UOA10-09: Driving clinical genetic testing and biotechnology development based on the International HapMap Project
Submitting Institution
University of OxfordUnit of Assessment
Mathematical SciencesSummary Impact Type
TechnologicalResearch Subject Area(s)
Mathematical Sciences: Statistics
Biological Sciences: Genetics
Summary of the impact
The International HapMap project was a major international research
collaboration to map the structure of common human genetic variation
across populations from Europe, Asia and Africa. Mathematical Scientists
from the University of Oxford played key roles in the development of
statistical methods for the project, along with its overall design and
management of the International HapMap Project.
Companies have used HapMap as the primary resource to design genome-wide
microarrays to make novel discoveries in, for example, pharmacogenetic
studies. The size of this market is estimated at $1.25 billion.
One novel discovery has led to a genetic test that is predictive of
sustained viral suppression in patients treated for chronic hepatitis C.
An estimated 2.7 to 3.9 million people are affected by HCV infection. This
test is sold commercially by the company LabCorp and is a significant
contributor to the company's testing volume. Finally, the project has been
important in widening the public understanding of genetic variation.
Underpinning research
The International HapMap Project was an international collaboration of
research institutions from the UK, US, Canada, Japan, China and Nigeria
(for details see www.hapmap.org). The
project assayed genetic data on a sample of individuals from around the
world in order to map the patterns of common genetic variation. The HapMap
project had two main strands: data production and data analysis. The data
analysis group was co-chaired at different times by Professor Peter
Donnelly and Professor Gil McVean and they and other statisticians from
the University of Oxford (Dr Jonathan Marchini, Dr Simon Myers) played key
roles in developing statistical methods that were used in the project to
generate and analyse the data; they made a very substantial contribution
to the analysis work. Furthermore, Professor Donnelly sat on the main
HapMap committee and played a pivotal role in the feedback from analysis
to experimental design.
The human genome consists of a sequence of 3 billion base pairs, but only
a small fraction of these positions vary between individuals. The
experiments carried out by the HapMap project discovered many millions of
these variable positions, known as Single Nucleotide Polymorphisms (SNPs).
The analysis of the data provides an understanding of the structure of
common human genetic variation, in particular, how SNPs at nearby
locations in the genome are arranged into common combinations or
haplotypes. The project showed that well-powered genome-wide analyses of
SNPs can be carried out by assaying only a fraction of all SNPs in the
genome, through exploiting the correlation structure of nearby SNPs.
The main product of the HapMap project was the set of haplotypes on the
270 individuals. Each individual's genome consists of two copies of each
chromosome, one from each of their parents. These copies are known as
haplotypes. Haplotypes are not directly observed by the genotyping
technologies that were used by the project, so statistical methods were
needed to infer the haplotypes from the genotypes. In a precursor paper
[1], Donnelly and Dr Matthew Stephens (a PDRA) developed a method to
achieve this. As the HapMap project progressed, it became necessary to
select from a number of competing methods to perform this inference.
Marchini and Donnelly led the effort within the project to compare
different methods and develop new methods for haplotype estimation. This
work was published in the American Journal of Human Genetics in 2006 [2]
and the methods of Donnelly and Stephens, as further developed by Marchini
and Donnelly, were used to estimate haplotypes in the project's two main
papers in Nature [3,4].
In parallel, Myers, McVean and Donnelly developed a method for estimating
fine-scale recombination rates from the project data. The recombination
maps provided an insight into the underlying evolutionary forces that
shape the patterns of genetic variation found in the project data [5].
This work has further led directly to the identification of the first
sequence motifs that are associated with hotspot activity in humans and
evidence that these same motifs mark sites of recurrent disease-causing
genomic rearrangements in humans [6]. The fine-scale genetic maps produced
by Myers, McVean and Donnelly and their research groups have been used in
effectively all the subsequent genome-wide association studies (GWAS) to
delimit regions of associations, and to pinpoint the natural candidate
genes underpinning the association findings.
The first phase of the project was completed and published, with very
substantial public interest, in 2005 [3]. Donnelly was co-chair of the
Analysis Group during the first phase, co-wrote [3] and is joint
corresponding author. A second phase of the project, published in 2007
[4], produced genotypes at 3.1 million SNPs from 270 people of European,
African, Japanese and Chinese ancestry. McVean was co-chair of the
Analysis Group in Phase 2, wrote [4] and is joint corresponding author.
Work was carried out during the period 1999-2008. All the key researchers
were at the University of Oxford when the research was carried out.
Donnelly has been Professor of Statistical Science since 1996. From 2007
he has been Director, Wellcome Trust Centre for Human Genetics. McVean was
a Royal Society University Research Fellow from 2000-2004. Since then he
has been a University Lecturer in Mathematical Genetics and has been on
secondment as Head of Bioinformatics and Statistical Genetics at the
Wellcome Trust Centre for Human Genetics, since 2010. Marchini held a
Wellcome Trust Postdoctoral Fellowship from 2002-2005. In 2005 he became a
University Lecturer in Statistical Genetics. Myers was a Nuffield Trust
Fellow in Medical Mathematics from 2002-2005. He was then a Broad Fellow
at the Broad Institute of MIT and Harvard, USA from 2005-2007. Since 2007
he has been a University Lecturer in Bioinformatics.
Stephens was a postdoctoral researcher at the University of Oxford from
1997-2000.
References to the research
*[1] M Stephens, N Smith and P Donnelly (2001) A New Statistical Method
for Haplotype Reconstruction from Population Data. American Journal of
Human Genetics 68:978-989. DOI: 10.1086/319501
*[2] J Marchini, D Cutler, N Patterson, M Stephens, E Eskin, E Halperin,
S Lin, Z Qin, H Munro,
G Abecasis, P Donnelly, and International HapMap Consortium (2006) A
Comparison of
Phasing Algorithms for Trios and Unrelated Individuals. Amercan
Journal of Human
Genetics, 78 437-450. DOI:10.1086/500808
*[3] The International HapMap Consortium. (2005) A haplotype map of the
human genome. Nature 437, 1299-1320 DOI:10.1038/nature04226
[4] The International HapMap Consortium (2007) A second generation human
haplotype map of over 3.1 million SNPs. Nature 449, (7164):851-61.
DOI:10.1038/nature06258
[5] GA McVean, SR Myers, S Hunt, P Deloukas, DR Bentley, and P Donnelly.
(2004) The fine-scale structure of recombination rate variation in the
human genome. Science. Apr 23; 304 (5670): 581-4.
DOI:10.1126/science.1092500
[6] SR Myers, C Freeman, A Auton, P Donnelly, G McVean. (2008) A common
sequence motif associated with recombination hot spots and genome
instability in humans. Nat Genet. 40, 1124-1129.
doi:10.1038/ng.213
The three asterisked outputs best indicate the quality of the
underpinning research. All six papers are in high quality internationally
refereed journals.
Details of the impact
The HapMap project has led to three areas of impact. Firstly, it has made
an economic impact on biotech and diagnostic companies by facilitating the
introduction of new products and services, which have led to substantial
wealth creation for these companies since 2008 (the official release of
HapMap was 20 December 2007, see hapmap.ncbi.nlm.nih.gov). Secondly, the
project has led to a new diagnostic test that has been widely adopted that
can guide doctors and patients when considering drug treatment for
hepatitis C virus. Finally, the project has had an impact on society by
increasing the public interest in, and engagement with, science. Specific
details of these impact areas are as follows.
Economic impact: facilitating biotech companies to develop new
products
Prior to the HapMap Project, genetic variants at known locations in the
genome were typically analysed, in both research and clinical labs,
through small-scale experiments. Such technologies did not scale (in terms
of cost or throughput) to genome-wide analysis. The HapMap Project
demonstrated that most of the common genetic variation in the genome could
be `captured' through selected use of a few hundred thousand SNPs.
Realising the major potential for such genome-wide products, a number of
companies developed technologies for enabling massively parallel
genotyping. These included Perlegen Sciences (which was awarded the
contract to genotype the Phase 2 SNPs for the project) and Illumina Inc.
(currently a NASDAQ listed company). Products from Illumina Inc. were
specifically designed from the HapMap project (for example, the
HumanOmniExpress chip [A], [B]) so as to maximise the power of studies
using these `SNP chips' (a chip is a collection of microscopic DNA spots
attached to a solid surface). Their customers include genomic research
centers, pharmaceutical companies, academic institutions, clinical
research organizations and biotechnology companies. The Associate Director
for Scientific Research at Illumina states [B] "This letter is to
outline the utility of the HapMap project as a vital resource for
developing the products used for genome wide association studies (GWAS).
The array portion of the GWAS market is estimated around $1.25 billion
USD over the past 5 years. The data generated by the HapMap project was
the primary resource used to develop these arrays. [...]
Illumina's current line of GWAS array products includes the OmniExpress
which consists of over 700k of SNP content derived solely from the
HapMap. [...] Without the data available from the HapMap project
these arrays would be significantly less powerful for detecting regions
of the genome association". The number of individuals genotyped
using chips that trace back to the HapMap project is well over 1 million
[C].
Health impact: Providing a framework for discoveries of genetic risk
factors that have made clinical impacts
The HapMap Project did not directly analyse the genetic contribution to
human disease. However, it provided a framework for the wealth of
discoveries about the genetic contribution to common complex disease and
pharmacological risk via the GWAS approach. Evidence of the success and
scope of GWAS is documented at the National Human Genome Research
Institute GWAS Catalog [C] which lists 1,449 published GWA in 237
different diseases and traits. For many diseases GWAS has led to the
discovery of multiple disease genes. These discoveries have led to a
greater understanding of the disease etiology, and functional work that
might lead to a clinical impact is still ongoing. As one example, the
details of a GWAS discovery that has led to a substantial clinical impact
are given below.
A certain polymorphism of the IL28B gene was found in individuals
infected with the most common type of hepatitis C virus (HCV), HCV
genotype 1, to aid in identifying those patients who are twice as likely
to eliminate the HCV virus on a sustained basis when treated with
pegylated interferon-ribavirin combination therapies [D]. This study used
the Illumina Human610-quad BeadChip that was designed using the HapMap
resource.
A test for these genetic variants is sold by LabCorp [E, F] and used by
clinicians when treating HCV and in clinical trials. HCV is the most
common chronic blood-borne infection in the US. The Senior Vice President
for Science and Technology at LabCorp confirms [E] "I understand that
the Oxford team were key players in the HapMap project, which underpins
downstream genome-wide association studies, and that you are interested
in a practical example of where association studies have led to clinical
impact. [...] The IL-28B test is a significant contributor to
the testing volume we do in the area of pharmacogenetics and has been
since its launch in 2010, continuing to today. Recent estimates indicate
that an estimated 2.7 to 3.9 million people are affected by HCV annually."
Impact on society: widening the public understanding of human genetic
variation
The last ten years has seen a major growth in the public interest and
understanding of genetic variation, both in relation to disease, but also
more generally in relation to ancestry and origins. The publication of the
first phase of the HapMap Project was widely reported in international
non-specialist media including, in the UK, interviews with Donnelly on
Newsnight and Radio 4's Today programme [G]. The contribution of the
HapMap Project was acknowledged in the House of Lord's report into Genomic
Medicine [H] (published in 2009; Donnelly was interviewed as part of the
committee enquiries), which in turn has resulted in the founding of the
Human Genomics Strategy Group [I], which advises the government and NHS on
how genomics can be integrated into a national healthcare programme.
Sources to corroborate the impact
[A] Product description for Illumina HumanOmniExpress BeadChip that
describes the use of the HapMap project data in product design. Copy held
by University of Oxford. www.illumina.com/documents/products/datasheets/datasheet_human_omni_express.pdf
[B] Letter from the Associate Director for Scientific Research at
Illumina that confirms how the HapMap Project data was used in the design
of Illumina's SNP-chips. Copy held by University of Oxford.
[C] National Human Genome Research Institute (NHGRI) Genome-Wide
Association (GWA) Catalog, which provides evidence of the success and
scope of GWAS. The catalog lists 1,449 published GWAS in 237 different
diseases and traits. www.genome.gov/26525384
[D] Main paper on the discovery of the IL28B variants. This study used
the Illumina Human610-quad BeadChip that was designed using the HapMap
resource: Ge, D., Fellay, J., Thompson, A. J., Simon, J. S., Shianna, K.
V., Urban, T. J., et al. (2009). Genetic variation in IL28B predicts
hepatitis C treatment-induced viral clearance. Nature, 461(7262),
399-401. doi:10.1038/nature08309
[E] Letter from the Senior Vice President for Science & Technology at
LabCorp providing details of the IL-28B test that they sell. Copy held by
University of Oxford.
[F] Press release on LabCorp's IL28B test. Copy held by University of
Oxford.
[G] Non-academic media coverage of the publication of the first phase of
the project. See, for example, news.bbc.co.uk/1/hi/health/4378624.stm.
Copy held by University of Oxford.
[H] Discussion of the role of the HapMap Project in medical genetics.
House of Lords report on Genomic Medicine (2008-2009). Copy held by
University of Oxford.
[I] Human Genomics Strategy Group Report. Copy held by University of
Oxford.