European Journal of Endocrinology Approaches to molecular genetic diagnosis in the management of differences/disorders of sex development (DSD): position paper of EU COST Action BM 1303 'DSDnet'

Autor: L Audí, S F Ahmed, N Krone, M Cools, K McElreavey, P M Holterhus, A Greenfield, A Bashamboo, O Hiort, S A Wudy, R McGowan
Přispěvatelé: Vall d’Hebron Research Institute (VHIR), University of Glasgow (University of Glasgow), University of Sheffield [Sheffield], Ghent University Hospital, Génétique du Développement humain - Human developmental genetics, Institut Pasteur [Paris]-Centre National de la Recherche Scientifique (CNRS), Christian-Albrechts University and University Hospital Schleswig-Holstein, Campus Kiel, Medical Research Coucil Harwell [Oxford, UK] (MRC Harwell), MRC Harwell, Universität zu Lübeck [Lübeck], Justus-Liebig-University [Gießen, Germany], University of Glasgow, Queen Elizabeth University Hospital (Glasgow), This article is based upon work from COST Action BM1303 DSDnet, supported by COST (European Cooperation in Science and Technology). O H (chair of COST Action and chair of working group 5), L A (co-chair of COST Action and working group 3), S A W (chair of working group 3), S F A (chair of working group 4), M C (chair of working group 1), N K (working group 3), K McE (chair of working group 2), P M H (working group 3), A G (working group 2), A B (working group 2) as well as R McG (international partner) appreciate support from BMBS COST Action BM1303., Institut Pasteur [Paris] (IP)-Centre National de la Recherche Scientifique (CNRS), Universität zu Lübeck = University of Lübeck [Lübeck], Justus-Liebig-Universität Gießen = Justus Liebig University (JLU)
Jazyk: angličtina
Rok vydání: 2018
Předmět:
ANOMALIES
0301 basic medicine
Candidate gene
Computer science
Endocrinology
Diabetes and Metabolism

Disorders of Sex Development
MEDICAL GENETICS
EXOME
Review
Gonadal Dysgenesis
Endocrinology
Medicine and Health Sciences
Copy-number variation
Exome
Exome sequencing
media_common
General Medicine
PREVALENCE
3. Good health
Diabetes and Metabolism
Molecular Diagnostic Techniques
Practice Guidelines as Topic
Medical genetics
Identification (biology)
medicine.medical_specialty
DNA Copy Number Variations
Karyotype
AMERICAN-COLLEGE
03 medical and health sciences
Internal medicine
Exome Sequencing
medicine
Humans
media_common.cataloged_instance
GONADAL-DYSGENESIS
European Union
European union
Molecular Biology
CGH
Adrenal Hyperplasia
Congenital

Whole Genome Sequencing
IDENTIFICATION
MUTATIONS
Sequence Analysis
DNA

030104 developmental biology
XY DISORDERS
Position paper
[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology
Zdroj: European Journal of Endocrinology
European Journal of Endocrinology, BioScientifica, 2018, ⟨10.1530/EJE-18-0256⟩
EUROPEAN JOURNAL OF ENDOCRINOLOGY
European Journal of Endocrinology, 2018, ⟨10.1530/EJE-18-0256⟩
ISSN: 0804-4643
1479-683X
DOI: 10.1530/EJE-18-0256⟩
Popis: International audience; The differential diagnosis of differences or disorders of sex development (DSD) belongs to the most complex fields in medicine. It requires a multidisciplinary team conducting a synoptic and complementary approach consisting of thorough clinical, hormonal and genetic workups. This position paper of EU COST (European Cooperation in Science and Technology) Action BM1303 'DSDnet' was written by leading experts in the field and focuses on current best practice in genetic diagnosis in DSD patients. Ascertainment of the karyotpye defines one of the three major diagnostic DSD subclasses and is therefore the mandatory initial step. Subsequently, further analyses comprise molecular studies of monogenic DSD causes or analysis of copy number variations (CNV) or both. Panels of candidate genes provide rapid and reliable results. Whole exome and genome sequencing (WES and WGS) represent valuable methodological developments that are currently in the transition from basic science to clinical routine service in the field of DSD. However, in addition to covering known DSD candidate genes, WES and WGS help to identify novel genetic causes for DSD. Diagnostic interpretation must be performed with utmost caution and needs careful scientific validation in each DSD case.
Databáze: OpenAIRE