MINTIE: identifying novel structural and splice variants in transcriptomes using RNA-seq data

Abstract

Genomic rearrangements can modify gene function by altering transcript sequences, and have been shown to be drivers in both cancer and rare diseases. Although there are now many methods to detect structural variants from Whole Genome Sequencing (WGS), RNA sequencing (RNA-seq) remains under-utilised as a technology for the detection of gene altering structural variants. Calling fusion genes from RNA-seq data is well established, but other transcriptional variants such as fusions with novel sequence, tandem duplications, large insertions and deletions, and novel splicing are difficult to detect using existing approaches. To identify all types of variants in transcriptomes, we developed MINTIE, an integrated pipeline for RNA-seq data. We take a reference free approach, which combines de novo assembly of transcripts with differential expression analysis, to identify up-regulated novel variants in a case sample. We validated MINTIE on simulated and real data sets and compared it with eight other approaches for finding novel transcriptional variants. We found MINTIE was able to detect >85% of variants while no other method was able to achieve this. We applied MINTIE to RNA-seq data from a cohort of acute lymphoblastic leukemia (ALL) patient samples and identified several clinically relevant variants, including a recurrent unpartnered fusion involving the tumour suppressor gene RB1, and variants in ALL-associated genes: tandem duplications in IKZF1 and PAX5, and novel splicing in ETV6. We further demonstrate the utility of MINTIE to identify rare disease variants using RNA-seq, including the discovery of an inter-chromosomal translocation in the DMD gene in a patient with muscular dystrophy. We posit that MINTIE will be able to identify new disease variants across a range of cancers and other disease types.