular Barcodes” or “Random Barcodes”, are short nucleotide sequences that are incorporated into NGS libraries. They are used to tag each library molecule present in the sample with a unique sequence, allowing accurate assessment of its complexity.

The presence of UMIs serves two essential purposes:

PCR Duplicate Removal: PCR duplicates can bias downstream analyses, especially when starting with low inputs of sample or when working with regions with high GC content. UMIs enable the differentiation of duplicates (which share same UMI sequence) from true copy number (each copy with a different UMI sequence), enhancing the accuracy of variant calling.

Error Correction: UMIs support duplicate identification and consensus-based suppression of amplification and sequencing errors. Sample-index misassignment is addressed through sample-index design and demultiplexing, including UDI filtering. By tagging each original molecule with a unique barcode, UMIs allow us to distinguish true variants from artifacts.

Benefits of UMIs in Cancer Research
  1. Reducing False Positive Calls: UMIs allow reads from the same original molecule to be grouped for deduplication and consensus calling, helping suppress amplification and sequencing errors. They do not independently prevent sample-index misassignment.
  2. Rare Variant Detection: NGS data typically has low error rates, but when errors appear they are often confused with true low-abundance variants, a relevant aspect for our understanding of cancer. UMIs enhance our ability to detect ultralow frequency mutations. For example, it has been recently shown that mutations at allelic frequency as low as 0.1% can be detected in UMI-tagged cell free DNA (cfDNA) samples from Non-small cell lung cancer patients.
  3. Tracking clonal evolution: Tumors are composed of genetically diverse subclones that evolve due to mutations, selection pressures, and microenvironment interactions. With UMIs, researchers can pinpoint mutations present in a small subset of cells. By analyzing genetic heterogeneity across different tumor regions, we gain insights into tumor progression and therapeutic responses.
  4. Robust Gene Expression Quantitation: Computational removal of PCR duplicates based only on mapping coordinates introduces bias and information loss. Common practice involves removing all but one read of identical sequences, assuming they were created from the same cDNA molecule by PCR. However, this assumption may not hold especially for deep sequencing studies. Alignment will remove many biologically meaningful reads, and this is more likely to happen with highly abundant transcripts. Incorporation of UMIs provides a more reliable and precise way to quantify gene expression levels. This is crucial for understanding cancer-related pathways and identifying potential therapeutic targets.
Practical Applications

Patient management: UMIs are increasingly used in clinical settings for personalized cancer treatment. Accurate variant calling informs treatment decisions.

Drug Development: Researchers use UMIs to identify drug-resistant variants and study tumor evolution during treatment.

Minimal Residual Disease Detection: UMIs help detect residual cancer cells after treatment, guiding follow-up care.

Conclusion

UMIs support more accurate analysis of rare variants, tumor heterogeneity, and gene expression by identifying reads derived from the same original molecule.

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