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Cited by 276

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Primary immunodeficiency diseases: Genomic approaches delineate heterogeneous Mendelian disorders

Open access
Stray-Pedersen, Asbjørg, Sorte, Hanne Sørmo, Samarakoon, Pubudu, Gambin, Tomasz, Chinn, Ivan K., Coban Akdemir, Zeynep H., Erichsen, Hans Christian, Forbes, Lisa R., Gu, Shen, Yuan, Bo, Jhangiani, Shalini N., Muzny, Donna M., Rødningen, Olaug Kristin, Sheng, Ying, Nicholas, Sarah K., Noroski, Lenora M., Seeborg, Filiz O., Davis, Carla M., Canter, Debra L., Mace, Emily M., Vece, Timothy J., Allen, Carl E., Abhyankar, Harshal A., Boone, Philip M., Beck, Christine R., Wiszniewski, Wojciech, Fevang, Børre, Aukrust, Pål, Tjønnfjord, Geir E., Gedde-Dahl, Tobias, Hjorth-Hansen, Henrik, Dybedal, Ingunn, Nordøy, Ingvild, Jørgensen, Silje F., Abrahamsen, Tore G., Øverland, Torstein, Bechensteen, Anne Grete, Skogen, Vegard, Osnes, Liv T.N., Kulseth, Mari Ann, Prescott, Trine E., Rustad, Cecilie F., Heimdal, Ketil R., Belmont, John W., Rider, Nicholas L., Chinen, Javier, Cao, Tram N., Smith, Eric A., Caldirola, Maria Soledad, Bezrodnik, Liliana, Lugo Reyes, Saul Oswaldo, Espinosa Rosales, Francisco J., Guerrero-Cursaru, Nina Denisse, Pedroza, Luis Alberto, Poli, Cecilia M., Franco, Jose L., Trujillo Vargas, Claudia M., Aldave Becerra, Juan Carlos, Wright, Nicola, Issekutz, Thomas B., Issekutz, Andrew C., Abbott, Jordan, Caldwell, Jason W., Bayer, Diana K., Chan, Alice Y., Aiuti, Alessandro, Cancrini, Caterina, Holmberg, Eva, West, Christina, Burstedt, Magnus, Karaca, Ender, Yesil, Gözde, Artac, Hasibe, Bayram, Yavuz, Atik, Mehmed Musa, Eldomery, Mohammad K., Ehlayel, Mohammad S., Jolles, Stephen, Flatø, Berit, Bertuch, Alison A., Hanson, I. Celine, Zhang, Victor W., Wong, Lee-Jun, Hu, Jianhong, Walkiewicz, Magdalena, Yang, Yaping, Eng, Christine M., Boerwinkle, Eric, Gibbs, Richard A., Shearer, William T., Lyle, Robert, Orange, Jordan S., Lupski, James R.·2017·Journal of Allergy and Clinical Immunology

Abstract

Background: Primary immunodeficiency diseases (PIDDs) are clinically and genetically heterogeneous disorders thus far associated with mutations in more than 300 genes. The clinical phenotypes derived from distinct genotypes can overlap. Genetic etiology can be a prognostic indicator of disease severity and can influence treatment decisions. Objective: We sought to investigate the ability of whole‐exome screening methods to detect disease‐causing variants in patients with PIDDs. Methods: Patients with PIDDs from 278 families from 22 countries were investigated by using whole‐exome sequencing. Computational copy number variant (CNV) prediction pipelines and an exome‐tiling chromosomal microarray were also applied to identify intragenic CNVs. Analytic approaches initially focused on 475 known or candidate PIDD genes but were nonexclusive and further tailored based on clinical data, family history, and immunophenotyping. Results: A likely molecular diagnosis was achieved in 110 (40%) unrelated probands. Clinical diagnosis was revised in about half (60/110) and management was directly altered in nearly a quarter (26/110) of families based on molecular findings. Twelve PIDD‐causing CNVs were detected, including 7 smaller than 30 Kb that would not have been detected with conventional diagnostic CNV arrays. Conclusion: This high‐throughput genomic approach enabled detection of disease‐related variants in unexpected genes; permitted detection of low‐grade constitutional, somatic, and revertant mosaicism; and provided evidence of a mutational burden in mixed PIDD immunophenotypes.

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Authors
Stray-Pedersen, A., Sorte, H. S., Samarakoon, P., Gambin, T., Chinn, I. K., Coban Akdemir, Z. H., Erichsen, H. C., Forbes, L. R., Gu, S., Yuan, B., Jhangiani, S. N., Muzny, D. M., Rødningen, O. K., Sheng, Y., Nicholas, S. K., Noroski, L. M., Seeborg, F. O., Davis, C. M., Canter, D. L., Mace, E. M., Vece, T. J., Allen, C. E., Abhyankar, H. A., Boone, P. M., Beck, C. R., Wiszniewski, W., Fevang, B., Aukrust, P., Tjønnfjord, G. E., Gedde-Dahl, T., Hjorth-Hansen, H., Dybedal, I., Nordøy, I., Jørgensen, S. F., Abrahamsen, T. G., Øverland, T., Bechensteen, A. G., Skogen, V., Osnes, L. T. N., Kulseth, M. A., Prescott, T. E., Rustad, C. F., Heimdal, K. R., Belmont, J. W., Rider, N. L., Chinen, J., Cao, T. N., Smith, E. A., Caldirola, M. S., Bezrodnik, L., Lugo Reyes, S. O., Espinosa Rosales, F. J., Guerrero-Cursaru, N. D., Pedroza, L. A., Poli, C. M., Franco, J. L., Trujillo Vargas, C. M., Aldave Becerra, J. C., Wright, N., Issekutz, T. B., Issekutz, A. C., Abbott, J., Caldwell, J. W., Bayer, D. K., Chan, A. Y., Aiuti, A., Cancrini, C., Holmberg, E., West, C., Burstedt, M., Karaca, E., Yesil, G., Artac, H., Bayram, Y., Atik, M. M., Eldomery, M. K., Ehlayel, M. S., Jolles, S., Flatø, B., Bertuch, A. A., Hanson, I. C., Zhang, V. W., Wong, L.-J., Hu, J., Walkiewicz, M., Yang, Y., Eng, C. M., Boerwinkle, E., Gibbs, R. A., Shearer, W. T., Lyle, R., Orange, J. S., & Lupski, J. R.
Venue
Journal of Allergy and Clinical Immunology
Publisher
Elsevier BV
Published
2017-01
Volume
139
Issue
1
Pages
232-245
ISSN
0091-6749 (ISSN-L)
OpenAlex
W2490698663
Cited by
276
References
8
FWCI
14.81
Type
journal article
Language
en
Open access
green

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Stray-Pedersen, A., Sorte, H. S., Samarakoon, P., Gambin, T., Chinn, I. K., Coban Akdemir, Z. H., Erichsen, H. C., Forbes, L. R., Gu, S., Yuan, B., Jhangiani, S. N., Muzny, D. M., Rødningen, O. K., Sheng, Y., Nicholas, S. K., Noroski, L. M., Seeborg, F. O., Davis, C. M., Canter, D. L., . . . Lupski, J. R. (2017). Primary immunodeficiency diseases: Genomic approaches delineate heterogeneous Mendelian disorders. Journal of Allergy and Clinical Immunology. https://doi.org/10.1016/j.jaci.2016.05.042

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.