2016
DOI: 10.1038/gim.2015.148
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Clinical application of whole-exome sequencing across clinical indications

Abstract: Purpose:We report the diagnostic yield of whole-exome sequencing (WES) in 3,040 consecutive cases at a single clinical laboratory.Methods: WES was performed for many different clinical indications and included the proband plus two or more family members in 76% of cases. Results:The overall diagnostic yield of WES was 28.8%. The diagnostic yield was 23.6% in proband-only cases and 31.0% when three family members were analyzed. The highest yield was for patients who had disorders involving hearing (55%, N = 11),… Show more

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Cited by 823 publications
(741 citation statements)
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“…Variants identified by WES were evaluated and classified according to published guidelines. 29 The homozygous variant identified in subject 3a was confirmed as homozygous in the similarly affected sibling subject 3b by Sanger sequencing. Whole mitochondrial genome sequencing analysis in blood was performed for subjects 2a and 3a; mtDNA sequence was assembled and analyzed relative to the revised Cambridge Reference Sequence (rCRS) and MITOMAP database as previously described.…”
Section: Whole-exome Sequencingmentioning
confidence: 82%
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“…Variants identified by WES were evaluated and classified according to published guidelines. 29 The homozygous variant identified in subject 3a was confirmed as homozygous in the similarly affected sibling subject 3b by Sanger sequencing. Whole mitochondrial genome sequencing analysis in blood was performed for subjects 2a and 3a; mtDNA sequence was assembled and analyzed relative to the revised Cambridge Reference Sequence (rCRS) and MITOMAP database as previously described.…”
Section: Whole-exome Sequencingmentioning
confidence: 82%
“…28 Clinical WES testing was performed for subjects 2a, 2b, and 3a and their parents as described. 29 DNA libraries were generated using the SureSelect Human All Exon V4 or Clinical Research Exome kit (Agilent Technologies). Data were mapped to the NCBI hg19/ GRCh37 human genome reference sequence and analyzed using GeneDx's XomeAnalyzer.…”
Section: Whole-exome Sequencingmentioning
confidence: 99%
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“…[22][23][24] These three variants were confirmed by Sanger sequencing. They were unique events observed in our inhouse database of about 350 exomes (including 75 trios from families with simplex ID) for subject 1 (HUGODIMS and CHU de Nantes); in over 40,000 exomes, including 2,300 trios with various developmental disorders, for subject 2 (Boston Children's Hospital and GeneDX); and in 2,500 trios with autism spectrum disorders for subject 3 (Simons Simplex Collection) ( Figure S2 (Figure 1 and Table S4).…”
Section: Congenital Malformationsmentioning
confidence: 77%
“…[1][2][3] Retterer et al 1 reported exome sequencing in more than 3,000 cases and Yang et al 2 in more than 2,000 cases; together these studies report more than 400 autosomal recessive molecular diagnoses, without a single case of a DNM contributing to the genetic etiology. The Deciphering Developmental Disorders project did not identify enrichment for any functional class of DNMs in autosomal recessive developmental disorder-linked genes.…”
mentioning
confidence: 99%