Molecular diagnostic workflow, clinical interpretation of sequence variants, and data repository procedures in 140 individuals with familial cerebral cavernous malformations

Hum Mutat. 2019 Nov;40(11):e24-e36. doi: 10.1002/humu.23851.

Abstract

Familial cerebral cavernous malformation (FCCM) is an autosomal dominant vascular disorder caused by heterozygous deleterious variants in KRIT1, CCM2 or PDCD10. In a previous study, we presented the clinical and molecular findings in 140 FCCM individuals. In the present work, we report supporting information on (a) applied diagnostic workflow; (b) clinical significance of molecular findings according to the American College of Medical Genetics and Genomics/Association for Molecular Pathology recommendations; (c) standardization of molecular and clinical data according to the Human Phenotype Ontology; (d) preliminary genotype-phenotype correlations on a subgroup of patients by considering sex, age at diagnosis, neurological symptoms, and number and anatomical site(s) of vascular anomalies; (e) datasets submitted to the Leiden Open Variation Database. An overview of the changes of our diagnostic approach before and after the transition to next-generation sequencing is also reported. This work presents the full procedure that we apply for molecular testing, data interpretation and storing in public databases in FCCM.

Keywords: CCM2; KRIT1; PDCD10; human phenotype ontology; leiden open variation database; mutation; variant interpretation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alleles
  • Computational Biology / methods
  • Data Interpretation, Statistical*
  • Databases, Genetic
  • Female
  • Genetic Association Studies* / methods
  • Genetic Predisposition to Disease*
  • Genetic Variation*
  • Genotype
  • Hemangioma, Cavernous, Central Nervous System / diagnosis*
  • Hemangioma, Cavernous, Central Nervous System / genetics*
  • Humans
  • Male
  • Molecular Diagnostic Techniques
  • Phenotype
  • Workflow*

Supplementary concepts

  • Familial cerebral cavernous malformation