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| Content Provider | Springer Nature Link |
|---|---|
| Author | Kerr, Iain D. Cox, Hannah C. Moyes, Kelsey Evans, Brent Burdett, Brianna C. Kan, Aric McElroy, Heather Vail, Paris J. Brown, Krystal L. Sumampong, Dechie B. Monteferrante, Nicholas J. Hardman, Kennedy L. Theisen, Aaron Mundt, Erin Wenstrup, Richard J. Eggington, Julie M. |
| Copyright Year | 2016 |
| Abstract | Missense variants represent a significant proportion of variants identified in clinical genetic testing. In the absence of strong clinical or functional evidence, the American College of Medical Genetics recommends that these findings be classified as variants of uncertain significance (VUS). VUSs may be reclassified to better inform patient care when new evidence is available. It is critical that the methods used for reclassification are robust in order to prevent inappropriate medical management strategies and unnecessary, life-altering surgeries. In an effort to provide evidence for classification, several in silico algorithms have been developed that attempt to predict the functional impact of missense variants through amino acid sequence conservation analysis. We report an analysis comparing internally derived, evidence-based classifications with the results obtained from six commonly used algorithms. We compiled a dataset of 1118 variants in BRCA1, BRCA2, MLH1, and MSH2 previously classified by our laboratory’s evidence-based variant classification program. We compared internally derived classifications with those obtained from the following in silico tools: Align-GVGD, CONDEL, Grantham Analysis, MAPP-MMR, PolyPhen-2, and SIFT. Despite being based on similar underlying principles, all algorithms displayed marked divergence in accuracy, specificity, and sensitivity. Overall, accuracy ranged from 58.7 to 90.8% while the Matthews Correlation Coefficient ranged from 0.26–0.65. CONDEL, a weighted average of multiple algorithms, did not perform significantly better than its individual components evaluated here. These results suggest that the in silico algorithms evaluated here do not provide reliable evidence regarding the clinical significance of missense variants in genes associated with hereditary cancer. |
| Starting Page | 87 |
| Ending Page | 95 |
| Page Count | 9 |
| File Format | |
| ISSN | 1868310X |
| Journal | Journal of Community Genetics |
| Volume Number | 8 |
| Issue Number | 2 |
| e-ISSN | 18686001 |
| Language | English |
| Publisher | Springer Berlin Heidelberg |
| Publisher Date | 2017-01-03 |
| Publisher Place | Berlin, Heidelberg |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | HBOC Lynch syndrome Sequence conservation Missense mutation Variant classification Variants of uncertain significance Human Genetics Public Health Epidemiology Gene Therapy Gene Function |
| Content Type | Text |
| Resource Type | Article |
| Subject | Public Health, Environmental and Occupational Health Epidemiology Genetics (clinical) |
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