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Clinical application of whole-exome sequencing across clinical indications
by
Retterer, Kyle
, Millan, Francisca
, Gibellini, Federica
, Vertino-Bell, Annette
, Monaghan, Kristin G.
, Bai, Renkui
, Suchy, Sharon
, Pineda-Alvarez, Daniel
, Brandt, Tracy
, Smaoui, Nizar
, McKnight, Dianalee
, Juusola, Jane
, Tahiliani, Jackie
, Vitazka, Patrik
, Neidich, Julie
, Chung, Wendy K.
, Bale, Sherri
, Cho, Megan T.
, Haverfield, Eden
, Friedman, Bethany
, Richard, Gabriele
in
631/208/1516
/ 631/208/514/1948
/ 692/700/139
/ Biomedicine
/ Exome - genetics
/ Genetic Diseases, Inborn - classification
/ Genetic Diseases, Inborn - diagnosis
/ Genetic Diseases, Inborn - epidemiology
/ Genetic Diseases, Inborn - genetics
/ Genomics
/ High-Throughput Nucleotide Sequencing - methods
/ Human Genetics
/ Humans
/ Laboratory Medicine
/ Mutation
/ original-research-article
/ Sequence Analysis, DNA - methods
2016
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Clinical application of whole-exome sequencing across clinical indications
by
Retterer, Kyle
, Millan, Francisca
, Gibellini, Federica
, Vertino-Bell, Annette
, Monaghan, Kristin G.
, Bai, Renkui
, Suchy, Sharon
, Pineda-Alvarez, Daniel
, Brandt, Tracy
, Smaoui, Nizar
, McKnight, Dianalee
, Juusola, Jane
, Tahiliani, Jackie
, Vitazka, Patrik
, Neidich, Julie
, Chung, Wendy K.
, Bale, Sherri
, Cho, Megan T.
, Haverfield, Eden
, Friedman, Bethany
, Richard, Gabriele
in
631/208/1516
/ 631/208/514/1948
/ 692/700/139
/ Biomedicine
/ Exome - genetics
/ Genetic Diseases, Inborn - classification
/ Genetic Diseases, Inborn - diagnosis
/ Genetic Diseases, Inborn - epidemiology
/ Genetic Diseases, Inborn - genetics
/ Genomics
/ High-Throughput Nucleotide Sequencing - methods
/ Human Genetics
/ Humans
/ Laboratory Medicine
/ Mutation
/ original-research-article
/ Sequence Analysis, DNA - methods
2016
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Do you wish to request the book?
Clinical application of whole-exome sequencing across clinical indications
by
Retterer, Kyle
, Millan, Francisca
, Gibellini, Federica
, Vertino-Bell, Annette
, Monaghan, Kristin G.
, Bai, Renkui
, Suchy, Sharon
, Pineda-Alvarez, Daniel
, Brandt, Tracy
, Smaoui, Nizar
, McKnight, Dianalee
, Juusola, Jane
, Tahiliani, Jackie
, Vitazka, Patrik
, Neidich, Julie
, Chung, Wendy K.
, Bale, Sherri
, Cho, Megan T.
, Haverfield, Eden
, Friedman, Bethany
, Richard, Gabriele
in
631/208/1516
/ 631/208/514/1948
/ 692/700/139
/ Biomedicine
/ Exome - genetics
/ Genetic Diseases, Inborn - classification
/ Genetic Diseases, Inborn - diagnosis
/ Genetic Diseases, Inborn - epidemiology
/ Genetic Diseases, Inborn - genetics
/ Genomics
/ High-Throughput Nucleotide Sequencing - methods
/ Human Genetics
/ Humans
/ Laboratory Medicine
/ Mutation
/ original-research-article
/ Sequence Analysis, DNA - methods
2016
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Clinical application of whole-exome sequencing across clinical indications
Journal Article
Clinical application of whole-exome sequencing across clinical indications
2016
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Overview
We report the diagnostic yield of whole-exome sequencing (WES) in 3,040 consecutive cases at a single clinical laboratory.
WES was performed for many different clinical indications and included the proband plus two or more family members in 76% of cases.
The overall diagnostic yield of WES was 28.8%. The diagnostic yield was 23.6% in proband-only cases and 31.0% when three family members were analyzed. The highest yield was for patients who had disorders involving hearing (55%, N = 11), vision (47%, N = 60), the skeletal muscle system (40%, N = 43), the skeletal system (39%, N = 54), multiple congenital anomalies (36%, N = 729), skin (32%, N = 31), the central nervous system (31%, N = 1,082), and the cardiovascular system (28%, N = 54). Of 2,091 cases in which secondary findings were analyzed for 56 American College of Medical Genetics and Genomics–recommended genes, 6.2% (N = 129) had reportable pathogenic variants. In addition to cases with a definitive diagnosis, in 24.2% of cases a candidate gene was reported that may later be reclassified as being associated with a definitive diagnosis.
Our experience with our first 3,040 WES cases suggests that analysis of trios significantly improves the diagnostic yield compared with proband-only testing for genetically heterogeneous disorders and facilitates identification of novel candidate genes.
Publisher
Elsevier Inc,Nature Publishing Group US,Elsevier Limited
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