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Corporate OverviewDecember 2016
2
BioNano Is the Key to Unlocking the $100+ Billion Potential of the Genomics Market
BioNano’s Irys reveals genome structure, enables precision medicine and untethers the genomics market potential
Market Size Growth Catalyst Key Driver Bottleneck
$40B-$170B
Precision Medicine
PrecisionGenomes
GenomeStructure
Sequencing (Genomics) Mkt.:JPM: $20B (’14) → $170B (’16)
Application of genomics to precision medicine is the growth
catalyst
Current genome analysis is not comprehensive enough to make
precision medicine effective
Current tools fail to reveal the structure of a genome at the
chromosome level
3
$0$20$40$60$80
$100$120$140$160$180
Revealing True Genome Structure Unlocks Genome Biology and the $100+ Genomics Market – Bionano Is a Significant Catalyst
$50B - $170B
$40B - $40B
Average $45B - $105B
$8B
$2B
Average $5B
$5B
Up to
$170B
Genomics Also Broadly Used As a Clinical Tool
Genomics Used As a Research Tool
4
Genome Structure Drives Biology … Structural Variation Drives Disease
• Genome structure is the order, orientation and quantity of genes and other functional elements in the genome
• Structural variations (SVs) involve rearrangement or replication of thousands, and sometimes millions, of base pairs
• Hundreds of human diseases are already known to be caused by SVs
• No tool, prior to BioNano’s, existed to comprehensively and cost efficiently reveal a genome’s structure
− By systematically elucidating SVs, BioNano can cause a flood of new diagnostics and drug discovery, unlocking the promise of precision medicine
SVs Involving One Chromosome SVs Involving TwoChromosomes
5
The Problem with Using Next-Gen Sequencing to Study Genome Structure Is the Lack of True Long-Range Genomic Information
Repeated Sequence
Unique Sequences
TruthCh 1
Ch 4
Ch 1
Ch 4
Problem• How many ‘s (repeated sequences)
go next to each other?• Which chromosome do the ‘s go on?
Solution• BioNano sequence maps
− Span nearly all repeats to enable accurate and complete assemblies
6
Bionano Delivers the Long-Range Genomic Information to Reveal Structural Variation on a Scale that Works for Population Studies
0.0001
0.001
0.01
0.1
1
10
100
1000
10000
Gig
abas
ses
per r
un (l
og s
cale
)
HiSeq MiSeq PacBio MinION Sanger Ion Torrent 454 SOLID
Th
rou
gh
pu
t“Read” Length
Bionano
1 Kbp 1 MbpLength (log scale)
10X
2016
2014
2017
7
Our Economic Engine Is the Irys System for Genome Mapping
IrysView®IrysPrep®
IrysSolve®
IrysChip®
Irys®
8
Irys Has Become a Global Leader in Mapping for Basic and Translational Research
Bionano Irys systems installed
9
The Alliance with Berry Genomics Enables BioNano to Next Transform Clinical Cytogenetics
GeneticDisorders
Cancer
Develop Submit Market
Together, BioNano and Berry can revolutionize the very rapidly expanding market in China for karyotyping, FISH and microarrays
Applications & Markets
11
Structural Variation Discovery & Detection
Hybrid Scaffolding
Two Main Applications for Irys: Structural Variation and Scaffolding
• Translational research• Clinical
− Known content Dx− New content Dx− Drug discovery
• Platinum genomes• Reference genomes• Plant & animal
− Basic research− Molecular breeding
12
Structural Variation Detection & Discovery: BioNano Sees What Illumina Misses
Oct. ‘15 BioNano Customer Presentation: This graph depicts the density of SVs found (y axis) relative to the size of the SV found (x axis) for NGM (solid lines) against NGS (dotted lines). For SVs greater than 2,000bp, NGS has very significant drop in detection. NGM’s ability to see SVs picks up where NGS drops off.
NGS
Variation Type
SNPs & Indels(<2kb)
NGM
Variation Type
SVs(>2kb)
All SNPs, Indels & SVs
Size of Variant
13
Irys Is the Only System that Systematically Finds the SVs that NGS Misses
January 2016 Genetics Publication, UCSF
7.3x215
1,570
SVs Found (>5kb)
NGS
BioNano Genomics
Improvement in Sensitivity for SVs over NGS
14
Background
Institution
Principal Investigator
Eric Vilain, M.D., Ph.D.
Area Pediatric Disorders (e.g. DMD)
Technologies to be Replaced or
AugmentedNGS
Sample Types Blood
Proving the Importance of SV Detection: Ongoing UCLA Pediatric Developmental Delay & Autism Spectrum Disorder Study
• Dr. Vilain previously investigated 814 pediatric cases with presumed genetic disorders that predominantly remained undiagnosed despite exhaustive testing efforts
− This study mainly focused on sequencing the protein coding regions of a patient's genome
− The study showed a 26% diagnostic yield (was unsuccessful in identifying the cause of genetic disorders in 74% of the study patient population)
• Dr. Vilain is using multiple Irys systems in his lab to conduct research on samples obtained from 80 undiagnosed patients
Highlights of the Collaboration
15
BioNano’s Irys Is the Driver of New Prostate Cancer ResearchThe BioNano Irys ran prostate cancer samples at the Garvan Institute and found novel SVs, nearly all of which were undetectable using Illumina instruments
1/10of BioNano’s SVs
detected with NGS
Only one-tenth of the large SVs found by BioNano were detectable using high-coverage Illumina runs and automated five-tooled bioinformatic analyses
94%of BioNano-called SVs
were verified
While less than 0.5% of Illumina-called variations showed oncogenic potential, over 50% of the BioNano-called variations directly impact a gene or gene region
100xgreater likelihood of
oncogenic potential in BioNano-found SVs
With BioNano-derived target regions identified, manual inspection of corresponding NGS reads and de novo assembled scaffolds allowed for 94% of BioNano-called SVs to be verified
16
Examples of Human Clinical Samples Run on Irys
• Human samples are being run on Irys to either:
− Confirm SV detection as a proof of principle and/or
− Begin to show a path to a better, faster and/or cheaper method relative to a standard of care
• Selected examples of human clinical samples run on Irys:
− DMD – proof of principle shows that Irys detects the disease-causing heterozygous deletion
− FSHD – improved quantification by Irys of the D4Z4 repeat array occurring at chr 4q
− DiGeorge Syndrome – proof of principle shows that Irys detects the heterozygous 22q11 microdeletion
− Multiple Myeloma – confirms detection of three hallmark variations (2 translocations and 1 deletion)
− CML – confirmatory study shows that Irys detects the chr 9-13 translocation; also discovered a unique deletion on chr 13
− CLL – confirms detection of chr 9-22 translocation resulting in the BCR-ABL fusion protein (Philadelphia chromosome)
17
The First Clinical Application is SV Detection As a Replacement for Karyotyping and FISH
Disease SVs Dual Method Test
AML del(5q)
inv(3)
inv (16)
t(8,21)
t(15,17)
t(9,11)
t(6,9)
t(1,22)
Chromosome analysis
(Karyotyping)
+ Fluorescence In Situ
Hybridization (FISH)
Karyotyping
FISH
Example: BioNano Can Replace Dual Method (Karyotyping & FISH) for Finding the 8 Lesions of AML
BioNano Irys
Systematic SV detection to simplify hematological malignancy detection
18
PacBioAlone
BioNanoAlone
Hybrid (PacBio + BioNano)
Improvement By Adding BioNano
# of Scaffolds 22,433 1,039 202 99%reduction
N50/Scaffold N50 906kb 4.6Mb 31.1Mb 34.0x
increase
Irys Is the “Go To” Technology for Hybrid Scaffolding: BioNano & PacBio
Seminal publication shows that Irys resolves genome complexity that NGS alone cannot
June 2015 Nature Methods Publication, Mt. Sinai
19
Illumina+10x
BioNanoAlone
Illumina + 10x + BioNano
Improvement By Adding BioNano
# of Scaffolds 5,697 1,079 170 97%reduction
N50/Scaffold N50 7.0Mb 4.6Mb 33.5Mb 4.8x
increase
Irys Is the “Go To” Technology for Hybrid Scaffolding: BioNano, Illumina & 10x
Another seminal publication shows that Irys resolves genome complexity that NGS alone cannot
May 2016 Nature Methods Publication, UCSF
20
Irys Complements All Three NGS Approaches for Comprehensive Genome Assembly
or or
NGM
NGS
• Unprecedented levels of completion for human and non-human genome assemblies• Eliminates need for laborious, time-consuming and extremely costly clone methods (BAC, YAC, etc)• Essential for creating gold standards for bio-marker discovery and for building reference genomes
for non-model organisms• BioNano is the essential component for achieving these results
Technology
22
The Key of Irys Is Its Proprietary Nanoscale Confinement
Biophysics tells us that by using a gradient of micro and nanostructures we can load and confine long DNA molecules into nanochannels for imaging.
• Genomic organization and architecture is related and directly observable in linear DNA.
• Molecules are suspended in biologically relevant buffers for full analysis and repeated imaging.
• Linearization requires 2D confinement in space the size of persistent length (150 bp) — ~50 nm.
Free DNA Solution DNA in a Microchannel DNA in a Nanochannel
Gaussian Coil Partially Elongated Linearized
23
Irys’ Nanochannel Arrays on Silicon – Leveraging Established Semiconductor Industry Technologies
• High-throughput cartridge• Multiple samples per device
Thousands of parallel nanochannels• Imparts uniform andorderly format for
accuratemeasurements
Leverages mature semiconductor manufacturing• High-quality wafer-scalemanufacturing in state-ofthe-art semiconductor facility
The IrysChip™
24
Nanochannels Enable Unprecedented Single Molecule Imaging of Truly Long Strands of DNA
Sequence motif labeling:• Nickases• PNAs• Zinc fingers• Antibodies• Etc.
Molecules are suspended and imaged in massively parallel nanochannel arrays
25
Irys Workflow
26
BioNano’s Nanochannel Technology Is Covered by an Extensive IP Portfolio
• BioNano has the industry leading patent estate in long-range genomic technology• 36 issued, 1 allowed and 101 pending patents worldwide
U.S. Outside U.S. Worldwide Total
Issued 7 29 36
Allowed 0 1 1
Pending 26 75 101
Total 33 105 138
Appendix
28
Bionano Genomics
• Commercial stage life sciences company selling the Irys System for whole genome analysis
• Addresses the need for a better understanding of genome biology and for more actionable results from genome analyses
• Researchers and clinicians use Bionano to broaden the scope of detectable genome variation to include large structural variations and chromosomal rearrangements
• Applications in human genomics include molecular diagnostics and biomarker discovery for translational research
• Applications in non-human genomics include genome assembly for basic research in academia and industry
• Estimates of the market sizes for these applications range from $5 billion to $100+ billion
29
Conventional Wisdom
Sequencing =
30
Reality: Something’s Missing
=
The NGS revolution has made it possible to analyze more genomes for less cost than ever dreamed … but Something’s Missing with NGS
31
SNP Detection Alone Is Not Enough to Propel Precision Medicine
SNPs:Biology ofTherapeuticResponse
SVs:Biology of
Disease
32
Low Diagnosis Rate for Sequencing-Based Dx
• Only 25 – 30% cases receive confirmed molecular diagnosis
• 70 – 75% of genetic disorders go undiagnosed
• Creates heavy public health burden and family burden
• One hypothesis is that the significant variants are structural variants outside the protein coding regions
Diagnosis26%
Potential Diagnosis
28%
No Significant
Variant42%
Novel Gene Discovery4% 95% CI: 25-30%
JAMA; Dec 2014; 312:1880-1887
33
• Nearly 2/3 of the human genome is repetitive and unresolvable with NGS
• Genes and other functional elements are flanked by repetitive sequences that disguise their order and orientation
• Illumina NGS spans only ~5% of these repeats
• The inability to span repeats relegates NGS to SNP detection mostly in protein-coding regions (1.5% of the genome)
Genome Composition Hides Large Structural Variants & Limits NGS to Small Variant (SNP) Detection
34
Physical Genome Mapping Was a Foundational Concept … But It Was Always Technology (Throughput & Cost) Limited … Until Now!
Genome Mapping
80’s Mid 90’s
Mid 90’s
2001 2013
Shotgun Sequencing & SBSNGS, SNPs, Genes
Goal: Physical Genome Map
aCGH
FISH
BAC
YAC
Late 90’s
70’s
RFLP
Mid 2000’s
2014 2015
1 Human Map 3d
1 Human Map 1dLaunch 10 Human Maps 1d
OpGen
“…the structural organization of human DNA holds the key to understanding function, …” Bob Moyzis in Los Alamos Science, 1992
2017
Next-Gen Mapping:
Optical Mapping +Nanotechnology
35
Illumina Fails to See Most SVs Because It Cannot Span Most Repeats –Over Half of the Human Genome Is Tied Up in Them
• Over half of the human genome is composed of repeat segments where many structural variations (SVs) are located. • Structural variations (SVs) are being found to be inextricably linked with human disease.• Sequencing reads that do not span segments of repeats become indistinguishable from one another.
Cumulative Number of Base Pairs in Repeats in the HumanGenome (hg19) as a Function of Repeat Size
Repeats (LINE, SINE, LTR, satellites, simple repeats, low complexity and unclassified)Segmental duplications
Comprehensive SV detection requires long-range mapping
which spans nearly all repeats.
BioNano’s long-range information complements NGS by extending the range of what’s visible in genomics
36
Unparalleled Sensitivity and Specificity for Structural Variation Detection –Including Heterozygous Events
Sensitivity PPV
Homozygous Deletions 99.63%
97.1%Heterozygous Deletions 92.26%
Sensitivity PPV
Homozygous Insertions 99.01%
97.9%Heterozygous Insertions 83.56%
37
Bionano Selected By Dr. Erich Jarvis to Be an Anchor Technology in the Development of 66,000 Vertebrate Genome References
38
14
9
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5
13
25
45
0
5
10
15
20
25
30
35
40
45
50
2012 2013 2014 2015
# of
Pub
licat
ions
Published In Process
Accelerated Expansion of BioNano’s Market Reach Will Be Driven By the Publications from Irys Users
Published (Cumulative) In Process
39
Management
Han Cao, PhDFounder & Chief Scientific Officer
• Dupont• Princeton• U Penn• Peking Univ• USTC
• Domain Associates• Exiqon• BD• GeneOhm• Applied Proteomics• Xagenic
Erik Holmlin, PhDPresident & Chief Executive Officer
Mike WardChief Business Officer
• Credit Suisse• Wasserstein• Leerink Partners
Mark BorodkinVP SystemsDevelopment
• Brooks Life Science• Affymetrix• Siemens Healthcare• Life Technologies
Sean PaolinoVP Finance
• Life Technologies• Applied Biosystems
40
Board and Scientific Advisors
Pui-Yan Kwok, M.D., Ph.D.Henry BachrachDistinguished Professor,University of California, San Francisco
Charles Lee, Ph.D.Director, The Jackson Laboratory for Genomic MedicineCo-chair of the Structural GenomicVariation Analysis group forthe 1000 Genomes Project(www.1000genomes.org)
Albert Luderer, PhDIndependent DirectorCEO – Integrated Dx
David Barker, PhDChairman; Independent DirectorFormer CSO – Illumina
Brian Halak, PhDDomain Associates
Darren Cai, PhDLegend Capital