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Germline variants in Cancer

I need to design a workflow to identify pathogenic germline variants from tumor-only or tumor-normal sample data.Please suggest a workflow design or any specific tools that can be used for this purpose.

cancer tumor-normal germline-variant

pathogenic

You need ClinVar, SIFT and PolyPhen2 annotations.

germline variants

Use MuTect2 with the option --genotype-germline-sites to call variants. If necessary, use --genotype-pon-sites as well.

And I think I should add a step to filter out the common polymorphism before proceeding to find the pathogenic variants. Also, is there any database which has listed pathogenic variants for different cancer type?

Look at COSMIC - that's also a good source to annotate with. ClinVar is good for germline. Post gnomAD annotation, I use gnomAD non-cancer allele frequencies to filter variants.

So, if I am developing a pipeline only to find pathogenic germline variants, this is how I should start --> while variant calling, I can give known variant sites from dbSNP/gnomAD -->VCF --> removing common polymorphic site from VCF (using gnomAD non cancer alleles) --> Annotation of remaining variants using clinvar. Please let me know if this is a good approach or if I need to improve at any step.

removing common polymorphic site from VCF

I'd retain those sites and just add a flag. That way, you can filter them later if you need to. The pipeline looks fine otherwise.

Okay, thanks!

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