The ClinGen Syndromic Disorders Gene Curation Expert Panel: Assessing the clinical validity of 111 gene-disease

Eleanor C Broeren1, Vanessa N Gitau1, Alicia B Byrne1

  • 1Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA.

PubMed

Insights

The ClinGen Syndromic Disorders Gene Curation Expert Panel (SD-GCEP) evaluated 111 gene-disease relationships for rare syndromic disorders. This work enhances clinical testing by assessing gene validity for complex genetic conditions.

Area of Science:

  • Genetics
  • Genomic Medicine
  • Rare Diseases

Background:

  • Gene curation efforts historically focused on specific organ systems or phenotypes.
  • An unmet need existed for evaluating genes associated with syndromic disorders.
  • The Clinical Genome Resource (ClinGen) established the Syndromic Disorders Gene Curation Expert Panel (SD-GCEP) to address this gap.

Purpose of the Study:

  • To apply the ClinGen framework for evaluating the clinical validity of genes linked to rare syndromic disorders.
  • To curate gene-disease relationships (GDRs) within the spectrum of syndromic conditions.
  • To address the need for comprehensive gene assessment in syndromic genetic disorders.

Main Methods:

  • Evaluated 111 gene-disease relationships (GDRs) involving 100 genes.
  • Conducted 38 precurations to refine gene-disease classifications (lumping/splitting entities).
  • Classified GDRs based on clinical validity: Definitive (78), Strong (9), Moderate (15), Limited (9).

Main Results:

  • A total of 111 GDRs for 100 genes were curated.
  • 78 GDRs were classified as Definitive, indicating strong evidence.
  • The majority of diseases (79.2%) affected five or more organ systems, reflecting syndromic complexity.

Conclusions:

  • The SD-GCEP successfully addresses a critical gap in gene curation for syndromic disorders.
  • This work facilitates the inclusion of genes for syndromic conditions in clinical testing.
  • The panel's efforts help keep pace with the rapid discovery of new genetic syndromes.
Abstract

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