WGS and RNA sequencing analyses
WGS results . | ||
---|---|---|
Expected findings if HCC was caused by rAAV direct integration . | Expected findings if HCC was not caused by rAAV direct integration . | Observed findings . |
Integration of vector sequences in or near known oncogenes. | Common HCC mutations (eg, TP53 or NFE2L2).21 | WGS provided a genome coverage of 120× and 107× for the HCC and HCC-adjacent sample, respectively. |
No AAV ISs near oncogenes. | WGS identified 3 additional ISs in the HCC and 2 in the HCC-adjacent sample. | |
No IS was identified in >1 read, indicating a low IS rate in the liver and a lack of a dominant IS in the HCC sample. | ||
Independent of etranacogene dezaparvovec treatment there were the following mutations:Mutations in TP53, NFE2L2, and PTPRKLarge chromosomal rearrangements in chromosomes 1, 8, and X, characteristic of HCC | ||
In addition, vector integration events occurred at a low rate and in genomic sites not known to be associated with HCC. | ||
RNA sequencing transcriptome profiling | ||
|
| RNA transcripts identified that are among the most consistently differentially expressed in HCC (arising independent of AAV), including COL1A1, LCN2, AEBP1, and CRP. |
WGS results . | ||
---|---|---|
Expected findings if HCC was caused by rAAV direct integration . | Expected findings if HCC was not caused by rAAV direct integration . | Observed findings . |
Integration of vector sequences in or near known oncogenes. | Common HCC mutations (eg, TP53 or NFE2L2).21 | WGS provided a genome coverage of 120× and 107× for the HCC and HCC-adjacent sample, respectively. |
No AAV ISs near oncogenes. | WGS identified 3 additional ISs in the HCC and 2 in the HCC-adjacent sample. | |
No IS was identified in >1 read, indicating a low IS rate in the liver and a lack of a dominant IS in the HCC sample. | ||
Independent of etranacogene dezaparvovec treatment there were the following mutations:Mutations in TP53, NFE2L2, and PTPRKLarge chromosomal rearrangements in chromosomes 1, 8, and X, characteristic of HCC | ||
In addition, vector integration events occurred at a low rate and in genomic sites not known to be associated with HCC. | ||
RNA sequencing transcriptome profiling | ||
|
| RNA transcripts identified that are among the most consistently differentially expressed in HCC (arising independent of AAV), including COL1A1, LCN2, AEBP1, and CRP. |
AEBP1, Ae binding protein 1; COL1A1, α-1 type I collagen; CRP, C-reactive protein; LCN2, lipocalin-2.
For more detailed results, please see supplemental Material.