nogrady veracode 2009 - illumina, inc....• micro rna discovery & profiling •wg cspeq-hi •...
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© 2009 Illumina, Inc.Illumina, Making Sense Out of Life, Sentrix, GoldenGate, DASL, Oligator, Infinium, GenomeStudio, BeadArray, Array of Arrays, BeadXpress, VeraCode, IntelliHyb, iSelect, CSPro, and Solexa are registered trademarks or trademarks of Illumina Inc.
VeraCode TechnologyFrom Research to DiagnosticsJune 22, 2009
2
Integrated Platform Solutions
110102103104105106107108>109
Discovery Focused Research & Validation Molecular Dx
Whole Genome Single Marker
Genome Analyzer
• WG Resequencing• WG Gene Expression• Micro RNA Discovery &
Profiling• WG ChIP-Seq
• Candidate-Region resequencing
• Whole Chromosome sequencing
• Gene Expression• WG Genotyping• WG CNV• Biomarker Discovery• Cytogenetics
• HT Biomarker/lead validation
• Custom genotyping• Focused expression• DASL for FFPE
• Low/mid density GT/GEX/Methylation
• Protein applications• Biomarker screening• Biomarker panels
iScanTM
BeadXpress
3
Illumina’s Solution for Diverse Applications
Cylindrical glass microbeads
240 μm length x 28 μm diameter
VeraCode® Technology
4
VeraCode Technology
CODE IMAGE
1 0 1 1 0 1 0 1 0 0 0 0 1 0 1
BINARY CODE DECIMAL CODE= 41133
CODE GENERATED BY CREATING EMBEDDED HOLOGRAPHIC DIFFRACTIVE ELEMENTS
High Density Codes Easily Imprinted (24 bit)
Virtually Unlimited Unique Bead Codes Available –626 unique codes used in launched products
Glass Surface of Beads Ideal for Bioassays –numerous surface chemistries available
Specific panels created easily with addition or removal of specific bead types
CONVENTIONALCCD CAMERA
BEAD
“READING”BEAM
5
BeadXpress™ Reader
INSTRUMENT SPECIFICATIONS
Regulatory Design ControlREGULATORY
Optional 1 or 2 color detectionDETECTION
120 samples/hr at 10-plex (two-color detection)80 samples/hr at 96-plex (two-color detection)THROUGHPUT
1 to 384MULTIPLEXING PER SINGLE WELL
Standard 96-well plate & Stripwell PlatesSAMPLE DELIVERY FORMAT
ASSAY BEAD KIT
SAMPLE PLATE
ASSAYCODE
LIBRARY
DATA & LOG FILES
6
VeraCode Technology
EIGHT WELLS ARE SAMPLED SIMULTANEOUSLY AND MICROBEADS ARE TRANSFERRED INTO A MULTI-SECTORED READER CELL.
7
VeraCode Technology
GROOVE PLATECROSS-SECTION
BEADS FALLINTO GROOVE
PLATE
CAPILLARY FORCE ATTRACTS BEADS INTO GROOVES
BEADS ALIGN TIGHTLY FOR OPTIMAL SCANNING EFFICIENCY
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Code DetectionBEAD
“READING”BEAM
CCD LINE ARRAY
9
VeraCode Custom Products
10
Comprehensive VeraCode product portfolio
VeraCode Carboxyl Bead Sets
VeraCode Universal Capture Bead Sets
Custom GoldenGate Genotyping, 48 to 384-plex
DASL Custom Gene Expression, 96 & 384-plex
Custom GoldenGate Methylation, 96 & 384-plex
11
Available Products
CARBOXYL BEAD SETS (PROTEIN BASED ASSAYS)
Unique Bead Code Types in
Tubes
Assay DesignGuidelines
(RUO)
CUSTOMER DEVELOPED ASSAY
+
GUIDELINESPRODUCT
Customer controls level of multiplexing and number of samples
12
COOH-
COOH-
COOH-
COOH-
COOH-
COOH-
COOH-
COOH-
COOH-
COOH-
COOH-
COOH-
COOH-
COOH-
Activate Surface Covalently BindEDC/Sulfo-NHSAntibodiesAntigensPeptides
Streptavidin
NUCLEIC ACID ATTACHMENT: ONE-STEP PROCESS
EDC/Sulfo-NHS plus NH2+Oligo NucleicAcids
PROTEIN ATTACHMENT: TWO-STEP PROCESS
Carboxyl Beads: Chemistry of Attachment
13
Cytokine Sandwich Assay Overview
PEPE
PE
CytokineAntigens
BiotinylatedSecondary Antibody
PE
StreptavidinPhycoerythrin
PEPEPE
Antibodies immobilizedvia COOH surface and EDClinker chemistry
VeraCode Bead
14
Available Products
UNIVERSAL CAPTURE BEAD SETS
Unique Bead Code Types in
Tubes
Assay DesignGuidelines
(RUO)
CUSTOMER DEVELOPED ASSAYS
+
GUIDELINESPRODUCT
Customer controls level of multiplexing and number of samplesVeraCode Primer
Design Software
15
Allele-Specific Primer Extension (ASPE)
Biotin-NTP’sIncorporated
Wild-Type
C B
B
Variant
AGG
C
AGG
C
Primer Not ExtendedPrimer Extended
MismatchMatch
A
16
The VeraCode Assay Designer Solution
Access user-specific accounts
Input SNP targets
Choose workflow option
Customize design parameters
Select among possible assay designs
Download detailed ordering information
17
SAP/EXO
Prepare Microtitre
PlateMultiplex
ASPEMultiplex
PCR
Multiplex ASPE Genotyping Protocol
Add ASPESample Hybridize Detection
Scan
User definedKitting Options
Total Hands On Time ~ 1.5 hr/plateTotal Time (Sample to Answer) ~ 6.5 hours
Total Hands On Time ~ 1.5 hr/plateTotal Time (Sample to Answer) ~ 6.5 hours
18
Low Plex ASPE Genotyping Results
0 10000 20000 30000 40000
Intensity (A)
FII
0
10000
20000
Inte
nsi
ty (
B)
0 2000 4000 6000 8000 1000012000 1400016000 180002000022000 2400026000
Intensity (A)
FV
-2000
0
2000
4000
6000
8000
10000
12000
14000
16000In
ten
sity
(B
)
0 10000 20000 30000
Intensity (A)
MTHFR667
0
10000
Inte
nsi
ty (
B)
0 2000 4000 6000 8000 100001200014000160001800020000220002400026000
Intensity (A)
MTHFR1298
-2000
0
2000
4000
6000
8000
10000
12000
14000
16000
Inte
nsi
ty (
B)
≥ 99.99% reproducibility
100% concordant genotypes
19
Customer Success
Sciona – Health and Wellness company offering genetic testing and personalized exercise, diet and lifestyle recommendations
– Validated assays presented in October 28, 2008 Webinar1
– GSTM1: Deletion of GSTM1 associated with compromised detoxification– GSTT1: Deletion of GSTT1 associated with compromised detoxification– ALDH2: 487 G->A associated with alcohol intolerance– CYP1A1: 462 A->G associated with increased metabolism of carcinogens
Children's Hospital of Eastern Ontario – Newborn screening laboratory testing 135,000 children per year
– Assay development presented at 2008 Illumina Seminar Series2
– HbC, HbE, HbSickle, HbO and HbF: Hemaglobinopathy panel – SMA – Spinal Muscular Atrophy assay looks at gene copy number variation
associated with severity of muscular disease
1: http://www.illumina.com/webinars/archives/archivesWebinars.ilmn?entry=50&w=20
2: http://www.illumina.com/seminars/archive/Crocker_0808_NewbornScreening.pdf
20
Available Products
GOLDENGATE GENOTYPING ASSAY (48, 144, 192 & 384-PLEX)
Assay specific oligos
+Reagents
GoldenGate Genotyping User Manual
(RUO)
GOLDENGATEGENOTYPING
+Beads Pooled in
96-well Plates
(48 to 384-plex/well)
USER MANUALCustom GoldenGate
21
AG
AddressAllele Specific Extension &Ligation
Universal PCR Sequence 1
Universal PCR Sequence 2
Universal PCR Sequence 3’
GoldenGate Genotyping AssayAllele Specific Extension and Ligation
Genomic DNA [T/C] Ligase [T/A]Polymerase
22
A Address #561Amplification Template
PCR with Common Primers
GoldenGate Genotyping AssayAmplification
Cy3 Universal Primer 1
Cy5 Universal Primer 2
Universal Primer P3
23
Hybridization to VeraCode Beads – one SNP per bead type
GoldenGate Assay – two color detection
/\/\/\
/
/\/\/\
/
/\/\/\
/
illumiCode #561
illumiCode #217
illumiCode #1024
/\/\/\
/
/\/\/\
/
A/A G/G C/T
SNP #561 SNP #217 SNP #1024
Bead Code 6457
Bead Code 6002
Bead Code 5433
24
GoldenGate Assay Results
41,184
Total # of Data Points
100%100%99.9%28696
HeritabilityReproducibilityCall RateSamples Tested
Reaction Multiplex
0 0.20 0.40 0.60 0.80 1
Norm Theta
rs2020911
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
No
rm R
48 134 104
0 0.20 0.40 0.60 0.80 1
Norm Theta
rs3136329
0
0.20
0.40
0.60
0.80
1
No
rm R
111 131 420 0.20 0.40 0.60 0.80 1
Norm Theta
rs6748810
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
1.80N
orm
R
97 145 420 0.20 0.40 0.60 0.80 1
Norm Theta
rs1800937
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
1.80
No
rm R
2 42 2410 0.20 0.40 0.60 0.80 1
Norm Theta
rs1005056
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
No
rm R
252 33 00 0.20 0.40 0.60 0.80 1
Norm Theta
rs2059520
0
0.20
0.40
0.60
0.80
1
No
rm R
97 137 450 0.20 0.40 0.60 0.80 1
Norm Theta
rs4148217
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
No
rm R
10 96 1770 0.20 0.40 0.60 0.80 1
Norm Theta
rs13320360
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
No
rm R
268 13 00 0.20 0.40 0.60 0.80 1
Norm Theta
rs1498311
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
No
rm R
28 106 1520 0.20 0.40 0.60 0.80 1
Norm Theta
rs13282019
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
No
rm R
0 44 2390 0.20 0.40 0.60 0.80 1
Norm Theta
rs673548
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
No
rm R
12 77 1960 0.20 0.40 0.60 0.80 1
Norm Theta
rs4784744
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
No
rm R
44 152 900 0.20 0.40 0.60 0.80 1
Norm Theta
rs3825585
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
No
rm R
0 38 246
0 0.20 0.40 0.60 0.80 1
Norm Theta
rs4289236
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
No
rm R
19 82 1840 0.20 0.40 0.60 0.80 1
Norm Theta
rs10514805
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
No
rm R
0 33 2510 0.20 0.40 0.60 0.80 1
Norm Theta
rs4953020
0
0.20
0.40
0.60
0.80N
orm
R
27 105 1530 0.20 0.40 0.60 0.80 1
Norm Theta
rs6720173
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
No
rm R
8 84 1940 0.20 0.40 0.60 0.80 1
Norm Theta
rs3136245
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
No
rm R
29 75 1820 0.20 0.40 0.60 0.80 1
Norm Theta
rs1799898
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
No
rm R
13 61 2120 0.20 0.40 0.60 0.80 1
Norm Theta
rs820299
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
No
rm R
98 147 41
0 0.20 0.40 0.60 0.80 1
Norm Theta
rs3258
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
No
rm R
135 101 500 0.20 0.40 0.60 0.80 1
Norm Theta
rs5927
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
1.80
2.00
No
rm R
16 95 1730 0.20 0.40 0.60 0.80 1
Norm Theta
rs8110695
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
No
rm R
11 70 2030 0.20 0.40 0.60 0.80 1
Norm Theta
rs9326954
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
No
rm R
94 140 520 0.20 0.40 0.60 0.80 1
Norm Theta
rs3791981
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
No
rm R
224 59 00 0.20 0.40 0.60 0.80 1
Norm Theta
rs4952887
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
No
rm R
11 44 2290 0.20 0.40 0.60 0.80 1
Norm Theta
rs1042031
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
1.80
2.00
No
rm R
8 103 1750 0.20 0.40 0.60 0.80 1
Norm Theta
rs2072447
0
0.20
0.40
0.60
0.80
1
No
rm R
173 89 24
0 0.20 0.40 0.60 0.80 1
Norm Theta
rs2569538
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
No
rm R
1 31 2540 0.20 0.40 0.60 0.80 1
Norm Theta
rs4647247
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
No
rm R
0 13 2700 0.20 0.40 0.60 0.80 1
Norm Theta
rs10515198
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
No
rm R
0 40 2400 0.20 0.40 0.60 0.80 1
Norm Theta
rs1801702
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
No
rm R
3 11 2710 0.20 0.40 0.60 0.80 1
Norm Theta
rs4647229
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
No
rm R
276 6 00 0.20 0.40 0.60 0.80 1
Norm Theta
rs1800947
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
No
rm R
23848 00 0.20 0.40 0.60 0.80 1
Norm Theta
rs265431
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
No
rm R
225 59 1
0 0.20 0.40 0.60 0.80 1
Norm Theta
rs2645424
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
No
rm R
51 136 940 0.20 0.40 0.60 0.80 1
Norm Theta
rs9353019
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
1.80
2.00
No
rm R
1 21 2640 0.20 0.40 0.60 0.80 1
Norm Theta
rs2303152
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
No
rm R
0 33 2500 0.20 0.40 0.60 0.80 1
Norm Theta
rs5882
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
No
rm R
117 119 500 0.20 0.40 0.60 0.80 1
Norm Theta
rs1616534
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
No
rm R
83 153 470 0.20 0.40 0.60 0.80 1
Norm Theta
rs1736058
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
1.80
No
rm R
4 96 1800 0.20 0.40 0.60 0.80 1
Norm Theta
rs1800932
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
No
rm R
196 81 90 0.20 0.40 0.60 0.80 1
Norm Theta
rs3805586
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
No
rm R
30 139 1170 0.20 0.40 0.60 0.80 1
Norm Theta
rs13425206
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
No
rm R
0 19 2650 0.20 0.40 0.60 0.80 1
Norm Theta
rs4987188
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
No
rm R
4 12 2700 0.20 0.40 0.60 0.80 1
Norm Theta
rs289741
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
No
rm R
128 112 45
0 0.20 0.40 0.60 0.80 1
Norm Theta
rs9326953
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
No
rm R
168 111 70 0.20 0.40 0.60 0.80 1
Norm Theta
rs748766
0
0.20
0.40
0.60
0.80
1
No
rm R
91 114 800 0.20 0.40 0.60 0.80 1
Norm Theta
rs12056593
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
No
rm R
280 6 00 0.20 0.40 0.60 0.80 1
Norm Theta
rs1146634
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
No
rm R
78 157 510 0.20 0.40 0.60 0.80 1
Norm Theta
rs5930
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
1.80
2.00
No
rm R
63 127 930 0.20 0.40 0.60 0.80 1
Norm Theta
rs4647221
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
No
rm R
253 31 00 0.20 0.40 0.60 0.80 1
Norm Theta
rs4236927
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
No
rm R
263 23 00 0.20 0.40 0.60 0.80 1
Norm Theta
rs7607312
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
No
rm R
70 159 560 0.20 0.40 0.60 0.80 1
Norm Theta
rs267307
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
No
rm R
21963 20 0.20 0.40 0.60 0.80 1
Norm Theta
rs916042
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
1.80
No
rm R
19 35 2300 0.20 0.40 0.60 0.80 1
Norm Theta
rs6741393
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
1.80
No
rm R
0 23 263
0 0.20 0.40 0.60 0.80 1
Norm Theta
rs6718187
0
1
2
No
rm R
64 138 84
0 0.20 0.40 0.60 0.80 1
Norm Theta
rs5880
0
0.20
0.40
0.60
0.80
1
No
rm R
3 24 259
0 0.20 0.40 0.60 0.80 1
Norm Theta
rs533617
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
1.60
1.80
No
rm R
261 24 0
0 0.20 0.40 0.60 0.80 1
Norm Theta
rs17320429
-0.20
0
0.20
0.40
0.60
0.80
1
1.20
1.40
No
rm R
257 19 10
25
Inter-User Variability
9696OPA multiplex
100%
100%99.97%
100%100%99.96%
144
95
User A
100%
98.94%99.74%
100%100%99.92%
User B
99.97%> 99.0%Call Rate100%> 95%Sample Success Rate
100%> 99.5%Heritability (Parent/Parent/Child)
Results
100%> 90%Locus Success Rate
100%100%
User C
> 99.0%Reproducibility> 99.5%Concordance
144Bead Multiplex
95Number of DNA Samples
Setup
TargetSpecification
26
The DASL Assay
/WV/WV
Product capture by hybridization to array
PCR with common primers
Address’P1
P1
P3’
P3
Address
b
b
Total RNA
cDNA synthesis
Query oligo annealing, extension, and ligation
P2
P2
cDNA synthesis includes random priming for fragmented RNAs.
Sequences of ~ 50 nt are targeted for analysis by addressed query oligos.
PCR primers are shared among all targets, and amplicons are a uniform size.
Reproducible across a wide range of RNA degradation.
27
GoldenGate Methylation Assay
1. Bisulfite treatment of DNA● Convert unmethylated cytosine to uracil
2. GoldenGate Assay• DNA Activation
• Allele-Specific Extension (ASE) & Ligation
• PCR Amplification
• Hybridize to Bead Substrate
• Scan
28
GoldenGate Methylation AssayHybridization & Detection
IllumiCode
IllumiCode
IllumiCode
CpG locus 1 CpG locus 2
CpG locus 3
Unmethylated
U/U
Methylated
C/C
Semi-methylated
C/U
29
BeadXpress – Application Versatility
100000
10000
1000
100
10
10.1 1 10 100 1000 10000
Conc (pM)
Cou
nts
AnalyteFit3-sigma LOD
GENE REGULATION PROTEIN EXPRESSION
GENOTYPING
0 1 2 3 4 5
Log10(Conc pg/ml)
IL-6 (6152)
2
3
4
5
Lo
g1
0(N
et R
FU
)
30
The road to diagnostics
31
Bridging from the lab to the clinic
BeadXpress
• Collaborative approach to research
• Constantly improving throughput
• Excellent cost position
• Highly multiplexed
• Multiple markers on one system
Laboratory Translate Clinic
Genome Analyzer
iScan
Services
32
Applications in pharmacogenetics
Whole Genome Association study using Illumina’s HumanHap550
Replication analysis with VeraCode GoldenGate 384-plex on loci associated with Warfarin dose at P value ≤ 10-4 in the index patient population
Conclusions: Common SNPs with large effects on warfarin dose are unlikely to be discovered outside of the CYP2C9 and VKORC1 genes. Randomized clinical trials that account for these 2 genes should therefore produce results that are definitive and broadly applicable.
A genome-wide scan for common genetic variants with a large influence on warfarin maintenance doseCooper GM, Johnson JA, Langaee TY et al. (2008) Blood 112: 1022-1027
BeadXpressiScan
From Whole Genome Association To
Focused analysis and Validation
VeraCode 384plex GGGTHuman Hap550 (>550K SNPS)
33
To Be the Leader in Cancer Translational Diagnostics
Illumina Diagnostics Vision
Next Generation Sequencing
Whole Transcriptome Analysis
Methylation Profiling
Focus Core Technologies on Cancer
34
Ovarian Cancer Will be Our Entry Point
Deadly
Leading cause of death from gynecological cancerFifth leading cause of cancer mortality in womenMortality: 15,520 (US Only)
Laparotomy/Hysterectomy/Remove ovariesFollowed with six cycles of chemotherapyLess than 40% are cured
Incurable
Abdominal/pelvic exam, Ultrasound, CT, CA-125Patients present with a suspicious/palpable massBRCA 1/2 positive in a limited number of cases
Difficult Dx
35
Early Detection for Ovarian Cancer is Critical
Cumulative % of Cases
19% 22%
30% 33%37% 40%
47%
54%
72%
100%
Ia Ib Ic Iia Iib Iic IIa IIIb IIIc IV
Stage at Diagnosis
Late stage diagnosis …
5 Year Survival92%
85%82%
69%
56%51%
39%
26%
17%12%
Ia Ib Ic Iia Iib Iic IIa IIIb IIIc IV
Stage
… results in poor prognosis
36
Gastric Cancer will be Our Second Target
Cardia 15% of Gastric CancersIncreasing due to obesity
Normal
Superficial Gastritis
Atrophic Gastritis
Small intestine Metaplasia
Colonic Metaplasia
Dysplasia
Carcinoma
High pH
Bacterial Growth
N=O Mutagens
NO3-Ascorbic Acid
NaClBeta Carotene
Gastric Carcinogenesis
37
Discovery, Strategy & AdvantagesFocused Approach Addresses Unmet Medical Needs
Begin with 25 Tumor/Normal pairs
Comprehensive genetic analysis
Sequence to 30x coverage whole genome
Analyze full methylome and transcriptome
Validate findings on larger sample size
Implement on flexible platform
Blood TypingStrategy Illumina Advantage
Low cost internal sequencing
Significant throughput improvements
- Currently 1 genome/week internally
Unique bioinformatics capability - Multiple genome analysis
Capable of analyzing across methods
Ability to deploy content on arrays
BeadXpress optimal for multiplemethods
38
Oncology Discovery – Identify novel biomarkers
Sequencing Services – Utilize service lab for rapid translation
Platform Partnering – Build a large installed base
Illumina Diagnostics StrategyTo be the leader in cancer translational diagnostics
• Identify novel biomarkers for the early detection of ovarian cancer• Identify novel biomarkers to indicate response to platinum therapy in late stage ovarian cancer
• Establish a CLIA laboratory• Begin to offer services in the oncology area based on the ovarian biomarkers
• Partner with content providers• Enable broad adoption with removal of royalty burden• Internally develop products to create breadth of menu