MutationDistiller makes the analysis of Next-Generation Sequencing data simple. This documentation takes you through the crucial steps.
Depending on your background and interest, MutationDistiller offers various modes with optimised settings. Of course, you can always pick and choose your own settings - but if you just wish to run a quick analysis, sticking to our pre-selected options might be the most convenient way for you. Clicking on one of the user modes leads you to MutationDistiller's main page with specific sections displayed or hidden. You can always display hidden sections with a simple click, so don't worry: the choice of user mode is not limiting your search in any way - the different modes are simply there to show you the settings which we consider to be the most relevant for you.Clinical: HPO
If you are interested in gene panels or already have some candidate genes for your case, then click here. MutationDistiller includes Genomic England's PanelApp and inhouse panels from the Charité Neuropaediatrics research group, but also allows you to enter your own candidate genes.Gene Function
Here, you can just have a quick look at the most severe alterations in your VCF file without entering any additional information.
On the User Mode page, you selected which sections are to be displayed now. Here, we will describe all of them to give you an introduction to each of them. Don't worry, they are pretty self-explanatory.
This is the one essential section for MutationDistiller. It will be displayed in all user modes. Here, you get to upload your VCF or enter a MutationTaster ID - without one or the other,
MutationDistiller will not be able to run an analysis of course. When you first upload a VCF to MutationDistiller, please record the ID. You will then be able to access and re-analyse your project whenever you like by simply entering
said ID in the text field. You never have to upload a VCF more than once unless you forget your ID! We also email the ID to you, just to be safe.
This section determines which types of variants will be included in your results. It will never be displayed by default - however, feel free to activate it whenever you like if you wish to change the settings. We have five different categories: Clinvar/nonsense is the strongest category and includes known disease mutations listed in ClinVar and alterations designated as nonsense by MutationTaster. non-synonymous DM includes variants which MutationTaster deemed to be pathogenic and causative of an amino acid exchange. These two categories are included into the search by default. If you wish to use less strict criteria, you can do this easily by clicking on the respective box. MutationDistiller's less severe variant classes are as follows: DMs near splice sites includes all disease mutations (as designated by MutationTaster) which are located within 10 bp of a splice site. all DMs allows you to include all disease mutations, whereas all variants includes all variants, regardless of their pathogenicity. To prevent you from being swamped by data (and also to protect our servers), we only allow this setting of you have activated an additional filter, for example via candidate genes or regions. In general, we do not recommend to include all variants! Instead, if you are looking for less strict settings, it makes more sense to include benign non-synonymous alterations (excluding known polymorphisms) by checking the checkbox below your selection. By doing this, your initial variant selection criteria are still holding up. For instance, say you're looking at our default categories - in addition to disease mutations, now you will also see non-synonymous alterations which MutationTaster deemed as non-pathogenic.
Another setting option in this category is the possibility to select a different variant class severity for compound heterozygote cases. To do this, simply click on Enter second variant (compound heterozygosity). This will open up a similar view as the one for the first variant and allow you to select a less severe setting for the second variant. Thus, in your analysis you will see genes which have one severe alteration (a known disease mutation, for example) together with a less severe one. In cases of compound heterozygosity, this might help you identify the causative alterations. NOTE: Please keep in mind that without knowing the phase, MutationDistiller cannot give you an exact estimate of whether a 'compound heterozygote' actually shows one of the variants on the paternal chromosome and the other one on the maternal one. In theory, it might be that both alterations appear on the same chromosome. If MutationDistiller is talking about compound heterozygosity, you will still have to go and check where exactly the genetic changes occur!
This section is visible by default in the panel-based user mode. Here, you can determine candidate genes or regions either by entering them manually into the text field, or by selecting a gene panel from our list. For convenience, Common Gene Panels lists the most common panels. Genomics England PanelApp contains the gene panels included in PanelApp, Genomic England's awesome crowdsourcing initiative to bring some structure into the mess that gene panels often are. We have ordered the panels alphabetically by disease categories. If you are looking for a specific panel, you can also find it by searching our PanelApp field manually (CTRL+F). To find out more about PanelApp, you can find them here - or by clicking on the link in the headline of the PanelApp field. We also provide panels generated by our in-house clinicians at the Charité Neuropaediatrics group. To access those, just click on the little 'show' button.
By default, the Phenotype section is displayed in the HPO-based view. It contains an auto-completion field which allows you to find entries from the HPO,
Orphanet and from OMIM. Select which of the three different sources you wish to search (feel free to search all three if you want) and simply start typing.
After at least four letters,
the autocompletion will start to do its magic and allow you to pick your entries from the list. Selected terms will be added to the text field below automatically. If you've already got a list
of identifiers, you can also copy this list (comma, semi-colon or tab-delimited) into the text field.
MutationDistiller allows you to enter HPO terms which you wish to exclude from your search. You will find another autocompletion field after clicking on Enter HPO-terms which you do NOT wish to include in your search.
If you want your output page to be all fancy, MutationDistiller has another option for you: Clicking on the Highlighting Options button opens a section where you can enter phenotype-related terms you wish to be highlighted in the output page. Maybe this helps you identify the best matching candidates more quickly?
The Gene Funciton section is visible by default in the Gene Function view. Like in the Phenotype section, you'll find an autocompletion field here. This one allows you to find entries from the Gene Ontology (GO), and from Reactome and WikiPathways. Nothing more to say here, just try it out.
This section is hidden by default, but you can always activate it when you feel like it. Assume you don't really have a candidate gene, but you have good
reason to expect your most likely candidate gene to be expressed in the brain - then this section is for you! Here, MutationDistiller
provides data from various experiments obtained from ExpressionAtlas. You can select the developmental stage you're interested in, the experimental
method and you can decide whether you wish to
only show genes which fulfil your criteria ('filter') and if you wish to see the expression levels ('show expression'). By default, MutationDistiller will filter non-matching genes out and display expression levels, but feel free to play around with it. Then, you just pick your tissue(s) of interest and give it a go.
The experiments included in MutationDistiller are:
This section is hidden by default, too. It allows you to customise your output page by adding some sections. Just click on the checkboxes to see what happens.
Once you have entered all that you want MutationDistiller to know, just hit the big submit button at the bottom of the page. The only entry which is aboslutely required is a VCF file. All other data just serves to filter out the best-matching candidates for your case. Once you submit your entry, you will be redirected to the Output page - but you'll always be able to return to the Input to change your search parameters.
MutationDistiller's output page compiles all information in one spot. First of all, you will find a summary table listing all the genes found in your analysis. This information is combined with data on those genes, such as
known diseases. In addition, MutationDistiller lists the variants found in each gene, their frequency in databases ExAC, 1000G and dbSNP and whether your patient is homo- or heterozygous. We also indicate compund heterozygosity -
However, please note that it is upon you to check the phase!
In this summary table, we also provide some links:
Clicking on a gene symbol takes you further down the page, where MutationDistiller holds all the information it could find for the gene, together with a whole bunch of links:
Here, you'll find basic information on the gene, such as its location, function, alternative names and mutations that have been reported for the gene. Moreover, MutationDistiller tells you why it ranked the gene the way it did. You'll find links to common databases and other sources. Most of them are pretty self-explanatory, but the next few paragraphs will introduce some of the more commonly used sections.
In the 'HPO' section, you will see which HPO terms are linked with the gene you're looking at. Moreover, MutationDistiller tells you which of those terms matched your search by displaying the term in bold - and it also shows which score was give to that term. MutationDistiller counts direct matches, but also matches of ancestors or decendants in the ontology. The score is determined by the specificity of the term - specific terms which stem from deep within the HPO and are linked with only a small number of genes get a higher score. If you decide on second thought that a certain term does not really fit your patient's phenotype, you can exclude it by clicking on the little 'exclude' link. Similarly, if you see a term in that list which you hadn't thought of but it acutally fits really well, you can include it with a single click and quickly re-run your analysis.OMIM
The 'OMIM' section displays the OMIM terms linked with the current gene. OMIM has a number of categories and describes the clinical relevance of a gene and the links to known genetic disorders. MutationDistiller shows the ohenotypes with known molecular basis first, followed by other categories. Clicking on the OMIM identifier will forward you directly to the entry. For more information on OMIM, please refer to their website.OrphaNet
OrphaNet is a repository of Mendelian disorders and rare diseases in human. In this section, you will find entries listed in OrphaNet for the gene in question. Moreover, you can directly access the OrphaNet entry via the link. Please refer to their website for more information on OrphaNet.Other Sections
In the other sections, you find information from various sources and links to the respective websites to help you determine the most relevant alteration in your case. The following additional data sources are available via MutationDistiller: