Massively parallel identification of functionally consequential noncoding genetic variants in undiagnosed rare disease patients

Abstract Clinical whole genome sequencing has enabled the discovery of potentially pathogenic noncoding variants in the genomes of rare disease patients with a prior history of negative genetic testing. However, interpreting the functional consequences of noncoding variants and distinguishing those...

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Main Authors: Jasmine A. McQuerry, Merry Mclaird, Samantha N. Hartin, John C. Means, Jeffrey Johnston, Tomi Pastinen, Scott T. Younger
Format: Article
Language:English
Published: Nature Portfolio 2022-05-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-11589-8
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author Jasmine A. McQuerry
Merry Mclaird
Samantha N. Hartin
John C. Means
Jeffrey Johnston
Tomi Pastinen
Scott T. Younger
author_facet Jasmine A. McQuerry
Merry Mclaird
Samantha N. Hartin
John C. Means
Jeffrey Johnston
Tomi Pastinen
Scott T. Younger
author_sort Jasmine A. McQuerry
collection DOAJ
description Abstract Clinical whole genome sequencing has enabled the discovery of potentially pathogenic noncoding variants in the genomes of rare disease patients with a prior history of negative genetic testing. However, interpreting the functional consequences of noncoding variants and distinguishing those that contribute to disease etiology remains a challenge. Here we address this challenge by experimentally profiling the functional consequences of rare noncoding variants detected in a cohort of undiagnosed rare disease patients at scale using a massively parallel reporter assay. We demonstrate that this approach successfully identifies rare noncoding variants that alter the regulatory capacity of genomic sequences. In addition, we describe an integrative analysis that utilizes genomic features alongside patient clinical data to further prioritize candidate variants with an increased likelihood of pathogenicity. This work represents an important step towards establishing a framework for the functional interpretation of clinically detected noncoding variants.
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spelling doaj.art-db5cf431cf4e485abc023b16b1f5c44e2022-12-22T02:22:31ZengNature PortfolioScientific Reports2045-23222022-05-0112111110.1038/s41598-022-11589-8Massively parallel identification of functionally consequential noncoding genetic variants in undiagnosed rare disease patientsJasmine A. McQuerry0Merry Mclaird1Samantha N. Hartin2John C. Means3Jeffrey Johnston4Tomi Pastinen5Scott T. Younger6Genomic Medicine Center, Children’s Mercy Kansas CityGenomic Medicine Center, Children’s Mercy Kansas CityGenomic Medicine Center, Children’s Mercy Kansas CityGenomic Medicine Center, Children’s Mercy Kansas CityGenomic Medicine Center, Children’s Mercy Kansas CityGenomic Medicine Center, Children’s Mercy Kansas CityGenomic Medicine Center, Children’s Mercy Kansas CityAbstract Clinical whole genome sequencing has enabled the discovery of potentially pathogenic noncoding variants in the genomes of rare disease patients with a prior history of negative genetic testing. However, interpreting the functional consequences of noncoding variants and distinguishing those that contribute to disease etiology remains a challenge. Here we address this challenge by experimentally profiling the functional consequences of rare noncoding variants detected in a cohort of undiagnosed rare disease patients at scale using a massively parallel reporter assay. We demonstrate that this approach successfully identifies rare noncoding variants that alter the regulatory capacity of genomic sequences. In addition, we describe an integrative analysis that utilizes genomic features alongside patient clinical data to further prioritize candidate variants with an increased likelihood of pathogenicity. This work represents an important step towards establishing a framework for the functional interpretation of clinically detected noncoding variants.https://doi.org/10.1038/s41598-022-11589-8
spellingShingle Jasmine A. McQuerry
Merry Mclaird
Samantha N. Hartin
John C. Means
Jeffrey Johnston
Tomi Pastinen
Scott T. Younger
Massively parallel identification of functionally consequential noncoding genetic variants in undiagnosed rare disease patients
Scientific Reports
title Massively parallel identification of functionally consequential noncoding genetic variants in undiagnosed rare disease patients
title_full Massively parallel identification of functionally consequential noncoding genetic variants in undiagnosed rare disease patients
title_fullStr Massively parallel identification of functionally consequential noncoding genetic variants in undiagnosed rare disease patients
title_full_unstemmed Massively parallel identification of functionally consequential noncoding genetic variants in undiagnosed rare disease patients
title_short Massively parallel identification of functionally consequential noncoding genetic variants in undiagnosed rare disease patients
title_sort massively parallel identification of functionally consequential noncoding genetic variants in undiagnosed rare disease patients
url https://doi.org/10.1038/s41598-022-11589-8
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