Greg Findlay
@gregfindlay.bsky.social
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Group Leader The Genome Function Laboratory The Francis Crick Institute, London
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gregfindlay.bsky.social
Our latest research is out today on ‪@medrxivpreprint.bsky.social:

www.medrxiv.org/content/10.1...

Saturation genome editing of BRCA1 across cell types accurately resolves cancer risk.

Led by the amazing Phoebe Dace. This one’s packed full of data, so check out the paper. Quick highlights… 🧵 1/n
Saturation genome editing of BRCA1 across cell types accurately resolves cancer risk
Germline pathogenic BRCA1 variants predispose women to breast and ovarian cancer. Despite accumulation of functional evidence for variants in BRCA1 , over half of reported single-nucleotide variants (...
www.medrxiv.org
gregfindlay.bsky.social
This year the lab is also participating in the Crick's Future Leaders in Biomedical Sciences scholarship programme, which has opened for candidates of Black or mixed Black heritage.

www.crick.ac.uk/careers-and-...
Future Leaders in Biomedical Sciences: How to Apply
How to apply for a Future Leaders in Biomedical Sciences Scholarship. Open to candidates of Black or mixed Black heritage only.
www.crick.ac.uk
Reposted by Greg Findlay
crick.ac.uk
We're looking for clinicians who are passionate about research to join our 3-year fully funded clinical PhD programme. 🔬🩺

Apply by 14 November 2025. 👇

www.crick.ac.uk/careers-stud...
Doctoral clinical fellows
The Crick's clinical PhD programme.
www.crick.ac.uk
gregfindlay.bsky.social
We now have an open post-doc position in the lab:

crick.wd3.myworkdayjobs.com/External/job...

Please apply if you have a background in functional genomics or a related field and are eager to develop methods to map variant effects at scale.
crick.wd3.myworkdayjobs.com
Reposted by Greg Findlay
weitinglu.bsky.social
I am delighted to announce that I am starting my lab next month in @oncology.ox.ac.uk @ox.ac.uk It is such a privilege to be a part of this storied institution!
Also, we are hiring - if chromosomal instability and cancer biology excite you, come join the fun!
Job Specification: lnkd.in/e8-3hyfr
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gregfindlay.bsky.social
This story is the PhD work of Phoebe Dace, who has done remarkably well to bring this all together. Congrats, Phoebe! 👏
Thanks to the lab, Nicole, @lcubes.bsky.social @chloeterwagne.bsky.social and Megan), our great collaborators, and @crick.ac.uk & @cancerresearchuk.org for vital funding. 🙏 END/16
gregfindlay.bsky.social
Rather than confounding clinical interpretation, having data from multiple models is clearly preferable. A path forward to more precisely calibrating the risk caused by individual variants is to integrate functional evidence from multiple experimental data sets generated at scale. 15/n
A Sankey plot of functional evidence derived for BRCA1 variants using SGE across cell lines
gregfindlay.bsky.social
In summary, this work reveals the extent to which variant effects can be contingent upon the cell model used. As quality functional data from a single cell line often tips the balance of evidence in favour of pathogenicity or benignity, this is critical to recognise. 14/n
gregfindlay.bsky.social
We’ve opted to release all function scores now (see Supplementary Tables). While this data hasn't yet been peer reviewed, we hope sharing now speeds up others' research and allows performance to be assessed across diverse cohorts. Please reach out with questions regarding specific variants. 13/n
gregfindlay.bsky.social
Finally, we used gold-standard sets of variants to calibrate the strength of evidence provided by scores from each cell line individually and produced ACMG/AMP-style evidence codes, which we anticipate will improve BRCA1 variant classification. 12/n
Mapping function score for BRCA1 variants to evidence codes to support clinical classification.
gregfindlay.bsky.social
Phoebe also took care to test p.R1699Q in both lines, a variant known to confer intermediate breast cancer risk (pubmed.ncbi.nlm.nih.gov/22889855/). Indeed, p.R1699Q scored discordantly between HAP1 and HMEC, as did all 7 other variants tested thought to cause intermediate cancer risk. 11/n
gregfindlay.bsky.social
@mariazanti.bsky.social‬ and @kmichailidou.bsky.social addressed this by estimating breast cancer risk from case-control data. Variants causing loss-of-function ONLY in HAP1 moderately increased risk (OR=3.3). Yet variants that were loss-of-function in BOTH lines highly increased risk (OR>10). 10/n
gregfindlay.bsky.social
All evidence points to variants scoring discordantly between lines as being hypomorphic in cells (i.e. leading to reduced BRCA1 function but not a null allele). Might such variants also cause intermediate cancer risk? 9/n
gregfindlay.bsky.social
Importantly, both the HAP1 and HMEC SGE assays perform well for predicting which BRCA1 variants are pathogenic. Looking at a set of 420 pathogenic and benign variants in ClinVar, it was the HAP1-based assay that performed better overall, with near-perfect accuracy. 8/n
ROC-AUC cruves for prediction of pathogenic BRCA1 variants using SGE data
gregfindlay.bsky.social
To better understand why variants act differently between lines, Phoebe performed more SGE using PARP inhibition and a knock-out HMEC line to reveal context-specific effects. Many variants initially scoring discordantly between HAP1 and HMEC can be reconciled in specific contexts. 7/n
Comparison of SGE function scores in HMECs with and without PARP inhibitor treatment.
gregfindlay.bsky.social
Comparing how variants impact function across cell lines has proven quite interesting. Nearly half of variants leading to loss-of-function in HAP1 do not have the same effect when introduced to HMECs. Variants with discordant effects are typically missense and splice. Here's an example... 6/n
function scores for BRCA1 variants in exons 11 and 12, measured in HAP1 cells and HMEC cells
gregfindlay.bsky.social
She also engineered a new SGE assay in human mammary epithelial cells (HMECs). 5/n
schematic of a new SGE assay in human mammary epithelial cells distribution of function scores for variants in BRCA1 tested in HMECs
gregfindlay.bsky.social
In each of these key studies, effects of variants were measured in only a single cell line.

This is what makes Phoebe’s new work so impressive. She not only tested over 4,000 new BRCA1 variants in our optimised HAP1 system… 4/n
effects of variants measured across the BRCA1 gene
gregfindlay.bsky.social
Since, SGE studies of other tumour suppressors have also yielded valuable data, changing how patients with rare variants are managed clinically. Work from the labs of @davidjadams.bsky.social (BAP1, RAD51C), Shyam Sharan (BRCA2), Fergus Couch (BRCA2), Thorsten Stiewe (TP53) and ours (VHL). 3/n
gregfindlay.bsky.social
In @jshendure.bsky.social lab in 2018, we performed saturation genome editing (SGE) to test 3,893 genetic variants in BRCA1. SGE is a CRISPR method to engineer variants in lab-grown human cells. This work showed that SGE could be used to identify variants that cause high cancer risk in people. 2/n
A sequence-function map of variants in BRCA1 produced in 2018 using saturation genome editing.