Department of Human Genetics, Eccles Institute of Human Genetics, University of Utah School of Medicine, Salt Lake City, UT 84112, USA.
Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, University of Utah, Salt Lake City, UT 84112, USA.
Am J Hum Genet. 2014 Apr 3;94(4):599-610. doi: 10.1016/j.ajhg.2014.03.010.
Phevor integrates phenotype, gene function, and disease information with personal genomic data for improved power to identify disease-causing alleles. Phevor works by combining knowledge resident in multiple biomedical ontologies with the outputs of variant-prioritization tools. It does so by using an algorithm that propagates information across and between ontologies. This process enables Phevor to accurately reprioritize potentially damaging alleles identified by variant-prioritization tools in light of gene function, disease, and phenotype knowledge. Phevor is especially useful for single-exome and family-trio-based diagnostic analyses, the most commonly occurring clinical scenarios and ones for which existing personal genome diagnostic tools are most inaccurate and underpowered. Here, we present a series of benchmark analyses illustrating Phevor's performance characteristics. Also presented are three recent Utah Genome Project case studies in which Phevor was used to identify disease-causing alleles. Collectively, these results show that Phevor improves diagnostic accuracy not only for individuals presenting with established disease phenotypes but also for those with previously undescribed and atypical disease presentations. Importantly, Phevor is not limited to known diseases or known disease-causing alleles. As we demonstrate, Phevor can also use latent information in ontologies to discover genes and disease-causing alleles not previously associated with disease.
Phevor 将表型、基因功能和疾病信息与个人基因组数据相结合,以提高识别致病等位基因的能力。Phevor 通过将多个生物医学本体中的知识与变体优先级工具的输出相结合来实现这一点。它使用一种在本体之间和本体内部传播信息的算法来实现这一点。这一过程使 Phevor 能够根据基因功能、疾病和表型知识,准确地重新确定变体优先级工具识别出的潜在有害等位基因的优先级。Phevor 特别适用于单外显子和基于家系三人组的诊断分析,这是最常见的临床情况,也是现有个人基因组诊断工具最不准确和缺乏效力的情况。在这里,我们提出了一系列基准分析,说明了 Phevor 的性能特点。我们还介绍了三个最近的犹他基因组计划案例研究,其中使用了 Phevor 来识别致病等位基因。这些结果表明,Phevor 不仅可以提高具有已确立疾病表型的个体的诊断准确性,还可以提高以前未描述和非典型疾病表现的个体的诊断准确性。重要的是,Phevor 不仅限于已知疾病或已知的致病等位基因。正如我们所证明的,Phevor 还可以利用本体中的潜在信息来发现以前与疾病无关的基因和致病等位基因。