The rapidly falling cost of genome sequencing now makes it possible to obtain the genome sequences of large populations. The data collected from this infrastructure will enable the development of new therapies. Longer term, the goal is for an entire country to be sequenced and for the resulting data to be embedded in the national healthcare system. In this talk, Alex Dickinson, SVP for Strategic Initiatives at Illumina, will discuss how Illumina's BaseSpace and AWS are enabling this journey by driving innovations in genome sequencing for data collection, and cloud computing for data analysis.
Featured Keynote | Geo-nomics: Global Scale DNA Sequencing
1. C O M P A N Y C O N F I D E N T I A L – I N T E R N A L U S E O N L Y
Geo-nomics:
Global Scale DNA Sequencing
Alex Dickinson
SVP Strategic Initiatives
2. C O M P A N Y C O N F I D E N T I A L – I N T E R N A L U S E O N L Y
• Founded in1998 (IPO 2000)
• 2014: 1.08B revenue, 30% growth
• Headquarters in San Diego, CA
– Manufacture in California & Singapore
• Product Portfolio
– > 50 major product launches
– >8,300 publications on our technology
• 90% of world’s sequence data is
generated by Illumina instruments
• Research ➡️ Clinical
ILLUMINA
3. C O M P A N Y C O N F I D E N T I A L – I N T E R N A L U S E O N L Y
GENOME SEQUENCING
10. C O M P A N Y C O N F I D E N T I A L – I N T E R N A L U S E O N L Y
GEONOMICS VISION
The integration of genomics into national healthcare
systems to enable personalize delivery of healthcare.
– Patients experience improved health
– Healthcare systems achieve lower costs
– New national economic opportunities
15. National Motivations
1. Better health care at lower cost
2. Desire for economic development
3. Fear of “orphaned ethnicity”
4. International competition
16. National success factors
1. Genomics-enabling legislative framework
2. Established genomics expertise
3. Single payer healthcare system
4. National Electronic Medical Record (NEMR)
5. Access to capital
17. C O M P A N Y C O N F I D E N T I A L – I N T E R N A L U S E O N L Y
GEONOMICS PHASES
1. Establish a Reference Genome that facilitates a baseline
‘healthy individual’ for population studies
2. Population studies to discover population-specific variants
that enable personalized genomic applications
3. Scaling to enable one-time genetic testing of the entire
population and secure storage of the resulting data
4. Deployment of genomic applications into the national
healthcare system for use by clinicians and consumers
18. C O M P A N Y C O N F I D E N T I A L – I N T E R N A L U S E O N L Y
Financing
Program Management
Storage + Compute + Networking + Privacy & Security
Sequencing Operations
Analytics
Reporting / Dissemination
Systems Integration
REQUIREDCAPABILITIES
Pharmacogenomics
Risk-adjustedHealthScreening
CarrierTesting
RareDiseaseDiagnosis
NGS-informedcancerCare
ChronicDiseasemanagement
Wellness/PerformanceTraining
PUBLIC HEALTH APPLICATIONS
19. Newborn (germline)
Liquid Biopsy (cancer screening)
Tumor/Normal (cancer treatment)
Liquid Biopsy (recurrence monitoring)
NIPT (prenatal screening)
Patient Electronic
Medical Record
Patient Genome
Database
Age
EMR Integration
20. C O M P A N Y C O N F I D E N T I A L – I N T E R N A L U S E O N L Y
Genomics England 100,000 Genome Project
World’s First National Scale Genome Sequencing Effort
Driven directly by the Prime Minister
£300M investment
100,000 whole human genomes by 2017
Cancer and rare disease
40K patients directly impacted
NHS goal to tightly-couple genomics to healthcare
All sequencing on Illumina Xten instruments
22. SPAdes
Novo
Align
Advaita DNA Star
Pedant
AB SCIEX AB SCIEX AB SCIEX
DeepCheck
HIV,HBV,HCV
SWATH
Atlas
n of One My FLQ
TUTE
Lo Feq eGB Genomatix
Genome Profiler
Melanoma
Profiler
OncoMD GeneTalk
PathGEN
Dx
3rd Party Apps
16S
Metagenomics
TopHat
Alignment
Cufflinks
Assembly & DE
RNA
Express
Variant
Studio
BWA
Enrichment
Isaac
Enrichment
BWA
WGS
Isaac
WGS
Broad IGV
TruSeq
Amplicon
Amplicon DS
Tumor
Normal
Long Read
Assembly
Long Read
Phasing
Illumina Core Apps
Prokka
MetaPhlAn
BaseSpace Labs Apps
FastQC Kraken
Metagenomics
NextBio
Annotates
VCAT
Fastq
Toolkit
Velvet Assembly Picard
Space
SRA
Importer
NextBio
Transporter
SRST2
Cosmos ID
EDGC
23. Runs Uploaded to BaseSpace
Runs
3,000
Instruments
>125,000
Customer runs
uploaded
>4,500
Active users
>50
Apps
39,000
App launches
From our first 10K (year ended 12/31/2000)
13 issued U.S. patents
55 pending U.S. applications
From our most recent 10K
235 issued U.S. patents
173 pending U.S. applications
This blue line is Moore’s Law – over this period chips got 10 times cheaper and that’s put smartphones across the planet.
But Moore’s Law is nothing compared with Flatley’s Law which tells us how fast genome sequencing is getting cheaper.
In 2007 it cost 10 millions dollars to do a single genome. And now it costs 10,000 times less!
So if Moore’s Law can drive smartphone across the planet, Flatley’s Law can easily do the same for genomics – and probably faster.
First, we are only going to sell these for factory installations, meaning any buyer needs to purchase a minimum of 10 systems. The actual product we will be selling is called the HiSeq X ten.
The X ten price is $10M with incremental systems available for $1M each.
The only application permitted on the X ten is whole human genome sequencing
We expect to be able to supply roughly 5 of these systems during 2014 as we ramp up the supply chain for the key components including the new high performance cameras and patterned flow cells…. But have already sold 3 to Macrogen, Garvan and the Broad
David cameron’s son Ivan died of an inherited disease when he was 6 years old.
Only about half of our variants in genes- and at one point, we thought that was all that mattered.
Within genes, we know that these changes result in changes in the genes functions, resulting in things that make us different, like hair color, nose shape, etc.
2.8 million are found in all populations in the world
My family’s experience was a single event in a vast shift in healthcare as infectious diseases were beaten back worldwide, leaving chronic diseases like cancer and stroke as our dominant health challenges.
I’m guessing that everyone in the room today has been touched by these diseases. We have a lot of control in modern life, but one of these diagnosis brings fear and uncertainty, making a mockery of our sense of control.
Imagine a how your life might have been completely different if you, a parent, a friend, or a child had been able to avoid one of these diseases.
But in an extraordinary coming together of science, medicine and public health a wide range of vaccines were invented and administered to millions, so by the end of the 20th century the fatality rate from these diseases has been reduced by 99.9%
Vaccination was the most effective medical idea of the 20th century.
So what we’re going to do is give doctors an entirely new instrument: a molecular stethoscope that let’s the view your genomics blueprint to better understand your biology.
Here are some of the thing it will let her do:
Design a drug, just for you.
Check for cancer with a simple blood test.
Eliminate inherited disease from your family.
Counsel on how a newborn will avoid diabetes.
Billions of lives can be improved, and trillions of dollars can be saved.
One of my favorite examples is the google streetview car.
These cars drive around all the roads on the planet taking photos - digitizing the world’s geography.
The data is uploaded to google’s cloud where it is used to deliver services like directions and virtual tours
You can think of a DNA sequencer as being just like the streetview car.
It takes real world DNA sample from a person, and converts it into data that is sent to the cloud where we can use it to deliver information to a doctor sitting with a patient.
So we know cloud computing works on massive scale, how are we doing on DNA sequencing?
Only about half of our variants in genes- and at one point, we thought that was all that mattered.
Within genes, we know that these changes result in changes in the genes functions, resulting in things that make us different, like hair color, nose shape, etc.
2.8 million are found in all populations in the world
This blue line is Moore’s Law – over this period chips got 10 times cheaper and that’s put smartphones across the planet.
But Moore’s Law is nothing compared with Flatley’s Law which tells us how fast genome sequencing is getting cheaper.
In 2007 it cost 10 millions dollars to do a single genome. And now it costs 10,000 times less!
So if Moore’s Law can drive smartphone across the planet, Flatley’s Law can easily do the same for genomics – and probably faster.
David cameron’s son Ivan died of an inherited disease when he was 6 years old.
Technology innovation in our core portfolio extends beyond the sequencers, to include sample prep technologies and automation as well as innovative approaches to data analysis and interpretation.
The strength or our sample to answer technology base, which has been extended this week with new platforms, is unparalleled.
This will enable us to rapidly assemble and deploy market-based solutions with the business units being able to “pick” components from the core technology base and quickly assemble and integrate market-based solutions.
BaseSpace is already the world’s largest genomics cloud and is undergoing tremendous growth
Over the last year, 1,000 new sequencers have connected to BaseSpace bringing the total to over 3,000 instruments, and those machines have uploaded over 125K runs of customer data
40 new or improved apps were added to our app store in 2014, including the first proteomic apps from our partnership with ABSciex,,,, the first apps that that leverage our NextBio knowledge-base to interpret data, and a new category of apps called BaseSpace labs contributed by Illumina scientists
With this increased app diversity, the number of users doing analysis in the cloud has exploded. Every month over 4,500 distinct users setup and monitor runs, store and share data, and now about 30% of them also perform bioinformatics analysis in the cloud