Targeted Gene Panel Sequencing for Early-onset Inflammatory Bowel Disease and Chronic Diarrhea

被引:26
作者
Petersen, Britt-Sabina [1 ]
August, Dietrich [2 ]
Abt, Renate [3 ]
Alddafari, Moudjahed [4 ]
Atarod, Lida [5 ]
Baris, Safa [6 ]
Bhavsar, Hemant [7 ]
Brinkert, Florian [8 ]
Buchta, Mary [2 ]
Bulashevska, Alla [2 ]
Chee, Ronnie [9 ]
Cordeiro, Ana I. [10 ,11 ]
Dara, Naghi [12 ]
Duckers, Gregor [13 ]
Elmarsafy, Aisha [14 ]
Frede, Natalie [2 ]
Galal, Nermeen [14 ]
Gerner, Patrick [15 ]
Glocker, Erik-Oliver [16 ,41 ]
Goldacker, Sigune [2 ]
Hammermann, Jutta [17 ]
Hasselblatt, Peter [18 ,19 ]
Havlicekova, Zuzana [20 ]
Hubscher, Katrin [2 ]
Jesenak, Milos [20 ]
Karaca, Neslihan E. [21 ]
Karakoc-Aydiner, Elif [6 ]
Kharaghani, Mahboubeh M. [22 ]
Kilic, Sara S. [23 ]
Kiykim, Ayca [6 ]
Klein, Christoph [24 ]
Klemann, Christian [25 ,26 ]
Kobbe, Robin [8 ]
Kotlarz, Daniel [24 ]
Laass, Martin W. [17 ]
Leahy, T. Ronan [27 ]
Mesdaghi, Mehrnaz [28 ]
Mitton, Sally [29 ,30 ]
Neves, Joao F. [10 ,11 ]
Ozturk, Birol [31 ]
Pereira, Luis F. [32 ]
Rohr, Jan [2 ]
Restrepo, Jessica L. R. [2 ]
Ruzaike, Gunda [33 ]
Saleh, Nadia [34 ]
Seneviratne, Suranjith [35 ]
Senol, Ebru [31 ]
Speckmann, Carsten [2 ]
Tegtmeyer, Daniel [15 ]
Thankam, Paul [36 ]
机构
[1] Univ Kiel, Inst Clin Mol Biol, Kiel, Germany
[2] DZIF Satellite Ctr, Med Ctr, Fac Med, Ctr Chron Immunodeficiency, Braunschweig, Germany
[3] Klinikum Nurnberg, Paediat Gastroenterol, Nurnberg, Germany
[4] Univ Abou Bekr Belkaid Tlemcen, Lab Appl Mol Biol & Immunol, Tilimsen, Algeria
[5] Univ Tehran Med Sci, Dept Pediat, Pediat Ctr Excellence, Childrens Med Ctr, Tehran, Iran
[6] Marmara Univ, Pendik Training & Res Hosp, Clin Pediat Allergy & Immunol, Istanbul, Turkey
[7] Birmingham Childrens Hosp, Dept Gastroenterol & Clin Nutr, Birmingham, W Midlands, England
[8] Univ Med Ctr Hamburg Eppendorf, Dept Paediat, Hamburg, Germany
[9] Royal Free Hosp, Dept Immunol, London, England
[10] Pediat Univ Hosp, Hosp Dona Estefania, Primary Immunodeficiencies Unit, Lisbon, Portugal
[11] NOVA Med Sch, Chron Dis Res Ctr, CEDOC, Lisbon, Portugal
[12] Shahid Beheshti Univ Med Sci, Mofid Childrens Hosp, Dept Pediat Gastroenterol & Hepatol, Tehran, Iran
[13] Childrens Hosp, Helios Kliniken, Krefeld, Germany
[14] Cairo Univ, Fac Med, Pediat Dept, Cairo, Egypt
[15] Univ Freiburg, Paediat Gastroenterol Hepatol, Freiburg, Germany
[16] Univ Freiburg, Inst Med Microbiol & Hyg, Freiburg, Germany
[17] Tech Univ Dresden, Univ Med Ctr Dresden, Dept Pediat, Dresden, Germany
[18] Univ Freiburg, Univ Hosp, Dept Med 2, Freiburg, Germany
[19] Univ Freiburg, Fac Med, Freiburg, Germany
[20] Commenius Univ Bratislava, Jessenius Fac Med, Dept Paediat, Ctr Diag & Treatment Primary Immunodeficiencies, Martin, Slovakia
[21] Ege Univ, Dept Pediat, Fac Med, Izmir, Turkey
[22] Shahid Beheshti Univ Med Sci, Dept Allergy & Clin Immunol, Mofid Childrens Hosp, Tehran, Iran
[23] Uludag Univ, Fac Med, Pediat Immunol Div, Dept Pediat, Bursa, Turkey
[24] Ludwig Maximilians Univ Munchen, Dr Von Hauner Childrens Hosp, Dept Pediat, Munich, Germany
[25] Univ Freiburg, Fac Med, Ctr Chron Immunodeficiency, Med Ctr, Freiburg, Germany
[26] Univ Freiburg, Fac Med, Univ Med Ctr, Ctr Pediat,Dept Pediat Hematol & Oncol, Freiburg, Germany
[27] Our Ladys Childrens Hosp, Dept Paediat Immunol & Infect Dis, Dublin, Ireland
[28] Shahid Beheshti Univ Med Sci, Mofid Children Hosp, Dept Immunol, Tehran, Iran
[29] St Georges Healthcare NHS Trust, Dept Paediat Gastroenterol, London, England
[30] Univ London, London, England
[31] Marmara Univ, Med Fac, Dept Gastroenterol & Clin Nutr, Istanbul, Turkey
[32] San Pedro Alcantara Hosp, Serv Clin Lab, Div Immunol, Caceres, Spain
[33] Univ Freiburg, Div Pediat Hematol & Oncol, Bone Marrow Failure Grp, Freiburg, Germany
[34] Univ Bonn, Childrens Hosp, Bonn, Germany
[35] UCL, Inst Immun & Transplantat, Royal Free Campus, London, England
[36] Univ London, St Georges Hosp, Dept Paediat, London, England
[37] Univ Ziekenhuis Brussel, Dept Pediat, Brussels, Belgium
[38] Charite, Med Labor Berlin Charite Vivantes GmbH, Dept Immunol, Pediat Pneumol & Immunol, Berlin, Germany
[39] Tech Univ Dresden, Dept Med 1, Univ Med Ctr Dresden, Dresden, Germany
[40] Tech Univ Dresden, Ctr Regenerat Therapies, Dresden, Germany
[41] Brandenburg Hosp, Brandenburg Med Sch, Inst Lab Med, Brandenburg Havel, Germany
关键词
early-onset IBD; infant colitis; chronic diarrhea; next-generation sequencing; genetic screening; immunodeficiency; WISKOTT-ALDRICH SYNDROME; DYSKERATOSIS-CONGENITA; HUMAN GENOME; MUTATIONS; VARIANTS; TELOMERE; PATHOGENICITY; PREVALENCE; DISORDERS; FRAMEWORK;
D O I
10.1097/MIB.0000000000001235
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background: In contrast to adult-onset inflammatory bowel disease (IBD), where many genetic loci have been shown to be involved in complex disease etiology, early-onset IBD (eoIBD) and associated syndromes can sometimes present as monogenic conditions. As a result, the clinical phenotype and ideal disease management in these patients often differ from those in adult-onset IBD. However, due to high costs and the complexity of data analysis, high-throughput screening for genetic causes has not yet become a standard part of the diagnostic work-up of eoIBD patients. Methods: We selected 28 genes of interest associated with monogenic IBD and performed targeted panel sequencing in 71 patients diagnosed with eoIBD or early-onset chronic diarrhea to detect causative variants. We compared these results to whole-exome sequencing (WES) data available for 25 of these patients. Results: Target coverage was significantly higher in the targeted gene panel approach compared with WES, whereas the cost of the panel was considerably lower (approximately 25% of WES). Disease-causing variants affecting protein function were identified in 5 patients (7%), located in genes of the IL10 signaling pathway (3), WAS (1), and DKC1 (1). The functional effects of 8 candidate variants in 5 additional patients (7%) are under further investigation. WES did not identify additional causative mutations in 25 patients. Conclusions: Targeted gene panel sequencing is a fast and effective screening method for monogenic causes of eoIBD that should be routinely established in national referral centers.
引用
收藏
页码:2109 / 2120
页数:12
相关论文
共 51 条
[11]   Next generation exome sequencing of paediatric inflammatory bowel disease patients identifies rare and novel variants in candidate genes [J].
Christodoulou, Katja ;
Wiskin, Anthony E. ;
Gibson, Jane ;
Tapper, William ;
Willis, Claire ;
Afzal, Nadeem A. ;
Upstill-Goddard, Rosanna ;
Holloway, John W. ;
Simpson, Michael A. ;
Beattie, R. Mark ;
Collins, Andrew ;
Ennis, Sarah .
GUT, 2013, 62 (07) :977-984
[12]   Dissecting Allele Architecture of Early Onset IBD Using High-Density Genotyping [J].
Cutler, David J. ;
Zwick, Michael E. ;
Okou, David T. ;
Prahalad, Sampath ;
Walters, Thomas ;
Guthery, Stephen L. ;
Dubinsky, Marla ;
Baldassano, Robert ;
Crandall, Wallace V. ;
Rosh, Joel ;
Markowitz, James ;
Stephens, Michael ;
Kellermayer, Richard ;
Pfefferkorn, Marian ;
Heyman, Melvin B. ;
LeLeiko, Neal ;
Mack, David ;
Moulton, Dedrick ;
Kappelman, Michael D. ;
Kumar, Archana ;
Prince, Jarod ;
Bose, Promita ;
Mondal, Kajari ;
Ramachandran, Dhanya ;
Bohnsack, John F. ;
Griffiths, Anne M. ;
Haberman, Yael ;
Essers, Jonah ;
Thompson, Susan D. ;
Aronow, Bruce ;
Keljo, David J. ;
Hyams, Jeffrey S. ;
Denson, Lee A. ;
Kugathasan, Subra .
PLOS ONE, 2015, 10 (06)
[13]   Identifying a High Fraction of the Human Genome to be under Selective Constraint Using GERP plus [J].
Davydov, Eugene V. ;
Goode, David L. ;
Sirota, Marina ;
Cooper, Gregory M. ;
Sidow, Arend ;
Batzoglou, Serafim .
PLOS COMPUTATIONAL BIOLOGY, 2010, 6 (12)
[14]   Symptomatic Males and Female Carriers in a Large Caucasian Kindred with XIAP Deficiency [J].
Dziadzio, Magdalena ;
Ammann, Sandra ;
Canning, Claire ;
Boyle, Fiona ;
Hassan, Amel ;
Cale, Cathy ;
Elawad, Mamoun ;
Fiil, Berthe Katrine ;
Gyrd-Hansen, Mads ;
Salzer, Ulrich ;
Speckmann, Carsten ;
Grimbacher, Bodo .
JOURNAL OF CLINICAL IMMUNOLOGY, 2015, 35 (05) :439-444
[15]   Infant colitis-it's in the genes [J].
Glocker, Erik-Oliver ;
Frede, Natalie ;
Perro, Mario ;
Sebire, Neil ;
Elawad, Mamoun ;
Shah, Neil ;
Grimbacher, Bodo .
LANCET, 2010, 376 (9748) :1272-1272
[16]   Inflammatory Bowel Disease and Mutations Affecting the Interleukin-10 Receptor [J].
Glocker, Erik-Oliver ;
Kotlarz, Daniel ;
Boztug, Kaan ;
Gertz, E. Michael ;
Schaeffer, Alejandro A. ;
Noyan, Fatih ;
Perro, Mario ;
Diestelhorst, Jana ;
Allroth, Anna ;
Murugan, Dhaarini ;
Haetscher, Nadine ;
Pfeifer, Dietmar ;
Sykora, Karl-Walter ;
Sauer, Martin ;
Kreipe, Hans ;
Lacher, Martin ;
Nustede, Rainer ;
Woellner, Cristina ;
Baumann, Ulrich ;
Salzer, Ulrich ;
Koletzko, Sibylle ;
Shah, Neil ;
Segal, Anthony W. ;
Sauerbrey, Axel ;
Buderus, Stephan ;
Snapper, Scott B. ;
Grimbacher, Bodo ;
Klein, Christoph .
NEW ENGLAND JOURNAL OF MEDICINE, 2009, 361 (21) :2033-2045
[17]   Kaviar: an accessible system for testing SNV novelty [J].
Glusman, Gustavo ;
Caballero, Juan ;
Mauldin, Denise E. ;
Hood, Leroy ;
Roach, Jared C. .
BIOINFORMATICS, 2011, 27 (22) :3216-3217
[18]   Genetics of Childhood-onset Inflammatory Bowel Disease [J].
Henderson, Paul ;
van Limbergen, Johan E. ;
Wilson, David C. ;
Satsangi, Jack ;
Russell, Richard K. .
INFLAMMATORY BOWEL DISEASES, 2011, 17 (01) :346-361
[19]   In silico prediction of splice-altering single nucleotide variants in the human genome [J].
Jian, Xueqiu ;
Boerwinkle, Eric ;
Liu, Xiaoming .
NUCLEIC ACIDS RESEARCH, 2014, 42 (22) :13534-13544
[20]   The gastrointestinal manifestations of telomere-mediated disease [J].
Jonassaint, Naudia L. ;
Guo, Nini ;
Califano, Joseph A. ;
Montgomery, Elizabeth A. ;
Armanios, Mary .
AGING CELL, 2013, 12 (02) :319-323