Blueprint Genetics Comprehensive Hearing Loss and Deafness Panel
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The National Economic Burden of Rare Disease Study February 2021
Acknowledgements This study was sponsored by the EveryLife Foundation for Rare Diseases and made possible through the collaborative efforts of the national rare disease community and key stakeholders. The EveryLife Foundation thanks all those who shared their expertise and insights to provide invaluable input to the study including: the Lewin Group, the EveryLife Community Congress membership, the Technical Advisory Group for this study, leadership from the National Center for Advancing Translational Sciences (NCATS) at the National Institutes of Health (NIH), the Undiagnosed Diseases Network (UDN), the Little Hercules Foundation, the Rare Disease Legislative Advocates (RDLA) Advisory Committee, SmithSolve, and our study funders. Most especially, we thank the members of our rare disease patient and caregiver community who participated in this effort and have helped to transform their lived experience into quantifiable data. LEWIN GROUP PROJECT STAFF Grace Yang, MPA, MA, Vice President Inna Cintina, PhD, Senior Consultant Matt Zhou, BS, Research Consultant Daniel Emont, MPH, Research Consultant Janice Lin, BS, Consultant Samuel Kallman, BA, BS, Research Consultant EVERYLIFE FOUNDATION PROJECT STAFF Annie Kennedy, BS, Chief of Policy and Advocacy Julia Jenkins, BA, Executive Director Jamie Sullivan, MPH, Director of Policy TECHNICAL ADVISORY GROUP Annie Kennedy, BS, Chief of Policy & Advocacy, EveryLife Foundation for Rare Diseases Anne Pariser, MD, Director, Office of Rare Diseases Research, National Center for Advancing Translational Sciences (NCATS), National Institutes of Health Elisabeth M. Oehrlein, PhD, MS, Senior Director, Research and Programs, National Health Council Christina Hartman, Senior Director of Advocacy, The Assistance Fund Kathleen Stratton, National Academies of Science, Engineering and Medicine (NASEM) Steve Silvestri, Director, Government Affairs, Neurocrine Biosciences Inc. -
Joint Hypermobility Syndromes
10/17/2017 Hereditary Disorders of Connective Tissue: Overview CLAIR A. FRANCOMANO, M.D. HARVEY INSTITUTE FOR HUMAN GENETICS BALTIMORE, MD Disclosures I have no conflicts to disclose 1 10/17/2017 Joint Hypermobility Seen in over 140 clinical syndromes listed in Online Mendelian Inheritance in Man (OMIM) Congenital anomaly syndromes Short stature syndromes Hereditary disorders of connective tissue Connective Tissue Supports and Protects Bones Collagen Fibers Cartilage Elastic Fibers Tendons Mucopolysaccharides Ligaments 2 10/17/2017 Fibrillar Collagens Major structural components of the extracellular matrix Include collagen types I, II, III, V, IX, and XI Trimeric molecules (three chains) May be made up of three identical or genetically distinct chains, called alpha chains Fibrillar Collagens Biochemical Society Transactions (1999) , - - www.biochemsoctrans.org 3 10/17/2017 Hereditary Disorders of Connective Tissue Marfan syndrome Loeys-Dietz syndrome Stickler syndrome Osteogenesis Imperfecta Ehlers-Danlos syndromes Marfan Syndrome Aneurysmal dilation of the ascending aorta Dislocation of the ocular lenses Tall stature Scoliosis Pectus deformity Arachnodactyly (long, narrow fingers and toes) Dolicostenomelia (tall, thin body habitus) Caused by mutations in Fibrillin-1 4 10/17/2017 Marfan Syndrome Loeys-Dietz Syndrome Aortic dilation with dissection Tortuous blood vessels Craniofacial features Hypertelorism Malar hypoplasia Cleft palate or bifid uvula Caused by mutations in TGFBR1 and TGFBR2 as well as -
Increased Nuchal Translucency Precision Panel
Increased Nuchal Translucency Precision Panel Overview Increased Nuchal Translucency (NT) is defined as an abnormal accumulation of fluid in the nuchal area, which is visualized as a thickened sonolucent area. It is a standardized measure obtained between 11 and 14 weeks of gestation to calculate the risk of a fetus being affected by a chromosomal aneuploidy. NT>3.5mm has been found to be associated with fetal chromosomal abnormalities and single-gene disorders as well as cardiac defects and other structural abnormalities in euploid and aneuploid fetuses. Proportionally as NT increases, even with a normal karyotype, there is a higher risk of adverse pregnancy outcomes such as miscarriage, intrauterine death, congenital heart defects and numerous other structural and genetic syndromes. There is not one single cause of increased NT, it is based on a complex and multifactorial process, linked to one or more embryonic processes. It has been shown that a persistently increased NT with a normal karyotype and aCGH has a 4-10% probability of being associated to Noonan Syndrome and/or other RASopathies using Whole Exome Sequencing (WES). However, the general tendency following detection of isolated enlarged NT in an euploid fetus is that most babies with normal detailed ultrasound examination and echocardiography will have uneventful outcomes. The Igenomix Increased Nuchal Translucency Precision Panel can be used to make a directed and accurate prenatal differential diagnosis of increased nuchal translucency in patients with or without a normal karyotype ultimately leading to a better management and prognosis of the associated comorbidities. It provides a comprehensive analysis of the genes involved in this disease using next-generation sequencing (NGS) to fully understand the spectrum of relevant genes involved. -
The Counsyl Foresight™ Carrier Screen
The Counsyl Foresight™ Carrier Screen 180 Kimball Way | South San Francisco, CA 94080 www.counsyl.com | [email protected] | (888) COUNSYL The Counsyl Foresight Carrier Screen - Disease Reference Book 11-beta-hydroxylase-deficient Congenital Adrenal Hyperplasia .................................................................................................................................................................................... 8 21-hydroxylase-deficient Congenital Adrenal Hyperplasia ...........................................................................................................................................................................................10 6-pyruvoyl-tetrahydropterin Synthase Deficiency ..........................................................................................................................................................................................................12 ABCC8-related Hyperinsulinism........................................................................................................................................................................................................................................ 14 Adenosine Deaminase Deficiency .................................................................................................................................................................................................................................... 16 Alpha Thalassemia............................................................................................................................................................................................................................................................. -
Identi Cation of Three Novel Homozygous Variants in COL9A3
Identication of three novel homozygous variants in COL9A3 causing autosomal-recessive Stickler Syndrome Aboulfazl Rad University of Tübingen: Eberhard Karls Universitat Tubingen Maryam Naja Universitätsklinikum Freiburg: Universitatsklinikum Freiburg Fatemeh Suri Shahid Beheshti University Soheila Abedini Mashhad University of Medical Sciences Stephen Loum Eberhard Karls Universitat Tubingen Ehsan Ghayoor Karimiani Mashhad University of Medical Sciences Narsis Daftarian Shahid Beheshti University David Murphy UCL: University College London Mohammad Doosti Mashhad University of Medical Sciences Afrooz Moghaddasi Shahid Beheshti University Hamid Ahmadieh Shahid Beheshti University Hamideh Sabbaghi Shahid Beheshti University Mohsen Rajati Mashhad University of Medical Sciences Ghaem Hospital Narges Hashemi Mashhad University of Medical Sciences Barbara Vona Eberhard Karls Universitat Tubingen Miriam Schmidts ( [email protected] ) Universitatsklinikum Freiburg https://orcid.org/0000-0002-1714-6749 Research Article Keywords: autosomal recessive Stickler syndrome, COL9A3, collagen, hearing loss, retinal detachment Posted Date: May 17th, 2021 DOI: https://doi.org/10.21203/rs.3.rs-526117/v1 License: This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License Page 1/10 Abstract Background: Stickler syndrome (STL) is a rare, clinically and molecularly heterogeneous connective tissue disorder. Pathogenic variants occurring in a variety of genes cause STL, mainly inherited in an autosomal -
Preconception Carrier Screening by Genome Sequencing: Results from the Clinical Laboratory
The American Journal of Human Genetics, Volume 102 Supplemental Data Preconception Carrier Screening by Genome Sequencing: Results from the Clinical Laboratory Sumit Punj, Yassmine Akkari, Jennifer Huang, Fei Yang, Allison Creason, Christine Pak, Amiee Potter, Michael O. Dorschner, Deborah A. Nickerson, Peggy D. Robertson, Gail P. Jarvik, Laura M. Amendola, Jennifer Schleit, Dana Kostiner Simpson, Alan F. Rope, Jacob Reiss, Tia Kauffman, Marian J. Gilmore, Patricia Himes, Benjamin Wilfond, Katrina A.B. Goddard, and C. Sue Richards Supplemental Note: Clinical Report Carrier Results: Four Known Pathogenic Variants Detected. Gene Inheritance Disease Prevalence Variant Classification Pendred Syndrome/ Non- syndromic Autosomal Hearing Loss A c.1246A>C, SLC26A4 1/500 Pathogenic Recessive DFNB4 with (p.Thr416Pro) enlarged vestibular aqueduct Autosomal Spastic ++ c.1045G>A, SPG7 2-6/100,000 Pathogenic Recessive Paraplegia 7 (p.Gly349Ser) 3.7 Autosomal Alpha +++ -α HBA2 1-5/10,000 Pathogenic Recessive Thalassemia (α+- thalassemia) Autosomal Hereditary 1/200 – c.845G>A HFE Pathogenic Recessive Hemochromatosis 1/1000+ (p.Cys282Tyr) +: GeneReviews; ++: Genetics Home Reference; +++: orphan.net – varies with population; A- Generalized prevalence of all deafness and hearing loss Interpretation: A sample from this individual was referred to our laboratory for analysis of Next-Generation Genome Sequencing (NGS) and Sanger confirmation of variants identified in carrier screening for: (1) conditions with significantly shortened lifespan; (2) serious conditions; (3) mild conditions; (4) conditions with unpredictable outcomes: and (5) conditions that begin as adults. One known heterozygous missense variant, c.1246A>C (p.Thr416Pro) (NM_000441.1), was detected in exon 10 of the SLC26A4 gene of this individual by NGS. -
Supporting Information
Supporting Information Torkamani et al. 10.1073/pnas.0802403105 Materials and Methods kinase sequences used to generate conserved motifs, as in Kannan Kinase Identifiers. Kinase protein and DNA reference sequences et al. (3), the Gibbs motif sampling method identifies characteristic were obtained from Kinbase. These reference sequences were motifs for each individual subdomain of the kinase catalytic core, used as the basis to assign various gene identifiers (including which are then used to generate high confidence motif-based Ensembl gene IDs, HGNC gene symbols, and Entrez gene IDs) Markov chain Monte Carlo multiple alignments based upon these to every known human protein kinase. Ultimately, only eukary- motifs (4). These subdomains compromise the core structural otic protein kinases, that is, all human protein kinases except components of the protein kinase catalytic core. Intervening re- those belonging to the atypical protein kinase family, were gions between these subdomains were not aligned. considered in this study. The various gene identifiers were assigned as follows: Ensembl Mapping to Multiple Alignments and Generation of Logo Figures. A Gene ID’s were determined for each protein kinase by BLAST- nonredundant set of SNPs was generated to be mapped to the ing the reference Kinbase protein sequence against the Ensembl alignment computationally. That is, if multiple disease or com- database (www.ensembl.org/Homo sapiens/blastview). The En- mon SNPs have been observed at a particular position within a sembl Gene ID of the top hit was assigned to the protein kinase. particular protein kinase, it is only considered once in our The Ensembl Gene ID was then used as a query in Biomart analysis. -
Whole Exome Sequencing Gene Package Vision Disorders, Version 6.1, 31-1-2020
Whole Exome Sequencing Gene package Vision disorders, version 6.1, 31-1-2020 Technical information DNA was enriched using Agilent SureSelect DNA + SureSelect OneSeq 300kb CNV Backbone + Human All Exon V7 capture and paired-end sequenced on the Illumina platform (outsourced). The aim is to obtain 10 Giga base pairs per exome with a mapped fraction of 0.99. The average coverage of the exome is ~50x. Duplicate and non-unique reads are excluded. Data are demultiplexed with bcl2fastq Conversion Software from Illumina. Reads are mapped to the genome using the BWA-MEM algorithm (reference: http://bio-bwa.sourceforge.net/). Variant detection is performed by the Genome Analysis Toolkit HaplotypeCaller (reference: http://www.broadinstitute.org/gatk/). The detected variants are filtered and annotated with Cartagenia software and classified with Alamut Visual. It is not excluded that pathogenic mutations are being missed using this technology. At this moment, there is not enough information about the sensitivity of this technique with respect to the detection of deletions and duplications of more than 5 nucleotides and of somatic mosaic mutations (all types of sequence changes). HGNC approved Phenotype description including OMIM phenotype ID(s) OMIM median depth % covered % covered % covered gene symbol gene ID >10x >20x >30x ABCA4 Cone-rod dystrophy 3, 604116 601691 94 100 100 97 Fundus flavimaculatus, 248200 {Macular degeneration, age-related, 2}, 153800 Retinal dystrophy, early-onset severe, 248200 Retinitis pigmentosa 19, 601718 Stargardt disease -
Disease Reference Book
The Counsyl Foresight™ Carrier Screen 180 Kimball Way | South San Francisco, CA 94080 www.counsyl.com | [email protected] | (888) COUNSYL The Counsyl Foresight Carrier Screen - Disease Reference Book 11-beta-hydroxylase-deficient Congenital Adrenal Hyperplasia .................................................................................................................................................................................... 8 21-hydroxylase-deficient Congenital Adrenal Hyperplasia ...........................................................................................................................................................................................10 6-pyruvoyl-tetrahydropterin Synthase Deficiency ..........................................................................................................................................................................................................12 ABCC8-related Hyperinsulinism........................................................................................................................................................................................................................................ 14 Adenosine Deaminase Deficiency .................................................................................................................................................................................................................................... 16 Alpha Thalassemia............................................................................................................................................................................................................................................................. -
Development of the Stria Vascularis and Potassium Regulation in the Human Fetal Cochlea: Insights Into Hereditary Sensorineural Hearing Loss
Development of the Stria Vascularis and Potassium Regulation in the Human Fetal Cochlea: Insights into Hereditary Sensorineural Hearing Loss Heiko Locher,1,2 John C.M.J. de Groot,2 Liesbeth van Iperen,1 Margriet A. Huisman,2 Johan H.M. Frijns,2 Susana M. Chuva de Sousa Lopes1,3 1 Department of Anatomy and Embryology, Leiden University Medical Center, Leiden, 2333 ZA, the Netherlands 2 Department of Otorhinolaryngology and Head and Neck Surgery, Leiden University Medical Center, Leiden, 2333 ZA, the Netherlands 3 Department for Reproductive Medicine, Ghent University Hospital, 9000 Ghent, Belgium Received 25 August 2014; revised 2 February 2015; accepted 2 February 2015 ABSTRACT: Sensorineural hearing loss (SNHL) is dynamics of key potassium-regulating proteins. At W12, one of the most common congenital disorders in humans, MITF1/SOX101/KIT1 neural-crest-derived melano- afflicting one in every thousand newborns. The majority cytes migrated into the cochlea and penetrated the base- is of heritable origin and can be divided in syndromic ment membrane of the lateral wall epithelium, and nonsyndromic forms. Knowledge of the expression developing into the intermediate cells of the stria vascula- profile of affected genes in the human fetal cochlea is lim- ris. These melanocytes tightly integrated with Na1/K1- ited, and as many of the gene mutations causing SNHL ATPase-positive marginal cells, which started to express likely affect the stria vascularis or cochlear potassium KCNQ1 in their apical membrane at W16. At W18, homeostasis (both essential to hearing), a better insight KCNJ10 and gap junction proteins GJB2/CX26 and into the embryological development of this organ is GJB6/CX30 were expressed in the cells in the outer sul- needed to understand SNHL etiologies. -
Identification of P.A684V Missense Mutation in the WFS1 Gene As a Frequent Cause of Autosomal Dominant Optic Atrophy and Hearing
RESEARCH ARTICLE Identification of p.A684V Missense Mutation in the WFS1 Gene as a Frequent Cause of Autosomal Dominant Optic Atrophy and Hearing Impairment Nanna D. Rendtorff,1 Marianne Lodahl,1 Houda Boulahbel,2 Ida R. Johansen,1 Arti Pandya,3 Katherine O. Welch,4 Virginia W. Norris,4 Kathleen S. Arnos,4 Maria Bitner-Glindzicz,5 Sarah B. Emery,6 Marilyn B. Mets,7 Toril Fagerheim,8 Kristina Eriksson,9 Lars Hansen,1 Helene Bruhn,10 Claes M€oller,11 Sture Lindholm,12 Stefan Ensgaard,13 Marci M. Lesperance,6 and Lisbeth Tranebjaerg1,14*,† 1Wilhelm Johannsen Centre for Functional Genome Research, Department of Cellular and Molecular Medicine (ICMM), The Panum Institute, University of Copenhagen, Copenhagen, Denmark 2Biotech Research & Innovation Centre (BRIC), University of Copenhagen, Copenhagen, Denmark 3Department of Human and Molecular Genetics, Virginia Commonwealth University, Richmond, Virginia 4Department of Biology, Gallaudet University, Washington DC 5UCL Institute of Child Health, London, UK 6Division of Pediatric Otolaryngology, Department of Otolaryngology-Head and Neck Surgery, UniversityofMichiganHealthSystem,AnnArbor,Michigan 7Departments of Ophthalmology and Surgery, Feinberg School of Medicine, Northwestern University, Evanston, Illinois 8Division of Child and Adolescent Health, Department of Medical Genetics, University Hospital of North Norway, Tromsø, Norway 9Department of Ophthalmology, Lundby Hospital, Gothenburg, Sweden 10Division of Metabolic Diseases, Department of Laboratory Medicine, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden 11Department of Audiology/Disability Research (SIDR), O¨rebro University, Sweden 12Department of Audiology, County Hospital, Kalmar, Sweden 13Department of Psychiatrics, Stockholm, Sweden 14Department of Audiology, Bispebjerg Hospital, Copenhagen, Denmark Received 19 July 2010; Accepted 2 February 2011 Optic atrophy (OA) and sensorineural hearing loss (SNHL) are these additional eight families. -
Hypochondroplasia and Acanthosis Nigricans
European Journal of Endocrinology (2008) 159 243–249 ISSN 0804-4643 CLINICAL STUDY Hypochondroplasia and acanthosis nigricans: a new syndrome due to the p.Lys650Thr mutation in the fibroblast growth factor receptor 3 gene? Lidia Castro-Feijo´o*, Lourdes Loidi1,*, Anxo Vidal2, Silvia Parajes1, Elena Roso´n3,AnaA´ lvarez4, Paloma Cabanas, Jesu´s Barreiro, Adela Alonso4, Fernando Domı´nguez1,2 and Manuel Pombo Unidad de Endocrinologı´a Pedia´trica, Crecimiento y Adolescencia, Departamento de Pediatrı´a, Hospital Clı´nico Universitario y Universidad de Santiago de Compostela, 15706 Santiago de Compostela, Spain, 1Unidad de Medicina Molecular, Fundacio´nPu´blica Galega de Medicina Xeno´mica, 15706 Santiago de Compostela, Spain, 2Departamento de Fisiologı´a, Universidad de Santiago de Compostela, 15702 Santiago de Compostella, Spain, 3Servicio de Dermatologı´a, Complejo Hospitalario de Pontevedra, 36001 Pontevedra, Spain and 4Servicio de Radiologı´a, Hospital Clı´nico Universitario de Santiago de Compostela, 15706 Santiago de Compostela, Spain (Correspondence should be addressed to M Pombo; Email: [email protected]) *L Castro-Feijo´o and L Loidi contributed equally to this work Abstract Background: Hypochondroplasia (HCH) is a skeletal dysplasia inherited in an autosomal dominant manner due, in most cases, to mutations in the fibroblast growth factor receptor 3 (FGFR3). Acanthosis nigricans (AN) is a velvety and papillomatous pigmented hyperkeratosis of the skin, which has been recognized in some genetic disorders more severe than HCH involving the FGFR3 gene. Objective and design: After initial study of the proband, who had been consulted for short stature and who also presented AN, the study was extended to the patient’s mother and to 12 additional family members.