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# Use case II: Fusion genes detection from multiple myeloma patient RNA-seq
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## Background
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Clinical Applications of RNA-Seq in Diagnostic Testing
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RNA sequencing (RNA-Seq) is a high-throughput transcriptome profiling technology that enables comprehensive analysis of gene expression, splicing variants, fusion events, and novel transcripts. In clinical diagnostics, it serves as a powerful tool for:
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Cancer Subtyping: Identifying tumor-specific gene expression signatures, fusion genes (e.g., BCR-ABL1), and aberrant splicing events to guide targeted therapies.
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Rare Disease Diagnosis: Detecting dysregulated pathways and aberrant expression in Mendelian disorders where DNA-based tests are inconclusive.
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Infectious Disease Characterization: Profiling host-pathogen interactions and pathogen expression in complex infections.
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Biomarker Discovery: Validating expression-based biomarkers for disease monitoring and treatment response.
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## Setup a project folder
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````{note}
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Before starting the analysis, please ensure that you have set up the analysis environment using the build_conda_env.sh script.
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````
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Create a folder named project/CGGA_WES in your home directory and activate the Clindet conda environment.
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```{code} bash
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mkdir -p ~/projects/MM_RNA
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cd ~/projects/MM_RNA
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conda activate clindet
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```
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## Download data and
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Download Multiple myeloma and COLO829 cellline RNA-seq data from the SRA database using wget and prepare the sample information file, make sure fastq-dump are in in $PATH (if don't install it first)
For this project, modify the sample sheet and create a new Snakemake file named **snake_rna.smk** (see below). Set the following parameters in the Snakemake file:
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1.**configfile (str)**: config file for softwares and resource parameters.
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