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Search: onr:"swepub:oai:lup.lub.lu.se:b83cdc66-cb32-4263-a07c-385677286868" > Precision Diagnosti...

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Precision Diagnostics in Myeloid Malignancies : Development and Validation of a National Capture-Based Gene Panel

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
Lyander, Anna (author)
KTH Royal Institute of Technology,Karolinska Institute
Ladenvall, Claes (author)
Uppsala University
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Hallström, Björn (author)
Region Skåne
Staffas, Anna (author)
University of Gothenburg,Sahlgrenska University Hospital
Awier, Hero (author)
Karolinska Institute,Karolinska University Hospital
Krstic, Aleksandra (author)
Karolinska Institute,Karolinska University Hospital
Baliakas, Panagiotis (author)
Uppsala University,Uppsala University Hospital
Barbany, Gisela (author)
Karolinska Institute,Karolinska University Hospital
Håkansson, Cecilia Brunhoff (author)
Region Skåne
Gellerbring, Anna (author)
Karolinska Institute
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
Hellström-Lindberg, Eva (author)
Karolinska University Hospital
Juliusson, Gunnar (author)
Skåne University Hospital
Lazarevic, Vladimir (author)
Skåne University Hospital
Munters, Arielle (author)
Uppsala University
Pandzic, Tatjana (author)
Uppsala University,Uppsala University Hospital
Wadelius, Mia (author)
Uppsala University
Ås, Joel (author)
Uppsala University
Fogelstrand, Linda (author)
University of Gothenburg,Sahlgrenska University Hospital
Wirta, Valtteri (author)
KTH Royal Institute of Technology,Karolinska Institute,Karolinska University Hospital
Rosenquist, Richard (author)
Karolinska Institute,Karolinska University Hospital
Cavelier, Lucia (author)
Uppsala University,Karolinska Institute,Karolinska University Hospital,Uppsala University Hospital
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)
 
2024
2024
English.
In: Genes Chromosomes and Cancer. - 1045-2257. ; 63:7
  • Journal article (peer-reviewed)
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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