Exome sequencing for diagnosis of congenital hemolytic anemia

BACKGROUND: Congenital hemolytic anemia constitutes a heterogeneous group of rare genetic disorders of red blood cells. Diagnosis is based on clinical data, family history and phenotypic testing, genetic analyses being usually performed as a late step. In this study, we explored 40 patients with congenital hemolytic anemia by whole exome sequencing: 20 patients with hereditary spherocytosis and 20 patients with unexplained hemolysis.

RESULTS: A probable genetic cause of disease was identified in 82.5% of the patients (33/40): 100% of those with suspected hereditary spherocytosis (20/20) and 65% of those with unexplained hemolysis (13/20). We found that several patients carried genetic variations in more than one gene (3/20 in the hereditary spherocytosis group, 6/13 fully elucidated patients in the unexplained hemolysis group), giving a more accurate picture of the genetic complexity of congenital hemolytic anemia. In addition, whole exome sequencing allowed us to identify genetic variants in non-congenital hemolytic anemia genes that explained part of the phenotype in 3 patients.

CONCLUSION: The rapid development of next generation sequencing has rendered the genetic study of these diseases much easier and cheaper. Whole exome sequencing in congenital hemolytic anemia could provide a more precise and quicker diagnosis, improve patients' healthcare and probably has to be democratized notably for complex cases.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:15

Enthalten in:

Orphanet journal of rare diseases - 15(2020), 1 vom: 08. Juli, Seite 180

Sprache:

Englisch

Beteiligte Personen:

Mansour-Hendili, Lamisse [VerfasserIn]
Aissat, Abdelrazak [VerfasserIn]
Badaoui, Bouchra [VerfasserIn]
Sakka, Mehdi [VerfasserIn]
Gameiro, Christine [VerfasserIn]
Ortonne, Valérie [VerfasserIn]
Wagner-Ballon, Orianne [VerfasserIn]
Pissard, Serge [VerfasserIn]
Picard, Véronique [VerfasserIn]
Ghazal, Khaldoun [VerfasserIn]
Bahuau, Michel [VerfasserIn]
Guitton, Corinne [VerfasserIn]
Mansour, Ziad [VerfasserIn]
Duplan, Mylène [VerfasserIn]
Petit, Arnaud [VerfasserIn]
Costedoat-Chalumeau, Nathalie [VerfasserIn]
Michel, Marc [VerfasserIn]
Bartolucci, Pablo [VerfasserIn]
Moutereau, Stéphane [VerfasserIn]
Funalot, Benoît [VerfasserIn]
Galactéros, Frédéric [VerfasserIn]

Links:

Volltext

Themen:

Anemia
Congenital
Hemolysis
Journal Article
Membrane
Mutation
NGS
Red blood cell

Anmerkungen:

Date Completed 18.06.2021

Date Revised 07.12.2022

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s13023-020-01425-5

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM312183712