Project Summary/Abstract High-throughput technologies are poised to become instrumental in the era of precision medicine. Applications of these technologies go beyond genome sequencing of genomic DNA itself and include the measurement of quan- titative and dynamic outcomes underlying genomic function. In fact, several gene expression based tests have been translated into clinical practice. Although some applications of high-throughput technologies are relatively mature, manufacturers continue to develop new products at a rapid pace. With new technologies and new ap- plications come new unexpected statistical challenges. Quantitative outcomes are particularly subject to severe systematic bias and unforeseen variability. We have witnessed how these biases can greatly impact downstream analyses, with several results published in the top biological journals brought into question after careful examina- tion of the data. For high-throughput technologies to be useful in clinical applications, rigorous statistical methods that account for these issues need to be developed. Our group has previously demonstrated that statistical methodology can provide great improvements over ad hoc data analysis algorithms offered as defaults by technology developers. We have successfully applied our tools in multiple clinical and translational settings that demonstrate the value of our work in this context. Our highly cited statistical methodology and our widely used software implementations, developed during the first two funding periods, demonstrate the success of our work. We have been dedicated to understanding and developing solutions to overcome bias and systematic errors and have helped improve clarity in results and contributed to data-driven discovery. We are enthusiastic about continuing this work and helping to make genomics technology a primary tool for translational research and clinical applications. We have identified three specific statistical challenges urgently requiring reliable statistical solutions that can greatly benefit from our expertise. Namely, we propose providing a precise and accurate single-sample process- ing method to facilitate clinical application of RNA-Seq, developing statistical methodology that accounts for the problem of detection bias in high-throughput single cell data, and developing a framework for statistical inference for region detection. A common thread to the ideas in the current proposal is that we leverage the public data repositories to develop rigorous statistical solutions. We will disseminate our work by developing open source sta- tistical software and providing compelling examples of how our methods facilitate biological discovery, especially in the context of clinical applications.

Project Narrative High-throughput technologies are poised to become instrumental in the era of precision medicine. Although some applications are relatively mature, with new technologies and new applications come new unexpected statistical challenges. We will develop the necessary statistical methods to help make genomics technology a primary tool for translational research and clinical applications.