Annals of Clinical and Translational Neurology (Jan 2020)

Genome sequencing in persistently unsolved white matter disorders

  • Guy Helman,
  • Bryan R. Lajoie,
  • Joanna Crawford,
  • Asako Takanohashi,
  • Marzena Walkiewicz,
  • Egor Dolzhenko,
  • Andrew M. Gross,
  • Vladimir G. Gainullin,
  • Stephen J. Bent,
  • Emma M. Jenkinson,
  • Sacha Ferdinandusse,
  • Hans R. Waterham,
  • Imen Dorboz,
  • Enrico Bertini,
  • Noriko Miyake,
  • Nicole I. Wolf,
  • Truus E. M. Abbink,
  • Susan M. Kirwin,
  • Christina M. Tan,
  • Grace M. Hobson,
  • Long Guo,
  • Shiro Ikegawa,
  • Amy Pizzino,
  • Johanna L. Schmidt,
  • Genevieve Bernard,
  • Raphael Schiffmann,
  • Marjo S. van derKnaap,
  • Cas Simons,
  • Ryan J. Taft,
  • Adeline Vanderver

DOI
https://doi.org/10.1002/acn3.50957
Journal volume & issue
Vol. 7, no. 1
pp. 144 – 152

Abstract

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Abstract Genetic white matter disorders have heterogeneous etiologies and overlapping clinical presentations. We performed a study of the diagnostic efficacy of genome sequencing in 41 unsolved cases with prior exome sequencing, resolving an additional 14 from an historical cohort (n = 191). Reanalysis in the context of novel disease‐associated genes and improved variant curation and annotation resolved 64% of cases. The remaining diagnoses were directly attributable to genome sequencing, including cases with small and large copy number variants (CNVs) and variants in deep intronic and technically difficult regions. Genome sequencing, in combination with other methodologies, achieved a diagnostic yield of 85% in this retrospective cohort.