Dissecting in silico Mutation Prediction of Variants in African Genomes: Challenges and Perspectives

Genomic medicine is set to drastically improve clinical care globally due to high throughput technologies which enable speedy in silico detection and analysis of clinically relevant mutations. However, the variability in the in silico prediction methods and categorization of functionally relevant ge...

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Main Authors: Christian Domilongo Bope, Emile R. Chimusa, Victoria Nembaware, Gaston K. Mazandu, Jantina de Vries, Ambroise Wonkam
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-06-01
Series:Frontiers in Genetics
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fgene.2019.00601/full
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author Christian Domilongo Bope
Christian Domilongo Bope
Emile R. Chimusa
Victoria Nembaware
Gaston K. Mazandu
Jantina de Vries
Ambroise Wonkam
Ambroise Wonkam
Ambroise Wonkam
author_facet Christian Domilongo Bope
Christian Domilongo Bope
Emile R. Chimusa
Victoria Nembaware
Gaston K. Mazandu
Jantina de Vries
Ambroise Wonkam
Ambroise Wonkam
Ambroise Wonkam
author_sort Christian Domilongo Bope
collection DOAJ
description Genomic medicine is set to drastically improve clinical care globally due to high throughput technologies which enable speedy in silico detection and analysis of clinically relevant mutations. However, the variability in the in silico prediction methods and categorization of functionally relevant genetic variants can pose specific challenges in some populations. In silico mutation prediction tools could lead to high rates of false positive/negative results, particularly in African genomes that harbor the highest genetic diversity and that are disproportionately underrepresented in public databases and reference panels. These issues are particularly relevant with the recent increase in initiatives, such as the Human Heredity and Health (H3Africa), that are generating huge amounts of genomic sequence data in the absence of policies to guide genomic researchers to return results of variants in so-called actionable genes to research participants. This report (i) provides an inventory of publicly available Whole Exome/Genome data from Africa which could help improve reference panels and explore the frequency of pathogenic variants in actionable genes and related challenges, (ii) reviews available in silico prediction mutation tools and the criteria for categorization of pathogenicity of novel variants, and (iii) proposes recommendations for analyzing pathogenic variants in African genomes for their use in research and clinical practice. In conclusion, this work proposes criteria to define mutation pathogenicity and actionability in human genetic research and clinical practice in Africa and recommends setting up an African expert panel to oversee the proposed criteria.
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spelling doaj.art-17e39a64c77b43da8dbd179b83979c342022-12-21T19:24:45ZengFrontiers Media S.A.Frontiers in Genetics1664-80212019-06-011010.3389/fgene.2019.00601457129Dissecting in silico Mutation Prediction of Variants in African Genomes: Challenges and PerspectivesChristian Domilongo Bope0Christian Domilongo Bope1Emile R. Chimusa2Victoria Nembaware3Gaston K. Mazandu4Jantina de Vries5Ambroise Wonkam6Ambroise Wonkam7Ambroise Wonkam8Department of Pathology, Faculty of Health Sciences, University of Cape Town, Cape Town, South AfricaDepartments of Mathematics and Computer Sciences, Faculty of Sciences, University of Kinshasa, Kinshasa, Democratic Republic of CongoDepartment of Pathology, Faculty of Health Sciences, University of Cape Town, Cape Town, South AfricaDepartment of Pathology, Faculty of Health Sciences, University of Cape Town, Cape Town, South AfricaDepartment of Pathology, Faculty of Health Sciences, University of Cape Town, Cape Town, South AfricaDepartment of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South AfricaDepartment of Pathology, Faculty of Health Sciences, University of Cape Town, Cape Town, South AfricaDepartment of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South AfricaInstitute of Infectious Diseases and Molecular Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South AfricaGenomic medicine is set to drastically improve clinical care globally due to high throughput technologies which enable speedy in silico detection and analysis of clinically relevant mutations. However, the variability in the in silico prediction methods and categorization of functionally relevant genetic variants can pose specific challenges in some populations. In silico mutation prediction tools could lead to high rates of false positive/negative results, particularly in African genomes that harbor the highest genetic diversity and that are disproportionately underrepresented in public databases and reference panels. These issues are particularly relevant with the recent increase in initiatives, such as the Human Heredity and Health (H3Africa), that are generating huge amounts of genomic sequence data in the absence of policies to guide genomic researchers to return results of variants in so-called actionable genes to research participants. This report (i) provides an inventory of publicly available Whole Exome/Genome data from Africa which could help improve reference panels and explore the frequency of pathogenic variants in actionable genes and related challenges, (ii) reviews available in silico prediction mutation tools and the criteria for categorization of pathogenicity of novel variants, and (iii) proposes recommendations for analyzing pathogenic variants in African genomes for their use in research and clinical practice. In conclusion, this work proposes criteria to define mutation pathogenicity and actionability in human genetic research and clinical practice in Africa and recommends setting up an African expert panel to oversee the proposed criteria.https://www.frontiersin.org/article/10.3389/fgene.2019.00601/fullAfrican genomeincidental findingsactionable variantswhole exome sequencingwhole genome sequencingprecision medicine
spellingShingle Christian Domilongo Bope
Christian Domilongo Bope
Emile R. Chimusa
Victoria Nembaware
Gaston K. Mazandu
Jantina de Vries
Ambroise Wonkam
Ambroise Wonkam
Ambroise Wonkam
Dissecting in silico Mutation Prediction of Variants in African Genomes: Challenges and Perspectives
Frontiers in Genetics
African genome
incidental findings
actionable variants
whole exome sequencing
whole genome sequencing
precision medicine
title Dissecting in silico Mutation Prediction of Variants in African Genomes: Challenges and Perspectives
title_full Dissecting in silico Mutation Prediction of Variants in African Genomes: Challenges and Perspectives
title_fullStr Dissecting in silico Mutation Prediction of Variants in African Genomes: Challenges and Perspectives
title_full_unstemmed Dissecting in silico Mutation Prediction of Variants in African Genomes: Challenges and Perspectives
title_short Dissecting in silico Mutation Prediction of Variants in African Genomes: Challenges and Perspectives
title_sort dissecting in silico mutation prediction of variants in african genomes challenges and perspectives
topic African genome
incidental findings
actionable variants
whole exome sequencing
whole genome sequencing
precision medicine
url https://www.frontiersin.org/article/10.3389/fgene.2019.00601/full
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