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Development of Tohoku Medical Megabank 	
Integrated Database ”dbTMM”
 Group of Integrated Database System,
Tohoku Medical Megabank Organization,	
Tohoku University	
 Associate Professor Group Leader

Soichi Ogishima
integrating health and genomic data of 1,070 participants

toward genomic medicine
1  ogishima@megabank.tohoku.ac.jp
2
Development of biobank is key for realization of genomic medicine,
in other words, precision medicine.
Biobank Research Institutes
Biobank stores demographics data, laboratory test, and clinical data.
On the other hand, research institutes own genome and omics data.
Material
Transfer
Genome & Omics Analysis
Demographic
Data
Laboratory
Test Data
Clinical
Data
Genome & Omics Data
Study 

Participants
3
 

 Biobank toward genomic medicine
Sequencing Facility
 

 Integrated Biobank and Database
Tohoku Medical Megabank (TMM) is an “integrated biobank” having both
biobank and sequence facility, which develops integrated database.
Biobank
Genome & Omics Analysis
Participant
Data
Laboratory
Test Data
Clinical
Data
Genome & Omics Data
Study 

Participants
4
Questionnaire
Data
Cohort
Tohoku Medical Megabank Integrated Database “dbTMM”
Researchers
Data Sharing
Integrated Biobank
Health and Clinical Data
Sequence Facility
Omics Analysis Facility
Development of Tohoku Medical
Megabank Integrated Database
“dbTMM” integrating health and
genomic data toward genomic
medicine
5
Search
Constitution (Genome sequence (variation)) :
 Chr 8 pos 41519462 (rs515071) = TT
&
Health status (Lab test) : HbA1c > 6.2
&
Lifestyle (QA) : Alcohol drinking = Yes
&
Disease History (QA) : Type II Diabates = Yes
150,000 participants
Precise
Stratification 

by health, clinical
and genomic data
Genomic & Omics data
 

 TMM Integrated Database

“dbTMM”
Health & Clinical Data
demographic
data
3,000 participants
Questionnaire
Data
Consent Form

Resident Register
Hospitals (Regional Medical 

Record Network)
Physiological
Test Data
Demographics
Data
Laboratory
Test Data

Specimen
Data
Clinical 	
Data
Physiological Test
MRI Test
De-idenfication
Cohort
Data monitoring / cleaning
Specimen
Health data
collection
(scheduled)
Biobank
Sequencing
QC Clinical
Data
Health
Survey
Data
Specimen
Data
Genome &
Omics
Data
Data Integration and Standarization
Genome 

& Omics 	
Data Tohoku Medical Megabank
Integrated Database dbTMM
DNA
Biobank ID Investigation ID Clinical ID
Cohort ID
Blood urine test
6
 

 Data collection and integration
Clinical data

collection
Fast Search of Health, Clinical and Genomic Large-scale Data
Statistical Characterization of Stratified Population
How can researchers understand
narrowed-down population
w/o browsing all the variable data?
Detection of
statistically significant
difference
Integrated Database “dbTMM” stores health, clinical and genomic large-scale data

over 2.1 million SNV sites.
Statistical characterization of stratified population gives us a hint for research.
Tohoku Medical Megabank
150,000 participants
Stratified Population
3000 participants
7
Men
Smokers
 

 TMM Integrated Database “dbTMM”
Statistical
Characterization
Release 1.0.0 (Mar 31, 2016)
 

 The first release of “dbTMM”
Whole Genome 

Sequence
Data
SNV
2.1 million sites
Blood Urine
Test Data
Hematological test 

(Blood cell counting)
Immunological test 

(Allergy test)
Biochemical Test

Urine Test
Questionnaire Data
Demographics, Exercise,
Alcohol drink, Smoking,
Stress, Family structure,
Health status, Disease history,
Constitution, Work, Sleep,
Association, Earthquake
(Tsunami) experience,

Women Health
Sex, Age (not included) (scheduled)
8
1,070 participants of Miyagi Resident Cohort
Demographics
9
 

 User Interface
Detailed Search
Any variables,
combinations,
conditions with
AND/OR
Category Facet
Cohort type,
Disease
classification,
Omics data type
Statistical
Characteristic 

for Stratified
Population
Detection of
statistically
significant difference
Graph for
Stratified
Population
Sex, Age, BP,
Smoking, Alcohol
Drinking, Disease
History
Data Table
Data table for
stratified
population
http://www.dist.megabank.tohoku.ac.jp/
10
1,070
Explanations and statistical graphs for 

all the variables stored in Release 1.0.0 

of our integrated database “dbTMM”
 

 Integrated Database “dbTMM” catalogue
Alcohol drink
Yes
No
No (Constitutionally)
Rarely
(>once/month)
Precise stratification promotes researches for genomic medicine.
Genomic Data
150,000
participants
Omics Data
Lab Test Data
Clinical Data
Questionnaire Data
Questionnaire Data
Clinical Data
11
 

 Precise “Stratification” and “Phenotyping”

of TMM toward Genomic Medicine

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Development of Tohoku Medical Megabank Integrated Database ”dbTMM”

  • 1. Development of Tohoku Medical Megabank Integrated Database ”dbTMM”  Group of Integrated Database System, Tohoku Medical Megabank Organization, Tohoku University  Associate Professor Group Leader
 Soichi Ogishima integrating health and genomic data of 1,070 participants
 toward genomic medicine 1  ogishima@megabank.tohoku.ac.jp
  • 2. 2
  • 3. Development of biobank is key for realization of genomic medicine, in other words, precision medicine. Biobank Research Institutes Biobank stores demographics data, laboratory test, and clinical data. On the other hand, research institutes own genome and omics data. Material Transfer Genome & Omics Analysis Demographic Data Laboratory Test Data Clinical Data Genome & Omics Data Study 
 Participants 3  
  Biobank toward genomic medicine Sequencing Facility
  • 4.  
  Integrated Biobank and Database Tohoku Medical Megabank (TMM) is an “integrated biobank” having both biobank and sequence facility, which develops integrated database. Biobank Genome & Omics Analysis Participant Data Laboratory Test Data Clinical Data Genome & Omics Data Study 
 Participants 4 Questionnaire Data Cohort Tohoku Medical Megabank Integrated Database “dbTMM” Researchers Data Sharing Integrated Biobank Health and Clinical Data Sequence Facility Omics Analysis Facility
  • 5. Development of Tohoku Medical Megabank Integrated Database “dbTMM” integrating health and genomic data toward genomic medicine 5 Search Constitution (Genome sequence (variation)) :  Chr 8 pos 41519462 (rs515071) = TT & Health status (Lab test) : HbA1c > 6.2 & Lifestyle (QA) : Alcohol drinking = Yes & Disease History (QA) : Type II Diabates = Yes 150,000 participants Precise Stratification 
 by health, clinical and genomic data Genomic & Omics data  
  TMM Integrated Database
 “dbTMM” Health & Clinical Data demographic data 3,000 participants
  • 6. Questionnaire Data Consent Form
 Resident Register Hospitals (Regional Medical 
 Record Network) Physiological Test Data Demographics Data Laboratory Test Data
 Specimen Data Clinical Data Physiological Test MRI Test De-idenfication Cohort Data monitoring / cleaning Specimen Health data collection (scheduled) Biobank Sequencing QC Clinical Data Health Survey Data Specimen Data Genome & Omics Data Data Integration and Standarization Genome 
 & Omics Data Tohoku Medical Megabank Integrated Database dbTMM DNA Biobank ID Investigation ID Clinical ID Cohort ID Blood urine test 6  
  Data collection and integration Clinical data
 collection
  • 7. Fast Search of Health, Clinical and Genomic Large-scale Data Statistical Characterization of Stratified Population How can researchers understand narrowed-down population w/o browsing all the variable data? Detection of statistically significant difference Integrated Database “dbTMM” stores health, clinical and genomic large-scale data
 over 2.1 million SNV sites. Statistical characterization of stratified population gives us a hint for research. Tohoku Medical Megabank 150,000 participants Stratified Population 3000 participants 7 Men Smokers  
  TMM Integrated Database “dbTMM” Statistical Characterization
  • 8. Release 1.0.0 (Mar 31, 2016)  
  The first release of “dbTMM” Whole Genome 
 Sequence Data SNV 2.1 million sites Blood Urine Test Data Hematological test 
 (Blood cell counting) Immunological test 
 (Allergy test) Biochemical Test
 Urine Test Questionnaire Data Demographics, Exercise, Alcohol drink, Smoking, Stress, Family structure, Health status, Disease history, Constitution, Work, Sleep, Association, Earthquake (Tsunami) experience,
 Women Health Sex, Age (not included) (scheduled) 8 1,070 participants of Miyagi Resident Cohort Demographics
  • 9. 9  
  User Interface Detailed Search Any variables, combinations, conditions with AND/OR Category Facet Cohort type, Disease classification, Omics data type Statistical Characteristic 
 for Stratified Population Detection of statistically significant difference Graph for Stratified Population Sex, Age, BP, Smoking, Alcohol Drinking, Disease History Data Table Data table for stratified population
  • 10. http://www.dist.megabank.tohoku.ac.jp/ 10 1,070 Explanations and statistical graphs for 
 all the variables stored in Release 1.0.0 
 of our integrated database “dbTMM”  
  Integrated Database “dbTMM” catalogue Alcohol drink Yes No No (Constitutionally) Rarely (>once/month)
  • 11. Precise stratification promotes researches for genomic medicine. Genomic Data 150,000 participants Omics Data Lab Test Data Clinical Data Questionnaire Data Questionnaire Data Clinical Data 11  
  Precise “Stratification” and “Phenotyping”
 of TMM toward Genomic Medicine