Interactive Web-Based Resource for Annotation of Genetic Variants Causing Hereditary Angioedema (HADA): Database Development, Implementation, and Validation

BackgroundHereditary angioedema is a rare genetic condition caused by C1 esterase inhibitor deficiency, dysfunction, or kinin cascade dysregulation, leading to an increased bradykinin plasma concentration. Hereditary angioedema is a poorly recognized clinical entity and is very often misdiagnosed as...

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Main Authors: Mendoza-Alvarez, Alejandro, Muñoz-Barrera, Adrián, Rubio-Rodríguez, Luis Alberto, Marcelino-Rodriguez, Itahisa, Corrales, Almudena, Iñigo-Campos, Antonio, Callero, Ariel, Perez-Rodriguez, Eva, Garcia-Robaina, Jose Carlos, González-Montelongo, Rafaela, Lorenzo-Salazar, Jose Miguel, Flores, Carlos
Format: Article
Language:English
Published: JMIR Publications 2020-10-01
Series:Journal of Medical Internet Research
Online Access:http://www.jmir.org/2020/10/e19040/
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author Mendoza-Alvarez, Alejandro
Muñoz-Barrera, Adrián
Rubio-Rodríguez, Luis Alberto
Marcelino-Rodriguez, Itahisa
Corrales, Almudena
Iñigo-Campos, Antonio
Callero, Ariel
Perez-Rodriguez, Eva
Garcia-Robaina, Jose Carlos
González-Montelongo, Rafaela
Lorenzo-Salazar, Jose Miguel
Flores, Carlos
author_facet Mendoza-Alvarez, Alejandro
Muñoz-Barrera, Adrián
Rubio-Rodríguez, Luis Alberto
Marcelino-Rodriguez, Itahisa
Corrales, Almudena
Iñigo-Campos, Antonio
Callero, Ariel
Perez-Rodriguez, Eva
Garcia-Robaina, Jose Carlos
González-Montelongo, Rafaela
Lorenzo-Salazar, Jose Miguel
Flores, Carlos
author_sort Mendoza-Alvarez, Alejandro
collection DOAJ
description BackgroundHereditary angioedema is a rare genetic condition caused by C1 esterase inhibitor deficiency, dysfunction, or kinin cascade dysregulation, leading to an increased bradykinin plasma concentration. Hereditary angioedema is a poorly recognized clinical entity and is very often misdiagnosed as a histaminergic angioedema. Despite its genetic nature, first-line genetic screening is not integrated in routine diagnosis. Consequently, a delay in the diagnosis, and inaccurate or incomplete diagnosis and treatment of hereditary angioedema are common. ObjectiveIn agreement with recent recommendations from the International Consensus on the Use of Genetics in the Management of Hereditary Angioedema, to facilitate the clinical diagnosis and adapt it to the paradigm of precision medicine and next-generation sequencing–based genetic tests, we aimed to develop a genetic annotation tool, termed Hereditary Angioedema Database Annotation (HADA). MethodsHADA is built on top of a database of known variants affecting function, including precomputed pathogenic assessment of each variant and a ranked classification according to the current guidelines from the American College of Medical Genetics and Genomics. ResultsHADA is provided as a freely accessible, user-friendly web-based interface with versatility for the entry of genetic information. The underlying database can also be incorporated into automated command-line stand-alone annotation tools. ConclusionsHADA can achieve the rapid detection of variants affecting function for different hereditary angioedema types, and further integrates useful information to reduce the diagnosis odyssey and improve its delay.
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spelling doaj.art-5e6f91ba17ba4284980d5c7207f0a09f2022-12-21T23:08:52ZengJMIR PublicationsJournal of Medical Internet Research1438-88712020-10-012210e1904010.2196/19040Interactive Web-Based Resource for Annotation of Genetic Variants Causing Hereditary Angioedema (HADA): Database Development, Implementation, and ValidationMendoza-Alvarez, AlejandroMuñoz-Barrera, AdriánRubio-Rodríguez, Luis AlbertoMarcelino-Rodriguez, ItahisaCorrales, AlmudenaIñigo-Campos, AntonioCallero, ArielPerez-Rodriguez, EvaGarcia-Robaina, Jose CarlosGonzález-Montelongo, RafaelaLorenzo-Salazar, Jose MiguelFlores, CarlosBackgroundHereditary angioedema is a rare genetic condition caused by C1 esterase inhibitor deficiency, dysfunction, or kinin cascade dysregulation, leading to an increased bradykinin plasma concentration. Hereditary angioedema is a poorly recognized clinical entity and is very often misdiagnosed as a histaminergic angioedema. Despite its genetic nature, first-line genetic screening is not integrated in routine diagnosis. Consequently, a delay in the diagnosis, and inaccurate or incomplete diagnosis and treatment of hereditary angioedema are common. ObjectiveIn agreement with recent recommendations from the International Consensus on the Use of Genetics in the Management of Hereditary Angioedema, to facilitate the clinical diagnosis and adapt it to the paradigm of precision medicine and next-generation sequencing–based genetic tests, we aimed to develop a genetic annotation tool, termed Hereditary Angioedema Database Annotation (HADA). MethodsHADA is built on top of a database of known variants affecting function, including precomputed pathogenic assessment of each variant and a ranked classification according to the current guidelines from the American College of Medical Genetics and Genomics. ResultsHADA is provided as a freely accessible, user-friendly web-based interface with versatility for the entry of genetic information. The underlying database can also be incorporated into automated command-line stand-alone annotation tools. ConclusionsHADA can achieve the rapid detection of variants affecting function for different hereditary angioedema types, and further integrates useful information to reduce the diagnosis odyssey and improve its delay.http://www.jmir.org/2020/10/e19040/
spellingShingle Mendoza-Alvarez, Alejandro
Muñoz-Barrera, Adrián
Rubio-Rodríguez, Luis Alberto
Marcelino-Rodriguez, Itahisa
Corrales, Almudena
Iñigo-Campos, Antonio
Callero, Ariel
Perez-Rodriguez, Eva
Garcia-Robaina, Jose Carlos
González-Montelongo, Rafaela
Lorenzo-Salazar, Jose Miguel
Flores, Carlos
Interactive Web-Based Resource for Annotation of Genetic Variants Causing Hereditary Angioedema (HADA): Database Development, Implementation, and Validation
Journal of Medical Internet Research
title Interactive Web-Based Resource for Annotation of Genetic Variants Causing Hereditary Angioedema (HADA): Database Development, Implementation, and Validation
title_full Interactive Web-Based Resource for Annotation of Genetic Variants Causing Hereditary Angioedema (HADA): Database Development, Implementation, and Validation
title_fullStr Interactive Web-Based Resource for Annotation of Genetic Variants Causing Hereditary Angioedema (HADA): Database Development, Implementation, and Validation
title_full_unstemmed Interactive Web-Based Resource for Annotation of Genetic Variants Causing Hereditary Angioedema (HADA): Database Development, Implementation, and Validation
title_short Interactive Web-Based Resource for Annotation of Genetic Variants Causing Hereditary Angioedema (HADA): Database Development, Implementation, and Validation
title_sort interactive web based resource for annotation of genetic variants causing hereditary angioedema hada database development implementation and validation
url http://www.jmir.org/2020/10/e19040/
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