Suppr超能文献

开发和分析验证一个 29 基因临床药物基因组学基因分型 panel:多民族等位基因和拷贝数变异检测。

Development and Analytical Validation of a 29 Gene Clinical Pharmacogenetic Genotyping Panel: Multi-Ethnic Allele and Copy Number Variant Detection.

机构信息

Sema4, Stamford, Connecticut, USA.

Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

出版信息

Clin Transl Sci. 2021 Jan;14(1):204-213. doi: 10.1111/cts.12844. Epub 2020 Aug 5.

Abstract

To develop a novel pharmacogenetic genotyping panel, a multidisciplinary team evaluated available evidence and selected 29 genes implicated in interindividual drug response variability, including 130 sequence variants and additional copy number variants (CNVs). Of the 29 genes, 11 had guidelines published by the Clinical Pharmacogenetics Implementation Consortium. Targeted genotyping and CNV interrogation were accomplished by multiplex single-base extension using the MassARRAY platform (Agena Biosciences) and multiplex ligation-dependent probe amplification (MRC Holland), respectively. Analytical validation of the panel was accomplished by a strategic combination of > 500 independent tests performed on 170 unique reference material DNA samples, which included sequence variant and CNV accuracy, reproducibility, and specimen (blood, saliva, and buccal swab) controls. Among the accuracy controls were 32 samples from the 1000 Genomes Project that were selected based on their enrichment of sequence variants included in the pharmacogenetic panel (VarCover.org). Coupled with publicly available samples from the Genetic Testing Reference Materials Coordination Program (GeT-RM), accuracy validation material was available for the majority (77%) of interrogated sequence variants (100% with average allele frequencies > 0.1%), as well as additional structural alleles with unique copy number signatures (e.g., CYP2D6*5, *13, 36, 68; CYP2B629; and CYP2C1936). Accuracy and reproducibility for both genotyping and copy number were > 99.9%, indicating that the optimized panel platforms were precise and robust. Importantly, multi-ethnic allele frequencies of the interrogated variants indicate that the vast majority of the general population carries at least one of these clinically relevant pharmacogenetic variants, supporting the implementation of this panel for pharmacogenetic research and/or clinical implementation programs.

摘要

为了开发一种新的药物遗传学基因分型面板,一个多学科团队评估了现有证据,并选择了 29 个与个体间药物反应变异性相关的基因,包括 130 个序列变异和其他拷贝数变异 (CNV)。在这 29 个基因中,有 11 个基因有临床药物遗传学实施联盟发布的指南。通过使用 MassARRAY 平台(Agena Biosciences)的多重单碱基延伸和多重连接依赖性探针扩增(MRC Holland),分别完成了靶向基因分型和 CNV 检测。通过对 170 个独特参考材料 DNA 样本进行的 >500 次独立测试的策略组合,完成了该面板的分析验证,这些测试包括序列变异和 CNV 的准确性、重现性和样本(血液、唾液和口腔拭子)对照。在准确性对照中,有 32 个样本来自 1000 基因组计划,这些样本是根据它们在药物遗传学面板中包含的序列变异的富集程度选择的(VarCover.org)。加上来自遗传测试参考材料协调计划(GeT-RM)的公开样本,可供验证的材料涵盖了大多数(77%)被检测的序列变异(平均等位基因频率 >0.1%的序列变异占 100%),以及具有独特拷贝数特征的其他结构等位基因(如 CYP2D6*5、*13、36、68;CYP2B629;和 CYP2C1936)。基因分型和拷贝数的准确性和重现性均>99.9%,这表明优化的面板平台非常精确和稳健。重要的是,被检测变体的多民族等位基因频率表明,绝大多数人群至少携带这些具有临床相关性的药物遗传学变体之一,这支持了该面板在药物遗传学研究和/或临床实施计划中的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d074/7877843/a9e94c7c2987/CTS-14-204-g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验