Challenges and Considerations in Sequence Variant Interpretation for Mendelian Disorders.

Abstract:

:In 2015, the American College of Medical Genetics and Genomics (ACMG), together with the Association for Molecular Pathology (AMP), published the latest guidelines for the interpretation of sequence variants, which have been widely adopted into clinical practice. Despite these standardized efforts, the degrees of subjectivity and uncertainty allowed by the guidelines can lead to inconsistent variant classification across clinical laboratories, making it difficult to assess the pathogenicity of identified variants. We describe the critical elements of variant interpretation processes and potential pitfalls through practical examples and provide updated information based on a review of recent literature. The variant classification we describe is meant to be applicable to sequence variants for Mendelian disorders, whether identified by single-gene tests, multi-gene panels, exome sequencing, or genome sequencing. Continuing efforts to improve the reproducibility and objectivity of sequence variant interpretation across individuals and laboratories are needed.

journal_name

Ann Lab Med

authors

Kim YE,Ki CS,Jang MA

doi

10.3343/alm.2019.39.5.421

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

421-429

issue

5

eissn

2234-3806

issn

2234-3814

pii

39.421

journal_volume

39

pub_type

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