Clinical utility of next-generation sequencing for inherited bone marrow failure syndromes

被引:64
|
作者
Muramatsu, Hideki [1 ]
Okuno, Yusuke [1 ]
Yoshida, Kenichi [2 ]
Shiraishi, Yuichi [3 ]
Doisaki, Sayoko [1 ]
Narita, Atsushi [1 ]
Sakaguchi, Hirotoshi [1 ]
Kawashima, Nozomu [1 ]
Wang, Xinan [1 ]
Xu, Yinyan [1 ]
Chiba, Kenichi [3 ]
Tanaka, Hiroko [3 ]
Hama, Asahito [1 ]
Sanada, Masashi [2 ,4 ]
Takahashi, Yoshiyuki [1 ]
Kanno, Hitoshi [5 ]
Yamaguchi, Hiroki [6 ]
Ohga, Shouichi [7 ]
Manabe, Atsushi [8 ]
Harigae, Hideo [9 ]
Kunishima, Shinji [4 ]
Ishii, Eiichi [10 ]
Kobayashi, Masao [11 ]
Koike, Kenichi [12 ]
Watanabe, Kenichiro [13 ]
Ito, Etsuro [14 ]
Takata, Minoru [15 ]
Yabe, Miharu [16 ]
Ogawa, Seishi [2 ]
Miyano, Satoru [3 ,17 ]
Kojima, Seiji [1 ]
机构
[1] Nagoya Univ, Grad Sch Med, Dept Pediat, Nagoya, Aichi, Japan
[2] Kyoto Univ, Grad Sch Med, Dept Pathol & Tumor Biol, Kyoto, Japan
[3] Univ Tokyo, Inst Med Sci, Ctr Human Genome, Lab DNA Informat Anal, Tokyo, Japan
[4] Natl Hosp Org Nagoya Med Ctr, Clin Res Ctr, Dept Adv Diag, Nagoya, Aichi, Japan
[5] Tokyo Womens Med Univ, Dept Transfus Med & Cell Proc, Tokyo, Japan
[6] Nippon Med Sch, Dept Hematol, Tokyo, Japan
[7] Yamaguchi Univ, Grad Sch Med, Dept Pediat, Ube, Yamaguchi, Japan
[8] St Lukes Int Hosp, Dept Pediat, Tokyo, Japan
[9] Tohoku Univ, Grad Sch, Dept Hematol & Rheumatol, Sendai, Miyagi, Japan
[10] Ehime Univ, Grad Sch Med, Dept Pediat, Matsuyama, Ehime, Japan
[11] Hiroshima Univ Hosp, Dept Pediat, Hiroshima, Japan
[12] Shinshu Univ, Sch Med, Dept Pediat, Matsumoto, Nagano, Japan
[13] Shizuoka Childrens Hosp, Dept Hematol Oncol, Shizuoka, Japan
[14] Hirosaki Univ, Grad Sch Med, Dept Pediat, Hirosaki, Aomori, Japan
[15] Kyoto Univ, Ctr Radiat Biol, Dept Late Effects Studies, Lab DNA Damage Signaling, Kyoto, Japan
[16] Tokai Univ Hosp, Dept Cell Transplantat & Regenerat Med, Isehara, Kanagawa, Japan
[17] Univ Tokyo, Inst Med Sci, Ctr Human Genome, Lab Sequence Anal, Tokyo, Japan
关键词
Fanconi anemia; inherited bone marrow failure; next-generation sequencing; target sequencing; whole-exome sequencing; MUTATIONS; ANEMIA;
D O I
10.1038/gim.2016.197
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
Purpose: Precise genetic diagnosis of inherited bone marrow failure syndromes (IBMFS), a heterogeneous group of genetic disorders, is challenging but essential for precise clinical decision making. Methods: We analyzed 121 IBMFS patients using a targeted sequencing covering 184 associated genes and 250 IBMFS patients using whole-exome sequencing (WES). Results: We achieved successful genetic diagnoses for 53 of 121 patients (44%) using targeted sequencing and for 68 of 250 patients (27%) using WES. In the majority of cases (targeted sequencing: 45/53, 85%; WES: 63/68, 93%), the detected variants were concordant with, and therefore supported, the clinical diagnoses. However, in the remaining 13 cases (8 patients by target sequencing and 5 patients by WES), the clinical diagnoses were incompatible with the detected variants. Conclusion: Our approach utilizing targeted sequencing and WES achieved satisfactory diagnostic rates and supported the efficacy of massive parallel sequencing as a diagnostic tool for IBMFS.
引用
收藏
页码:796 / 802
页数:7
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