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Every CFTR variant counts - target-capture based next-generation-sequencing for molecular diagnosis in the German CF Registry

Background - In times of genotype guided therapy options, a total of 3.2 % of people with CF (pwCF) in the German CF Registry[1] only have one or no CFTR-variant detected after genetic analysis. Additionally, genetic data in the Registry can be documented as free text and can therefore be prone to e...

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Main Authors: Ahting, Simone (Author) , Nährlich, Lutz (Author) , Held, Inka (Author) , Henn, Constance (Author) , Krill, Angelika (Author) , Landwehr, Kerstin (Author) , Meister, Jochen (Author) , Nährig, Susanne (Author) , Nolde, Anna (Author) , Remke, Katharina (Author) , Ruppel, Renate (Author) , Sauer-Heilborn, Annette (Author) , Schebek, Martin (Author) , Schopper, Gudrun (Author) , Schulte-Hubbert, Bernhard (Author) , Schwarz, Carsten (Author) , Smaczny, Christina (Author) , Wege, Sabine (Author) , Hentschel, Julia (Author)
Format: Article (Journal)
Language:English
Published: July 2024
In: Journal of cystic fibrosis
Year: 2024, Volume: 23, Issue: 4, Pages: 774-781
ISSN:1873-5010
DOI:10.1016/j.jcf.2023.10.009
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.jcf.2023.10.009
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S1569199323009281
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Author Notes:Simone Ahting, Lutz Nährlich, Inka Held, Constance Henn, Angelika Krill, Kerstin Landwehr, Jochen Meister, Susanne Nährig, Anna Nolde, Katharina Remke, Renate Ruppel, Annette Sauer-Heilborn, Martin Schebek, Gudrun Schopper, Bernhard Schulte-Hubbert, Carsten Schwarz, Christina Smaczny, Sabine Wege, Julia Hentschel, Registry Working Group of the German CF Registry
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Summary:Background - In times of genotype guided therapy options, a total of 3.2 % of people with CF (pwCF) in the German CF Registry[1] only have one or no CFTR-variant detected after genetic analysis. Additionally, genetic data in the Registry can be documented as free text and can therefore be prone to error. In order to allow the greatest possible amount of pwCF access to modern therapies, we conducted a re-evaluation of free text entries and established a custom-whole-CFTR-locus NGS-approach for all pwCF who remained without genetic confirmation afterwards. - Methods - To this end, we assembled 731 free text variants of 655 pwCF in the German CF Registry. All variants were evaluated using ClinVar, HGMD and CFTR1/2, corrected in the Registries’ database and uploaded to ClinVar. PwCF whose diagnosis remained uncertain as well as additional pwCF or pwCFTR-RD that were assembled through a nationwide call for testing of unclear cases were offered genetic analysis. Samples were analysed using a target-capture based NGS-custom-design-panel covering the entire CFTR-locus. - Results - Evaluation of free text variants led to the discovery of 43 variants not formerly reported in the context of CF. The Registries’ dropdown list was extended by 497 variants and over 500 pwCF were provided with their most up-to-date genotype. Samples of 47 pwCF/pwCFTR-RD were sequenced via NGS with an overall success rate of 61.7 %, resulting in implementation of entire CFTR-genotyping into routine diagnostics. - Conclusion - Entire CFTR-genotyping can greatly increase the genetic diagnostic rate of pwCF/pwCFTR-RD and should be considered after inconspicuous CFTR screening panels in CFTR-diagnostics.
Item Description:Online verfügbar: 21. Oktober 2023, Artikelversion: 27. August 2024
Gesehen am 11.11.2024
Physical Description:Online Resource
ISSN:1873-5010
DOI:10.1016/j.jcf.2023.10.009

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