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Pilot implementation study of a default genetic referral process for patients with early-onset colorectal cancer 早发性结直肠癌患者默认遗传转诊过程的试点实施研究。
Genetics in Medicine Open Pub Date : 2025-01-01 DOI: 10.1016/j.gimo.2024.101902
Kelsey S. Lau-Min , Shavon Rochester , Megan Grabill , Jessica M. Long , Danielle B. McKenna , Jacqueline Powers , Danny Bracy , Leland Boisseau , Peter Gabriel , Randall Oyer , Susan M. Domchek , Katharine A. Rendle , Katherine L. Nathanson , Bryson W. Katona
{"title":"Pilot implementation study of a default genetic referral process for patients with early-onset colorectal cancer","authors":"Kelsey S. Lau-Min ,&nbsp;Shavon Rochester ,&nbsp;Megan Grabill ,&nbsp;Jessica M. Long ,&nbsp;Danielle B. McKenna ,&nbsp;Jacqueline Powers ,&nbsp;Danny Bracy ,&nbsp;Leland Boisseau ,&nbsp;Peter Gabriel ,&nbsp;Randall Oyer ,&nbsp;Susan M. Domchek ,&nbsp;Katharine A. Rendle ,&nbsp;Katherine L. Nathanson ,&nbsp;Bryson W. Katona","doi":"10.1016/j.gimo.2024.101902","DOIUrl":"10.1016/j.gimo.2024.101902","url":null,"abstract":"<div><h3>Purpose</h3><div>Early-onset colorectal cancer (CRC) diagnosed under age 50 is increasing at alarming rates, with &gt;75% of early-onset cases occurring in patients between 40 and 49 years old. Germline genetic risk evaluations are key to delivering high-quality care to these patients.</div></div><div><h3>Methods</h3><div>We conducted a single-arm pilot implementation study of a default genetic referral process for patients diagnosed with CRC between ages 40 and 49 at 5 hospitals in an academic health system. A research coordinator notified patients and their oncologists of their eligibility for a default genetic referral, after which all patients who did not opt out were referred for genetic counseling, testing, and result disclosure as per usual care. The primary outcome was the genetic referral rate; secondary outcomes included the percentage of eligible patients who were scheduled for a genetic evaluation, completed genetic counseling, and underwent testing within 3 months of the initial referral. We conducted semistructured exit interviews with a subset of patients and oncologists to elicit feedback on the intervention.</div></div><div><h3>Results</h3><div>We included 53 patients, of whom 49 (92%) were referred to genetics, 38 (72%) were scheduled, 22 (42%) completed genetic counseling, and 13 (25%) underwent testing within 3 months of the initial referral. In exit interviews (<em>n</em> = 10 patients and 10 oncologists), participants reported finding the default genetic referral process acceptable and feasible to implement.</div></div><div><h3>Conclusion</h3><div>A default genetic referral process is acceptable, feasible, and associated with a high referral rate for patients with early-onset CRC; however, subsequent scheduling, evaluation, and testing rates remain suboptimal.</div></div>","PeriodicalId":100576,"journal":{"name":"Genetics in Medicine Open","volume":"3 ","pages":"Article 101902"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An evaluation of genetic predisposition to congenital anomalies and pediatric cancer supports KAT6B as a novel neuroblastoma susceptibility gene 一项对先天性异常和儿童癌症遗传易感性的评估支持KAT6B作为一种新的神经母细胞瘤易感基因
Genetics in Medicine Open Pub Date : 2025-01-01 DOI: 10.1016/j.gimo.2024.101901
Hyunjung Gu , Yao Yu , Saumya Dushyant Sisoudiya , Pamela Mishra , He Li , Jeremy M. Schraw , Michael E. Scheurer , Donna M. Muzny , Danielle Mitchell , Olga Taylor , Shalini N. Jhangiani , Shannon Dugan-Perez , Yifan Wu , Harsha Doddapaneni , Sravya Venkata Bhamidipati , Marie-Claude Gingras , Jennifer E. Posey , Richard A. Gibbs , Chad D. Huff , Sharon E. Plon , Aniko Sabo
{"title":"An evaluation of genetic predisposition to congenital anomalies and pediatric cancer supports KAT6B as a novel neuroblastoma susceptibility gene","authors":"Hyunjung Gu ,&nbsp;Yao Yu ,&nbsp;Saumya Dushyant Sisoudiya ,&nbsp;Pamela Mishra ,&nbsp;He Li ,&nbsp;Jeremy M. Schraw ,&nbsp;Michael E. Scheurer ,&nbsp;Donna M. Muzny ,&nbsp;Danielle Mitchell ,&nbsp;Olga Taylor ,&nbsp;Shalini N. Jhangiani ,&nbsp;Shannon Dugan-Perez ,&nbsp;Yifan Wu ,&nbsp;Harsha Doddapaneni ,&nbsp;Sravya Venkata Bhamidipati ,&nbsp;Marie-Claude Gingras ,&nbsp;Jennifer E. Posey ,&nbsp;Richard A. Gibbs ,&nbsp;Chad D. Huff ,&nbsp;Sharon E. Plon ,&nbsp;Aniko Sabo","doi":"10.1016/j.gimo.2024.101901","DOIUrl":"10.1016/j.gimo.2024.101901","url":null,"abstract":"<div><h3>Purpose</h3><div>Although congenital anomalies are among the strongest risk factors for developing pediatric cancer, the genetic underpinnings remain unclear. Therefore, we evaluated germline susceptibility in children with congenital anomalies and cancer.</div></div><div><h3>Methods</h3><div>Through the Genetic Overlap Between Anomalies and Cancer in Kids Study, we recruited 47 participants with anomalies and cancer, along with their biological families. Genome sequencing was performed, focusing on single-nucleotide variants, indels, and structural variants. Pathogenic or likely pathogenic variants were identified by the American College of Medical Genetics and Genomics classification.</div></div><div><h3>Results</h3><div>We identified pathogenic or likely pathogenic variants in 23.4% (11 of 47) of participants. These variants encompassed (1) 4 genes associated with both anomalies and cancer (<em>WT1</em>, <em>USP9X</em>, <em>PTPN1</em>, and <em>LZTR1</em>), (2) 2 established cancer predisposition genes (<em>TP53</em> in 2 participants and <em>PAX5</em>), and (3) 4 genes that are associated with anomalies (<em>MMUT</em>, <em>FBN1</em>, <em>COL3A1</em>, and <em>KAT6B</em>). We further investigated the role of <em>KAT6B</em> on neuroblastoma in a gene-based analysis from 409 neuroblastoma cases and 952 controls. This analysis demonstrated a significant enrichment of rare, predicted deleterious variants (<em>P</em> = .017), with odds ratios ranging from 2 to 4 based on the conditions we applied.</div></div><div><h3>Conclusion</h3><div>This study demonstrates a molecular diagnostic yield of 23.4% in participants with both anomalies and cancer. Additionally, the findings further implicate the role of <em>KAT6B</em> as a novel neuroblastoma predisposition gene.</div></div>","PeriodicalId":100576,"journal":{"name":"Genetics in Medicine Open","volume":"3 ","pages":"Article 101901"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143162040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
1: Multicenter evaluation of a new AI-based karyotyping software on bone marrow specimens 一种新的基于人工智能的骨髓标本核型软件的多中心评价
Genetics in Medicine Open Pub Date : 2025-01-01 DOI: 10.1016/j.gimo.2024.101918
Rachel D. Burnside , Julie Best , Lisa Spudich , Amy Leftwich , Marbella Ospino , Ryan K. Olson , Jacob Diaz , Annette Mulka , Yanelys Guttierez , Heather Adams , Kenneth Greer , Julia Holmes , Christy Prongay , Lorraine Merant , Yael Glickman , Mohammad Kasom , Cristina Steele , Agshin F. Taghiyev , Lynne S. Rosenblum
{"title":"1: Multicenter evaluation of a new AI-based karyotyping software on bone marrow specimens","authors":"Rachel D. Burnside ,&nbsp;Julie Best ,&nbsp;Lisa Spudich ,&nbsp;Amy Leftwich ,&nbsp;Marbella Ospino ,&nbsp;Ryan K. Olson ,&nbsp;Jacob Diaz ,&nbsp;Annette Mulka ,&nbsp;Yanelys Guttierez ,&nbsp;Heather Adams ,&nbsp;Kenneth Greer ,&nbsp;Julia Holmes ,&nbsp;Christy Prongay ,&nbsp;Lorraine Merant ,&nbsp;Yael Glickman ,&nbsp;Mohammad Kasom ,&nbsp;Cristina Steele ,&nbsp;Agshin F. Taghiyev ,&nbsp;Lynne S. Rosenblum","doi":"10.1016/j.gimo.2024.101918","DOIUrl":"10.1016/j.gimo.2024.101918","url":null,"abstract":"","PeriodicalId":100576,"journal":{"name":"Genetics in Medicine Open","volume":"3 ","pages":"Article 101918"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
4: Chromosome mosaicism: A new look at an old (and perplexing) problem 第4集:染色体镶嵌:一个旧的(和令人困惑的)问题的新面貌
Genetics in Medicine Open Pub Date : 2025-01-01 DOI: 10.1016/j.gimo.2024.101921
Stuart Schwartz, Alexandra Arreola, Gloria Haskell, Andrea Penton, Karen Phillips, Jim Tepperberg, Inder Gadi
{"title":"4: Chromosome mosaicism: A new look at an old (and perplexing) problem","authors":"Stuart Schwartz,&nbsp;Alexandra Arreola,&nbsp;Gloria Haskell,&nbsp;Andrea Penton,&nbsp;Karen Phillips,&nbsp;Jim Tepperberg,&nbsp;Inder Gadi","doi":"10.1016/j.gimo.2024.101921","DOIUrl":"10.1016/j.gimo.2024.101921","url":null,"abstract":"","PeriodicalId":100576,"journal":{"name":"Genetics in Medicine Open","volume":"3 ","pages":"Article 101921"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
P009: Index of sustained Phe response and improvements in PKU clinical outcome assessments in patients receiving pegvaliase P009:服用pegvaliase的患者持续Phe反应指数和PKU临床结果评估的改善
Genetics in Medicine Open Pub Date : 2025-01-01 DOI: 10.1016/j.gimo.2025.102853
Drew Levy , Naomi Schwartz , David Andrae , Sarah Rose , Hafiz Oko-osi , Ogün Sazova , Kristin Lindstrom
{"title":"P009: Index of sustained Phe response and improvements in PKU clinical outcome assessments in patients receiving pegvaliase","authors":"Drew Levy ,&nbsp;Naomi Schwartz ,&nbsp;David Andrae ,&nbsp;Sarah Rose ,&nbsp;Hafiz Oko-osi ,&nbsp;Ogün Sazova ,&nbsp;Kristin Lindstrom","doi":"10.1016/j.gimo.2025.102853","DOIUrl":"10.1016/j.gimo.2025.102853","url":null,"abstract":"","PeriodicalId":100576,"journal":{"name":"Genetics in Medicine Open","volume":"3 ","pages":"Article 102853"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143635818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
P006: Genetic insights from a large-scale exome sequencing study of type 1 diabetes in Ukraine P006:来自乌克兰1型糖尿病的大规模外显子组测序研究的遗传见解
Genetics in Medicine Open Pub Date : 2025-01-01 DOI: 10.1016/j.gimo.2025.102850
Khrystyna Shchubelka , Walter Wolfsberger , Taras Oleksyk
{"title":"P006: Genetic insights from a large-scale exome sequencing study of type 1 diabetes in Ukraine","authors":"Khrystyna Shchubelka ,&nbsp;Walter Wolfsberger ,&nbsp;Taras Oleksyk","doi":"10.1016/j.gimo.2025.102850","DOIUrl":"10.1016/j.gimo.2025.102850","url":null,"abstract":"","PeriodicalId":100576,"journal":{"name":"Genetics in Medicine Open","volume":"3 ","pages":"Article 102850"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
P040: Development and validation of a quantitative ultra-performance liquid chromatography quadrupole time-of-flight (UPLC-QTof) method for urine organic acid analysis P040:超高效液相色谱四极杆飞行时间(UPLC-QTof)尿液有机酸定量分析方法的建立与验证
Genetics in Medicine Open Pub Date : 2025-01-01 DOI: 10.1016/j.gimo.2025.102884
Yi Xiao , Michael Wakefield , Mari Gabra , Edward Leung
{"title":"P040: Development and validation of a quantitative ultra-performance liquid chromatography quadrupole time-of-flight (UPLC-QTof) method for urine organic acid analysis","authors":"Yi Xiao ,&nbsp;Michael Wakefield ,&nbsp;Mari Gabra ,&nbsp;Edward Leung","doi":"10.1016/j.gimo.2025.102884","DOIUrl":"10.1016/j.gimo.2025.102884","url":null,"abstract":"","PeriodicalId":100576,"journal":{"name":"Genetics in Medicine Open","volume":"3 ","pages":"Article 102884"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
P043: Withdrawn P043:撤销
Genetics in Medicine Open Pub Date : 2025-01-01 DOI: 10.1016/j.gimo.2025.102887
{"title":"P043: Withdrawn","authors":"","doi":"10.1016/j.gimo.2025.102887","DOIUrl":"10.1016/j.gimo.2025.102887","url":null,"abstract":"","PeriodicalId":100576,"journal":{"name":"Genetics in Medicine Open","volume":"3 ","pages":"Article 102887"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
P032: Improving ataxia symptoms in patients with monoallelic DHDDS-CDG using nicotinamide precursor supplements 烟酰胺前体补充剂改善单等位基因DHDDS-CDG患者共济失调症状
Genetics in Medicine Open Pub Date : 2025-01-01 DOI: 10.1016/j.gimo.2025.102876
Drew Sinha , Irena Muffels , Ethan Perlstein , Tamas Kozciz , Eva Morava-Kosicz
{"title":"P032: Improving ataxia symptoms in patients with monoallelic DHDDS-CDG using nicotinamide precursor supplements","authors":"Drew Sinha ,&nbsp;Irena Muffels ,&nbsp;Ethan Perlstein ,&nbsp;Tamas Kozciz ,&nbsp;Eva Morava-Kosicz","doi":"10.1016/j.gimo.2025.102876","DOIUrl":"10.1016/j.gimo.2025.102876","url":null,"abstract":"","PeriodicalId":100576,"journal":{"name":"Genetics in Medicine Open","volume":"3 ","pages":"Article 102876"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
P063: Anion gap metabolic acidosis of unknown etiology 病因不明的阴离子间隙代谢性酸中毒
Genetics in Medicine Open Pub Date : 2025-01-01 DOI: 10.1016/j.gimo.2025.102907
Erica Gray , Will Burns
{"title":"P063: Anion gap metabolic acidosis of unknown etiology","authors":"Erica Gray ,&nbsp;Will Burns","doi":"10.1016/j.gimo.2025.102907","DOIUrl":"10.1016/j.gimo.2025.102907","url":null,"abstract":"","PeriodicalId":100576,"journal":{"name":"Genetics in Medicine Open","volume":"3 ","pages":"Article 102907"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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