不知重要性的变体的可操作性分类与功能效应相关
Amber Johnson1, Patrick Kwok-Shing Ng1, Michael Kahle1
1Institute for Personalized Cancer Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
使用精密瘤决策支持 (PODS) 系统对未知意义的变异 (VUS) 进行分类,有助于识别潜在可操作的基因组改变. 这种方法有助于选择患者接受向癌症治疗.
科学领域:
- 在瘤学瘤学.
- 基因组学就是基因组学.
- 生物信息学是一种生物信息学.
背景情况:
- 基因组变化指导癌症治疗,但许多意义不明的变异 (VUS) 缺乏明确的临床含义.
- 准确解释VUS对于精确瘤学至关重要.
研究的目的:
- 评估基于规则的分类系统,以评估VUS可操作性.
- 为了将这一分类与功能基因组学数据进行比较.
主要方法:
- 精密瘤学决策支持 (PODS) 团队根据功能领域内的位置或接近已知的致癌变异的位置对VUS进行了分类.
- 一个功能性基因组学平台 (突变生成,细胞活力测试) 被用来验证PODS分类.
- 分析了20个可操作基因中的438个VUS.
主要成果:
- 106 (24%) 的VUS通过功能测定被证实是致癌的.
- 被PODS归类为"潜在"可采取行动的VUS (37%) 比被归类为"未知" (13%),更有可能具有致癌性.
- 在两种分类之间观察到统计学上显著的差异 (p=4.08e-09).
结论:
- 基于规则的VUS可操作性分类是一个有价值的工具.
- 这种方法可以帮助识别具有可操作变体的患者进行基因组匹配疗法.
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