人类表型的策划和扩展 系统性自身炎症疾病的本体学 改善表型驱动的疾病匹配
Willem Maassen1, Geertje Legger2, Ovgu Kul Cinar3
1Genomics Coordination Centre, Department of Genetics, University Medical Centre Groningen, University of Groningen, Groningen, Netherlands.
Frontiers in immunology
|October 2, 2023
概括
改进的人类表型本体学 (HPO) 注释显著提高了系统性自身炎症性疾病 (SAID) 的诊断. 这项研究表明,精选的HPO术语可以提高诊断准确性,并简化罕见疾病的表型驱动基因组分析.
科学领域:
- 医学遗传学 医学遗传学
- 罕见疾病 罕见疾病
- 生物信息学是一种生物信息学.
背景情况:
- 准确的表型描述对于罕见疾病诊断至关重要.
- 人类表型本体学 (HPO) 系统标准化了表型数据.
- HPO治愈对系统性自身炎症性疾病 (SAID) 诊断的影响以前没有被研究过.
研究的目的:
- 评估是否改进HPO注释可以提高SAID识别.
- 通过对SAIDs进行精选的HPO术语来证明表型驱动基因组诊断的潜力.
主要方法:
- 收集了来自欧洲八个中心98名遗传确诊SAID患者的HPO术语.
- 利用LIRICAL计算算法来评估HPO治疗对诊断优先级的影响.
- 进行了一项试点研究,使用基于HPO的整体外因子序列测序 (WES) 分析进行化前后的分析.
主要成果:
- 在HPO治愈后,诊断准确度从66%提高到86%.
- 排名最高的诊断数量从38个增加到45个.
- 基于HPO的WES分析改善了诊断产量,从10/12患者增加到12/12患者,将候选疾病解释从平均35人减少到2人.
结论:
- 策划HPO术语显著改善了SAIDs正确诊断的识别.
- 基于HPO的基因组诊断对诊断罕见的自身炎症性疾病具有很高的潜力.
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