Data Sheet: DNA Analysis VeraCode® ADME Core Panel Investigate pharmacogenetic variations associated with drug metabolism faster than ever before. Highlights • Standardized Content 184 biomarkers in 34 genes, covering >95% of the PharmaADME Core list • Rapid Genotyping Assay 32 samples per run within 8 hours with only 2.5 hours hands-on time • Highest Quality Data Specific assay chemistry and integrated quality controls enable ≥99.5% concordance and ≥99.5% reproducibility Introduction Understanding genetic variability associated with drug response and disposition is a key step towards the realization of personalized medicine. Biomarkers that indicate levels of absorption, distribution, metabolism, and excretion (ADME) need to be analyzed and studied for each newly developed potential pharmaceutical compound. The quicker this analysis is completed, the sooner a compound can be categorized as a possible drug candidate or discarded, enabling faster, less expensive product development. To help researchers succeed in their ADME pursuits, Illumina introduces the VeraCode ADME Core Panel. The VeraCode ADME Core Panel offers the most complete representation of the ADME content that matters most. Focused on the standardized PharmADME Core list1 and leveraging the innovative VeraCode technology2, this panel streamlines drug metabolism biomarker analysis, allowing these studies to proceed faster than ever before. With the VeraCode ADME Core Panel, researchers can analyze key ADME content in as little as one day. In addition, the VeraCode ADME Panel provides a number of internal controls to ensure precise, verifiable results. High-Value Content The PharmaADME Working Group, consisting of industry and academic experts, has developed a list of genetic content considered standard for pharmacogenetic drug studies, including genes considered valid according to FDA guidance3. Focusing on this standardized PharmaADME Core list enables more comprehensive coverage of the most biologically relevant biomarkers spanning complex regions of the genome. The optimized VeraCode ADME Core Panel covers >95% of these carefully selected markers, including validated DNA-based biomarkers of drug response3, genes with demonstrated association to model drugs, and experimental biomarkers (Table 1). This core content provides the essentials for investigating pharmacogenetic associations to therapeutic substances. Researchers will be able to identify candi- date genes associated with drug ADME for follow-on safety studies, improve their understanding of genotype-specific differential drug metabolism to analyze effects on dosing, and learn more about which alleles may be indicative of drug response. Precisely Assay Complex Genomic Regions ADME-related genes are often found in complex regions of the genome that are difficult for most genotyping assay technologies to target precisely. To overcome this challenge, the VeraCode ADME Core Panel is processed using a highly specific version of the GoldenGate® assay9. To extract a particular region of interest from the rest of the genome, a single primer extension step is conducted with a primer optimized to avoid potentially conflicting regions of the genome. This makes it possible to assay homologous genomic regions that otherwise would suffer from cross reactivity with close relatives (Figure 1). For further specificity, this is followed by an allelespecific primer extension and ligation step. The result is an assay that provides the highest quality data (Table 2). Quick Assay Turnaround Within the VeraCode ADME Core Panel, complex regions are isolated into three highly optimized reaction pools. In combination with the initial primer extension step, this makes it possible to quickly and precisely genotype several complex regions of the genome, including tri-allelic SNPs, SNPs in close proximity, indels, homologous regions, and copy number variants. One technician can easily assay up to 32 samples per run within a single work shift with less than 2.5 hours of hands-on time (Figure 2). Up to two plates (64 samples), can be processed simultaneously. Table 1: ADME core genes (34 genes) ABCB1 CYP2C19 DPYD SLC22A1 SLC22A2 TPMT ABCC2 CYP2C8 GSTM1 ABCG2 CYP2C9 GSTP1 SLC22A6 UGT2B15 UGT1A1 CYP1A1 CYP2D6 GSTT1 SLCO1B1 UGT2B17 CYP1A2 CYP2E1 NAT1 SLCO1B3 UGT2B7 CYP2A6 CYP3A4 NAT2 SLCO2B1 VKORC1 CYP2B6 CYP3A5 SLC15A2 SULT1A1 The essential genes that populate the VeraCode ADME Core Panel include several with well-known associations to model drugs. For example, CYP2D6 has been associated with the metabolism of certain antidepressants, antopsychotics, beta blockers like metoprolol, opioids like morphine, cancer drugs like Tamoxifen and many others4–8,CYP2C19 has been associated with the metabolism of the anti-platelet Plavix, and CYP2C9 and VKORC1 are most well known for their association to warfarin sensitivity. For a detailed VeraCode ADME Core SNP list please contact your account manager or visit www.illumina.com/VeraCodeADME. Data Sheet: DNA Analysis Figure 1: Highly Specific Genotyping Assay 100% 97% 2C19 2C18 100% 100% 2C9 2C8 SNP Region -specific primer Extended product GoldenGate oligos GoldenGate Genotyping Assay CYP2C9*2 (Conventional) CYP2C9*2 (Conventional ) CYP2C9*2 CYP2C9*2 (VeraCode ADME Core) (VeraCode ADME Core ) Verified Verified *2HETs HETs Intensity (B) Intensity (B) Verified Verified *2HETs HETs *1 Intensity (A) Intensity (A) The CYP450 gene family includes a tetrad of closely related genes: CYP2C18, CYP2C19, CYP2C9 and CYP2C8. Using an upfront targeting approach, a specific gene of interest can be pulled out from the genome, avoiding other homologous regions, and can each be analyzed precisely with excellent discrimination. Figure 2: Fast, Simplified Workflow = incubation 5 min ix A ix B ix C gMgM gM alinealin ealin e n n n An An An go ligo ligo Oli OGenomic O DNA (250 ng per single use) B ix A ix ix C gM gM gM tin etin etin e rg rg rg Ta Ta Ta 32 DNA Samples NaOH Targeting Reaction NaOH Capture by PMP Oligo Annealing P2 Biotin | WashSNP locus T P3 Wash - Biotinylate genomic DNA Pre-PCR (2 hr 15 min) Ligation Multiplexed Universal PCR P2 Hybridization T A Ad dre ss P3 Scan Wash Extend, ligate, elute P1 | P2 P3 Amplify by universal PCR Post-PCR (5 hr 15 min) Using the VeraCode ADME Core Panel, 32 samples can be processed per run. An initial round of primer extension is used to target regions of interest into three optimized assay pools using biotinylated primer mixes. Products are isolated onto paramagnetic particles for subsequent allele-specific extension and ligation followed by universal PCR amplification. A single plate transfer applies amplified material to VeraCode beads for hybridization and scanning on the BeadXpress® Reader. The total assay time is <8 hours with 2.5 hours of technical hands-on time. One technician can process up to two plates simultaneously for 64 samples. Internal Controls Carefully designed positive and negative internal control assays are included in each reaction within the VeraCode ADME Core Panel to monitor sample processing and quality control (Figure 3). These controls aid in the identification of low DNA quality or quantity, reagent failures, operator failures, and run performance issues. A panel of 13 high minor allele frequency SNPs are included as a positive control in each assay pool to create a sample barcode and enable detection of sample pipetting errors. Negative controls are included in each reaction to ensure proper pairing and position of assay subpools. Data Sheet: DNA Analysis Table 2: ADME Core Panel Performance Specifications Parameter Performance Specification Locus Success Illumina Validation (465 samples, 3 users, 3 systems) ≥95% ≥95% Assay Time, 32 samples DNA to data Hands-on time ≤8 hr 7 hr 38 min ≤2.5 hr 1 hr 37 min Sample Throughput 1 user, 1 run, 1 plate 32 32 Integrated Software 1 user, 1 run, 2 plates 64 64 VeraScan offers integrated system software with a convenient user interface that manages user authentication, enforces instrument maintenance, and produces detailed sample reports. Genotype data generated from a run is displayed in concise plots on the screen and is automatically translated into star allele calls in .CSV and .PDF reports. Reports can be configured to include specified genes and/or alleles within the ADME Core Panel for more focused analysis. Average Call Rate ≥98% 99.5% Concordance* ≥99.5% 99.8% Reproducibility ≥99.5% 99.8% To ensure data integrity, the software only reports assay results when the controls perform as expected. Data from each assay pool is bioinformatically combined to create pharmacogenetic profiles for each sample. Sample identity is verified by the software using the 13 positive control SNPs present in each assay. Additionally, panel results are translated into a barcode that uniquely identifies each sample. This barcode is included in the analysis report for added traceability. For added convenience, VeraReport, an off-line reporting tool that enables review of past runs and off-site analysis in other areas of the lab, is also included. Conclusion * Concordance with reference data from the Infinium® assay, Genome Analyzer, and Sanger sequencing. In a study with 465 DNA samples, the VeraCode ADME Core Panel produced data with a high average call rate (99.49%), excellent reproducibility (99.77% on average), and high concordance (99.84% overall) with whole-genome genotyping and sequencing data for genotyping assays, and with quantitative PCR10 for CNV assays. Figure 3: Fully Integrated Quality Control Internally “barcoded” samples 10101100...0011 10101100...0011 10101100...0011 The VeraCode ADME Core Panel provides researchers with the most coverage of biologically relevant pharmacogenetic information. With a streamlined assay chemistry and precise, integrated internal controls, researchers can quickly and reliably assess pharmacogenetic profiles for their drug metabolism studies. AOP4C MTR4C AOP4B MTR4B AOP4A MTR4A Correct pairing of oligo pools is internally controlled MTR = Subpool specific Targeting Mix AOP = Subpool specific Assay Oligo Pool Each VeraCode ADME Core Panel includes internal controls to monitor assay performance and detect potential error. Internally barcoded samples control for correct sample position and DNA quality and quantity while providing added traceability through a run. Negative controls monitor the correct pairing and position of the targeting mix and assay oligos within assay subpools. Data Sheet: DNA Analysis References Ordering Information 1. www.pharmaadme.org 2. http://www.illumina.com/downloads/VeraCodeTechSpot.pdf Product 3. H uang SM, Goodsaid F, Rahman A, Frueh F, Lesko LJ (2006) Application of pharmacogenomics in clinical pharmacology. Toxicol Mech Methods.16: 89–99. VeraCode ADME Core Panel 4. http://medicine.iupui.edu/clinpharm/ddis/table.asp Quantity Catalog No. 32 samples VC-901-0201 160 samples VC-901-0200 5. G oldstein JA (2001) Clinical relevance of genetic polymorphisms in the human CYP2C subfamily. Br J Clin Pharmacol. 52: 349–355. 6. B adyal DK and Dadhich AP (2001) Cytochrome P450 and drug interactions. Indian J Pharmacol. 33: 248–259. 7. B ristol-Myers Squibb/Sanofi Pharmaceuticals Partnership (2009) Package Insert, PLAVIX (clopidogrel bisulfate) tablet, film coated. 8. B ristol-Myers Squibb (2009) Package Insert, Anticoagulant Coumadin® Tablets (Warfarin Sodium Tablets, USP) Crystalline. 9. http://www.illumina.com/downloads/GoldenGateVeraCodeWhitePaper.pdf 10. McCarroll SA, Hadnott TN, Perry GH, Sabeti PC, Zody MC, et al. (2006) Common deletion polymorphisms in the human genome. Nat Genet. 38: 86–92. Illumina, Inc. • 9885 Towne Centre Drive, San Diego, CA 92121 USA • 1.800.809.4566 toll-free • 1.858.202.4566 tel • techsupport@illumina.com • illumina.com For research use only © 2010 Illumina, Inc. All rights reserved. Illumina, illuminaDx, Solexa, Making Sense Out of Life, Oligator, Sentrix, GoldenGate, GoldenGate Indexing, DASL, BeadArray, Array of Arrays, Infinium, BeadXpress, VeraCode, IntelliHyb, iSelect, CSPro, GenomeStudio, Genetic Energy, HiSeq, HiScan, Truseq, and Eco are registered trademarks or trademarks of Illumina, Inc. All other brands and names contained herein are the property of their respective owners. Pub. No. 170-2009-009 Current as of 03 November 2010