ClinGen综合征疾病基因管理专家小组:评估111个基因与疾病关系的临床有效性

Eleanor C. Broeren , Vanessa N. Gitau , Alicia B. Byrne , Pamela Ajuyah , Marie B. Balzotti , Jonathan S. Berg , Krista Bluske , B. Monica Bowen , Matthew P. Brown , Amanda Buchanan , Brendan T. Burns , Nicole J. Burns , Anjana Chandrasekhar , Aditi Chawla , Jessica X. Chong , Maya Chopra , Amanda R. Clause , Marina T. DiStefano , Stephanie DiTroia , Marwa A. Elnagheeb , Alison J. Coffey
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引用次数: 0

摘要

临床基因组资源(ClinGen)基因管理专家组历来专注于特定的器官系统或表型;因此,ClinGen综合征疾病基因管理专家小组(SD-GCEP)成立,以解决未满足的需求。方法SD-GCEP应用ClinGen框架评价罕见综合征相关基因的临床有效性。共有111个基因-疾病关系(gdr)与100个基因相关,涵盖临床综合征疾病谱。从2020年4月到2024年3月,对具有多种疾病关系的基因进行了38次预测,并进行了审查,以确定这些疾病是谱系的一部分还是不同的实体。共有14个基因被集中到一个单一的疾病实体中,24个基因被分成单独的实体,其中11个基因被SD-GCEP收录。随后对100个基因的111个gdr进行了全面审查,其中78个被分类为确定型,9个为强型,15个为中度型,9个为有限型,突出了需要进一步数据的病例。所有疾病都涉及2个或更多的器官系统,而大多数(88/111 gdr, 79.2%)有5个或更多的器官系统受到影响。结论SD-GCEP解决了基因管理工作的一个关键空白,使综合征性疾病的基因能够纳入临床检测,并有助于跟上新的遗传综合征的快速发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The ClinGen Syndromic Disorders Gene Curation Expert Panel: Assessing the clinical validity of 111 gene-disease relationships

Purpose

The Clinical Genome Resource (ClinGen) Gene Curation Expert Panels have historically focused on specific organ systems or phenotypes; thus, the ClinGen Syndromic Disorders Gene Curation Expert Panel (SD-GCEP) was formed to address an unmet need.

Methods

The SD-GCEP applied ClinGen’s framework to evaluate the clinical validity of genes associated with rare syndromic disorders. A total of 111 gene-disease relationships (GDRs) associated with 100 genes spanning the clinical spectrum of syndromic disorders were curated.

Results

From April 2020 through March 2024, 38 precurations were performed on genes with multiple disease relationships and were reviewed to determine if the disorders were part of a spectrum or distinct entities. A total of 14 genes were lumped into a single disease entity, and 24 were split into separate entities, of which 11 were curated by the SD-GCEP. A full review of 111 GDRs for 100 genes followed, with 78 classified as Definitive, 9 as Strong, 15 as Moderate, and 9 as Limited, highlighting cases in which further data are needed. All diseases involved 2 or more organ systems, whereas the majority (88/111 GDRs, 79.2%) had 5 or more organ systems affected.

Conclusion

The SD-GCEP addresses a critical gap in gene curation efforts, enabling inclusion of genes for syndromic disorders in clinical testing and contributing to keeping pace with the rapid discovery of new genetic syndromes.
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