Publications by authors named "Bryan Wulf"

Clinical genetic laboratories must have access to clinically validated biomedical data for precision medicine. A lack of accessibility, normalized structure, and consistency in evaluation complicates interpretation of disease causality, resulting in confusion in assessing the clinical validity of genes and genetic variants for diagnosis. A key goal of the Clinical Genome Resource (ClinGen) is to fill the knowledge gap concerning the strength of evidence supporting the role of a gene in a monogenic disease, which is achieved through a process known as Gene-Disease Validity curation.

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Background: Identification of clinically significant genetic alterations involved in human disease has been dramatically accelerated by developments in next-generation sequencing technologies. However, the infrastructure and accessible comprehensive curation tools necessary for analyzing an individual patient genome and interpreting genetic variants to inform healthcare management have been lacking.

Results: Here we present the ClinGen Variant Curation Interface (VCI), a global open-source variant classification platform for supporting the application of evidence criteria and classification of variants based on the ACMG/AMP variant classification guidelines.

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Article Synopsis
  • In silico evidence is used by ACMG/AMP guidelines to assess the pathogenicity of genetic variants, specifically through the PP3 and BP4 criteria, but their effects on variant classification were not well understood.
  • A study analyzed 727 missense variants to see how frequently PP3 and BP4 were applied, discovering they were used in 55% of cases and altered classifications in 15% of those instances.
  • The results indicate that in silico criteria significantly influence variant classification outcomes and suggest that established thresholds can allow PP3 and BP4 to be regarded as moderate strength evidence.
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As genetic sequencing costs decrease, the lack of clinical interpretation of variants has become the bottleneck in using genetics data. A major rate limiting step in clinical interpretation is the manual curation of evidence in the genetic literature by highly trained biocurators. What makes curation particularly time-consuming is that the curator needs to identify papers that study variant pathogenicity using different types of approaches and evidences-e.

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