The diagnostic yield of exome sequencing in liver diseases from a curated gene panel

被引:2
|
作者
Kong, Xiao-Fei [1 ,2 ,3 ,6 ]
Bogyo, Kelsie [2 ]
Kapoor, Sheena [2 ]
Shea, Patrick R. [2 ,3 ]
Groopman, Emily E. [2 ]
Thomas-Wilson, Amanda [4 ,7 ]
Cocchi, Enrico [2 ]
Milo Rasouly, Hila [2 ]
Zheng, Beishi [1 ]
Sun, Siming [1 ]
Zhang, Junying [2 ]
Martinez, Mercedes [5 ]
Vittorio, Jennifer M. [5 ,8 ]
Dove, Lorna M. [1 ,5 ]
Marasa, Maddalena [2 ]
Wang, Timothy C. [1 ]
Verna, Elizabeth C. [1 ,5 ]
Worman, Howard J. [1 ,4 ]
Gharavi, Ali G. [2 ,3 ]
Goldstein, David B. [3 ]
Wattacheril, Julia [1 ,5 ]
机构
[1] Columbia Univ, Irving Med Ctr, Dept Med, Div Digest & Liver Dis, Hammer Hlth Sci Bldg,Rm 402,701 168th St, New York, NY 10032 USA
[2] Columbia Univ, Ctr Precis Med & Genom, Irving Med Ctr, Dept Med, New York, NY 10032 USA
[3] Columbia Univ, Inst Genom Med, Irving Med Ctr, New York, NY 10032 USA
[4] Columbia Univ, Irving Med Ctr, Dept Pathol & Cell Biol, New York, NY 10032 USA
[5] Columbia Univ, Ctr Liver Dis & Transplantat, Irving Med Ctr, 622 West 168th St,PH 14-105D, New York, NY 10032 USA
[6] UT Southwestern Med Ctr, McDermott Ctr Human Growth & Dev, Dept Med, Dallas, TX 75390 USA
[7] New York Genome Ctr, Mol Diagnost, New York, NY USA
[8] NYU Langone Hlth, NYU Transplant Inst, New York, NY USA
关键词
RESOLUTION VARIANT FREQUENCIES; MEDICAL GENETICS; AMERICAN-COLLEGE; MUTATIONS; DISORDERS;
D O I
10.1038/s41598-023-42202-1
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Exome sequencing (ES) has been used in a variety of clinical settings but there are limited data on its utility for diagnosis and/or prediction of monogenic liver diseases. We developed a curated list of 502 genes for monogenic disorders associated with liver phenotypes and analyzed ES data for these genes in 758 patients with chronic liver diseases (CLD). For comparison, we examined ES data in 7856 self-declared healthy controls (HC), and 2187 patients with chronic kidney disease (CKD). Candidate pathogenic (P) or likely pathogenic (LP) variants were initially identified in 19.9% of participants, most of which were attributable to previously reported pathogenic variants with implausibly high allele frequencies. After variant annotation and filtering based on population minor allele frequency (MAF <= 10-4 for dominant disorders and MAF <= 10-3 for recessive disorders), we detected a significant enrichment of P/LP variants in the CLD cohort compared to the HC cohort (X2 test OR 5.00, 95% CI 3.06-8.18, p value = 4.5e-12). A second-level manual annotation was necessary to capture true pathogenic variants that were removed by stringent allele frequency and quality filters. After these sequential steps, the diagnostic rate of monogenic disorders was 5.7% in the CLD cohort, attributable to P/LP variants in 25 genes. We also identified concordant liver disease phenotypes for 15/22 kidney disease patients with P/LP variants in liver genes, mostly associated with cystic liver disease phenotypes. Sequencing results had many implications for clinical management, including familial testing for early diagnosis and management, preventative screening for associated comorbidities, and in some cases for therapy. Exome sequencing provided a 5.7% diagnostic rate in CLD patients and required multiple rounds of review to reduce both false positive and false negative findings. The identification of concordant phenotypes in many patients with P/LP variants and no known liver disease also indicates a potential for predictive testing for selected monogenic liver disorders.
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页数:11
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