Next-generation sequencing for the diagnosis of patients with congenital multiple anomalies and / or intellectual disabilities

J Med Invest. 2020;67(3.4):246-249. doi: 10.2152/jmi.67.246.

Abstract

Background : In clinical practice, a large proportion of patients with multiple congenital anomalies and/or intellectual disabilities (MCA / ID) lacks a specific diagnosis. Recently, next-generation sequencing (NGS) has become an efficient strategy for genetic diagnosis of patients with MCA/ID.

Objective: To review the utility of NGS for the diagnosis of patients with MCA / ID.

Method: Patients with MCA/ID were recruited between 2013 and 2017. Molecular diagnosis was performed using NGS-based targeted panel sequencing for 4,813 genes. Promising causative variants underwent confirmation by Sanger sequencing or chromosomal microarray.

Results: Eighteen patients with MCA/ID were enrolled in this study. Of them, 8 cases (44%) were diagnosed by targeted panel sequencing. Most of diagnosed patients were able to receive better counseling and more appropriate medical management.

Conclusion: NGS-based targeted panel sequencing seems to be an effective testing strategy for diagnosis of patients with MCA/ID. J. Med. Invest. 67 : 246-249, August, 2020.

Keywords: intellectual disability; multiple congenital anomalies; next-generation sequencing; targeted panel sequencing.

MeSH terms

  • Abnormalities, Multiple / diagnosis*
  • Adolescent
  • Child
  • Child, Preschool
  • Female
  • High-Throughput Nucleotide Sequencing / methods*
  • Humans
  • Infant
  • Intellectual Disability / diagnosis*
  • Male