TY - JOUR
T1 - Clinical utility of next-generation sequencing for inherited bone marrow failure syndromes
AU - Muramatsu, Hideki
AU - Okuno, Yusuke
AU - Yoshida, Kenichi
AU - Shiraishi, Yuichi
AU - Doisaki, Sayoko
AU - Narita, Atsushi
AU - Sakaguchi, Hirotoshi
AU - Kawashima, Nozomu
AU - Wang, Xinan
AU - Xu, Yinyan
AU - Chiba, Kenichi
AU - Tanaka, Hiroko
AU - Hama, Asahito
AU - Sanada, Masashi
AU - Takahashi, Yoshiyuki
AU - Kanno, Hitoshi
AU - Yamaguchi, Hiroki
AU - Ohga, Shouichi
AU - Manabe, Atsushi
AU - Harigae, Hideo
AU - Kunishima, Shinji
AU - Ishii, Eiichi
AU - Kobayashi, Masao
AU - Koike, Kenichi
AU - Watanabe, Kenichiro
AU - Ito, Etsuro
AU - Takata, Minoru
AU - Yabe, Miharu
AU - Ogawa, Seishi
AU - Miyano, Satoru
AU - Kojima, Seiji
PY - 2017/7/1
Y1 - 2017/7/1
N2 - 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.Genet Med advance online publication 19 January 2017.
AB - 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.Genet Med advance online publication 19 January 2017.
UR - http://www.scopus.com/inward/record.url?scp=85018015037&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85018015037&partnerID=8YFLogxK
U2 - 10.1038/gim.2016.197
DO - 10.1038/gim.2016.197
M3 - Article
C2 - 28102861
AN - SCOPUS:85018015037
SN - 1098-3600
VL - 19
SP - 796
EP - 802
JO - Genetics in Medicine
JF - Genetics in Medicine
IS - 7
ER -