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Precision Diagnosti...
Precision Diagnostics in Myeloid Malignancies : Development and Validation of a National Capture-Based Gene Panel
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- Orsmark-Pietras, Christina (author)
- Lund University,Lunds universitet,Translationella genomiska och funktionella studier av leukemi,Forskargrupper vid Lunds universitet,Translational Genomic and Functional Studies of Leukemia,Lund University Research Groups,Region Skåne
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- Lyander, Anna (author)
- KTH Royal Institute of Technology,Karolinska Institute
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- Ladenvall, Claes (author)
- Uppsala University
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- Hallström, Björn (author)
- Region Skåne
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- Staffas, Anna (author)
- University of Gothenburg,Sahlgrenska University Hospital
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- Awier, Hero (author)
- Karolinska Institute,Karolinska University Hospital
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- Krstic, Aleksandra (author)
- Karolinska Institute,Karolinska University Hospital
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- Baliakas, Panagiotis (author)
- Uppsala University,Uppsala University Hospital
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- Barbany, Gisela (author)
- Karolinska Institute,Karolinska University Hospital
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- Håkansson, Cecilia Brunhoff (author)
- Region Skåne
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- Gellerbring, Anna (author)
- Karolinska Institute
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- Hagström, Anna (author)
- Lund University,Lunds universitet,MLL-rearrangerad leukemi hos spädbarn,Forskargrupper vid Lunds universitet,The pathogenetic mechanisms behind MLL-rearranged acute leukemia in infancy,Lund University Research Groups
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- Hellström-Lindberg, Eva (author)
- Karolinska University Hospital
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- Juliusson, Gunnar (author)
- Skåne University Hospital
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- Lazarevic, Vladimir (author)
- Skåne University Hospital
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- Munters, Arielle (author)
- Uppsala University
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- Pandzic, Tatjana (author)
- Uppsala University,Uppsala University Hospital
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- Wadelius, Mia (author)
- Uppsala University
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- Ås, Joel (author)
- Uppsala University
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- Fogelstrand, Linda (author)
- University of Gothenburg,Sahlgrenska University Hospital
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- Wirta, Valtteri (author)
- KTH Royal Institute of Technology,Karolinska Institute,Karolinska University Hospital
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- Rosenquist, Richard (author)
- Karolinska Institute,Karolinska University Hospital
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- Cavelier, Lucia (author)
- Uppsala University,Karolinska Institute,Karolinska University Hospital,Uppsala University Hospital
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- Fioretos, Thoas (author)
- Lund University,Lunds universitet,Translationella genomiska och funktionella studier av leukemi,Forskargrupper vid Lunds universitet,LTH profilområde: Teknik för hälsa,LTH profilområden,Lunds Tekniska Högskola,Translational Genomic and Functional Studies of Leukemia,Lund University Research Groups,LTH Profile Area: Engineering Health,LTH Profile areas,Faculty of Engineering, LTH,Region Skåne
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(creator_code:org_t)
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- 2024
- 2024
- English.
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In: Genes Chromosomes and Cancer. - 1045-2257. ; 63:7
- Related links:
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http://dx.doi.org/10... (free)
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https://lup.lub.lu.s...
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Abstract
Subject headings
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- Gene panel sequencing has become a common diagnostic tool for detecting somatically acquired mutations in myeloid neoplasms. However, many panels have restricted content, provide insufficient sensitivity levels, or lack clinically validated workflows. We here describe the development and validation of the Genomic Medicine Sweden myeloid gene panel (GMS-MGP), a capture-based 191 gene panel including mandatory genes in contemporary guidelines as well as emerging candidates. The GMS-MGP displayed uniform coverage across all targets, including recognized difficult GC-rich areas. The validation of 117 previously described somatic variants showed a 100% concordance with a limit-of-detection of a 0.5% variant allele frequency (VAF), achieved by utilizing error correction and filtering against a panel-of-normals. A national interlaboratory comparison investigating 56 somatic variants demonstrated highly concordant results in both detection rate and reported VAFs. In addition, prospective analysis of 323 patients analyzed with the GMS-MGP as part of standard-of-care identified clinically significant genes as well as recurrent mutations in less well-studied genes. In conclusion, the GMS-MGP workflow supports sensitive detection of all clinically relevant genes, facilitates novel findings, and is, based on the capture-based design, easy to update once new guidelines become available. The GMS-MGP provides an important step toward nationally harmonized precision diagnostics of myeloid malignancies.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper -- Medicinsk genetik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine -- Medical Genetics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
Keyword
- capture-based gene panel
- interlaboratory comparison
- myeloid malignancies
- paired tumor-normal analysis
- precision diagnostics
- somatic variant detection
Publication and Content Type
- art (subject category)
- ref (subject category)
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- By the author/editor
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Orsmark-Pietras, ...
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Lyander, Anna
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Ladenvall, Claes
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Hallström, Björn
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Staffas, Anna
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Awier, Hero
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show more...
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Krstic, Aleksand ...
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Baliakas, Panagi ...
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Barbany, Gisela
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Håkansson, Cecil ...
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Gellerbring, Ann ...
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Hagström, Anna
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Hellström-Lindbe ...
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Juliusson, Gunna ...
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Lazarevic, Vladi ...
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Munters, Arielle
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Pandzic, Tatjana
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Wadelius, Mia
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Ås, Joel
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Fogelstrand, Lin ...
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Wirta, Valtteri
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Rosenquist, Rich ...
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Cavelier, Lucia
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Fioretos, Thoas
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Basic Medicine
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and Medical Genetics
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cancer and Oncol ...
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Genes Chromosome ...
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Lund University