Rapid exome sequencing in critically ill infants: implementation in routine care from French regional hospital's perspective

被引:11
|
作者
Wells, Constance F. [1 ]
Boursier, Guilaine [1 ]
Yauy, Kevin [1 ,2 ,3 ]
Ruiz-Pallares, Nathalie [1 ]
Mechin, Deborah [1 ]
Ruault, Valentin [1 ]
Tharreau, Mylene [1 ]
Blanchet, Patricia [1 ]
Pinson, Lucile [1 ]
Coubes, Christine [1 ]
Fila, Marc [4 ]
Baleine, Julien [5 ]
Pidoux, Odile [5 ]
Badr, Maliha [5 ]
Milesi, Christophe [5 ]
Cambonie, Gilles [5 ]
Mesnage, Renaud [5 ]
Dereure, Maelle [6 ]
Ardouin, Olivier [7 ]
Guignard, Thomas [8 ]
Genevieve, David [1 ]
Barat-Houari, Mouna [1 ]
Willems, Marjolaine [1 ,9 ,10 ]
机构
[1] Univ Montpellier, Dept Med Genet Rare Dis & Personalized Med, CHU Montpellier, Montpellier, France
[2] Inst Adv Biosci, Ctr Rech UGA, Inserm U 1209, CNRS UMR 5309, Grenoble, France
[3] SegOne Genom, Montpellier, France
[4] Montpellier Univ Hosp, Pediat Nephrol Dept, Montpellier, France
[5] Montpellier Univ Hosp, Dept Neonatal Med & Pediat Intens Care, Montpellier, France
[6] Montpellier Univ Hosp, Clin Res & Epidemiol Dept, Montpellier, France
[7] Montpellier Univ Hosp, Mol Med & Genom Platform, Montpellier, France
[8] Montpellier Univ Hosp, Unit Chromosomal Genet & Res Plateform Chromostem, Montpellier, France
[9] Univ Montpellier, CHU Montpellier, Inserm U1298, INM, Montpellier, France
[10] OSCAR Network, Reference Ctr AD SOOR, AnDDI RARE, Competence Ctr Rare Skeletal Disorders, Montpellier, France
关键词
WHOLE-GENOME;
D O I
10.1038/s41431-022-01133-7
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
This monocentric study included fifteen children under a year old in intensive care with suspected monogenic conditions for rapid trio exome sequencing (rES) between April 2019 and April 2021. The primary outcome was the time from blood sampling to rapid exome sequencing report to parents. All results were available within 16 days and were reported to parents in or under 16 days in 13 of the 15 individuals (86%). Six individuals (40%) received a diagnosis with rES, two had a genetic condition not diagnosed by rES. Eight individuals had their care impacted by their rES results, four were discharged or died before the results. This small-scale study shows that rES can be implemented in a regional University hospital with rapid impactful diagnosis to improve care in critically ill infants.
引用
收藏
页码:1076 / 1082
页数:7
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