The ClinGen Syndromic Disorders Gene Curation Expert Panel: Assessing the clinical validity of 111 gene-disease relationships

Purpose: The Clinical Genome Resource (ClinGen) Gene Curation Expert Panels have historically focused on specific organ systems or phenotypes; thus, the ClinGen Syndromic Disorders Gene Curation Expert Panel (SD-GCEP) was formed to address an unmet need. Methods: The SD-GCEP applied ClinGen’s framew...

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Main Authors: Eleanor C. Broeren, Vanessa N. Gitau, Alicia B. Byrne, Pamela Ajuyah, Marie B. Balzotti, Jonathan S. Berg, Krista Bluske, B. Monica Bowen, Matthew P. Brown, Amanda Buchanan, Brendan T. Burns, Nicole J. Burns, Anjana Chandrasekhar, Aditi Chawla, Jessica X. Chong, Maya Chopra, Amanda R. Clause, Marina T. DiStefano, Stephanie DiTroia, Marwa A. Elnagheeb, Amanda N. Girod, Himanshu Goel, Katie L. Golden-Grant, Thuong Ha, Ada Hamosh, Jennifer M. Huang, Madeline Y. Hughes, Saumya S. Jamuar, Sylvia Kam, Akanchha Kesari, Ai Ling Koh, Rhonda N.T. Lassiter, Sarah E. Leigh, Gabrielle Lemire, Jiin Ying Lim, Alka Malhotra, Hannah R. McCurry, Becky Milewski, Shahida Moosa, Stephen A. Murray, Emma H. Owens, Elizabeth E. Palmer, Brooke C. Palus, Mayher J. Patel, Revathi Rajkumar, Julie C. Ratliff, F. Lucy Raymond, Bruno Della Ripa Rodrigues Assis, Samin A. Sajan, Zinayida Schlachetzki, Sarah A. Schmidt, Zornitza Stark, Samuel P. Strom, Julie P. Taylor, Courtney Thaxton, Devon L. Thrush, Sabrina Toro, Kezang C. Tshering, Nicole A. Vasilevsky, Bess Wayburn, Ryan F. Webb, Anne O’Donnell-Luria, Alison J. Coffey
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Language:English
Published: Elsevier 2025-01-01
Series:Genetics in Medicine Open
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Online Access:http://www.sciencedirect.com/science/article/pii/S2949774425014682
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author Eleanor C. Broeren
Vanessa N. Gitau
Alicia B. Byrne
Pamela Ajuyah
Marie B. Balzotti
Jonathan S. Berg
Krista Bluske
B. Monica Bowen
Matthew P. Brown
Amanda Buchanan
Brendan T. Burns
Nicole J. Burns
Anjana Chandrasekhar
Aditi Chawla
Jessica X. Chong
Maya Chopra
Amanda R. Clause
Marina T. DiStefano
Stephanie DiTroia
Marwa A. Elnagheeb
Amanda N. Girod
Himanshu Goel
Katie L. Golden-Grant
Thuong Ha
Ada Hamosh
Jennifer M. Huang
Madeline Y. Hughes
Saumya S. Jamuar
Sylvia Kam
Akanchha Kesari
Ai Ling Koh
Rhonda N.T. Lassiter
Sarah E. Leigh
Gabrielle Lemire
Jiin Ying Lim
Alka Malhotra
Hannah R. McCurry
Becky Milewski
Shahida Moosa
Stephen A. Murray
Emma H. Owens
Elizabeth E. Palmer
Brooke C. Palus
Mayher J. Patel
Revathi Rajkumar
Julie C. Ratliff
F. Lucy Raymond
Bruno Della Ripa Rodrigues Assis
Samin A. Sajan
Zinayida Schlachetzki
Sarah A. Schmidt
Zornitza Stark
Samuel P. Strom
Julie P. Taylor
Courtney Thaxton
Devon L. Thrush
Sabrina Toro
Kezang C. Tshering
Nicole A. Vasilevsky
Bess Wayburn
Ryan F. Webb
Anne O’Donnell-Luria
Alison J. Coffey
author_facet Eleanor C. Broeren
Vanessa N. Gitau
Alicia B. Byrne
Pamela Ajuyah
Marie B. Balzotti
Jonathan S. Berg
Krista Bluske
B. Monica Bowen
Matthew P. Brown
Amanda Buchanan
Brendan T. Burns
Nicole J. Burns
Anjana Chandrasekhar
Aditi Chawla
Jessica X. Chong
Maya Chopra
Amanda R. Clause
Marina T. DiStefano
Stephanie DiTroia
Marwa A. Elnagheeb
Amanda N. Girod
Himanshu Goel
Katie L. Golden-Grant
Thuong Ha
Ada Hamosh
Jennifer M. Huang
Madeline Y. Hughes
Saumya S. Jamuar
Sylvia Kam
Akanchha Kesari
Ai Ling Koh
Rhonda N.T. Lassiter
Sarah E. Leigh
Gabrielle Lemire
Jiin Ying Lim
Alka Malhotra
Hannah R. McCurry
Becky Milewski
Shahida Moosa
Stephen A. Murray
Emma H. Owens
Elizabeth E. Palmer
Brooke C. Palus
Mayher J. Patel
Revathi Rajkumar
Julie C. Ratliff
F. Lucy Raymond
Bruno Della Ripa Rodrigues Assis
Samin A. Sajan
Zinayida Schlachetzki
Sarah A. Schmidt
Zornitza Stark
Samuel P. Strom
Julie P. Taylor
Courtney Thaxton
Devon L. Thrush
Sabrina Toro
Kezang C. Tshering
Nicole A. Vasilevsky
Bess Wayburn
Ryan F. Webb
Anne O’Donnell-Luria
Alison J. Coffey
author_sort Eleanor C. Broeren
collection DOAJ
description Purpose: The Clinical Genome Resource (ClinGen) Gene Curation Expert Panels have historically focused on specific organ systems or phenotypes; thus, the ClinGen Syndromic Disorders Gene Curation Expert Panel (SD-GCEP) was formed to address an unmet need. Methods: The SD-GCEP applied ClinGen’s framework to evaluate the clinical validity of genes associated with rare syndromic disorders. A total of 111 gene-disease relationships (GDRs) associated with 100 genes spanning the clinical spectrum of syndromic disorders were curated. Results: From April 2020 through March 2024, 38 precurations were performed on genes with multiple disease relationships and were reviewed to determine if the disorders were part of a spectrum or distinct entities. A total of 14 genes were lumped into a single disease entity, and 24 were split into separate entities, of which 11 were curated by the SD-GCEP. A full review of 111 GDRs for 100 genes followed, with 78 classified as Definitive, 9 as Strong, 15 as Moderate, and 9 as Limited, highlighting cases in which further data are needed. All diseases involved 2 or more organ systems, whereas the majority (88/111 GDRs, 79.2%) had 5 or more organ systems affected. Conclusion: The SD-GCEP addresses a critical gap in gene curation efforts, enabling inclusion of genes for syndromic disorders in clinical testing and contributing to keeping pace with the rapid discovery of new genetic syndromes.
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spelling doaj-art-a22d7e3af58d47e3b098e747d8234be92025-08-20T02:29:43ZengElsevierGenetics in Medicine Open2949-77442025-01-01310342910.1016/j.gimo.2025.103429The ClinGen Syndromic Disorders Gene Curation Expert Panel: Assessing the clinical validity of 111 gene-disease relationshipsEleanor C. Broeren0Vanessa N. Gitau1Alicia B. Byrne2Pamela Ajuyah3Marie B. Balzotti4Jonathan S. Berg5Krista Bluske6B. Monica Bowen7Matthew P. Brown8Amanda Buchanan9Brendan T. Burns10Nicole J. Burns11Anjana Chandrasekhar12Aditi Chawla13Jessica X. Chong14Maya Chopra15Amanda R. Clause16Marina T. DiStefano17Stephanie DiTroia18Marwa A. Elnagheeb19Amanda N. Girod20Himanshu Goel21Katie L. Golden-Grant22Thuong Ha23Ada Hamosh24Jennifer M. Huang25Madeline Y. Hughes26Saumya S. Jamuar27Sylvia Kam28Akanchha Kesari29Ai Ling Koh30Rhonda N.T. Lassiter31Sarah E. Leigh32Gabrielle Lemire33Jiin Ying Lim34Alka Malhotra35Hannah R. McCurry36Becky Milewski37Shahida Moosa38Stephen A. Murray39Emma H. Owens40Elizabeth E. Palmer41Brooke C. Palus42Mayher J. Patel43Revathi Rajkumar44Julie C. Ratliff45F. Lucy Raymond46Bruno Della Ripa Rodrigues Assis47Samin A. Sajan48Zinayida Schlachetzki49Sarah A. Schmidt50Zornitza Stark51Samuel P. Strom52Julie P. Taylor53Courtney Thaxton54Devon L. Thrush55Sabrina Toro56Kezang C. Tshering57Nicole A. Vasilevsky58Bess Wayburn59Ryan F. Webb60Anne O’Donnell-Luria61Alison J. Coffey62Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MAProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MAProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MAProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MAMyriad Women’s Health, Myriad Genetics, South San Francisco, CAGenetics, The University of North Carolina at Chapel Hill, Chapel Hill, NCIllumina Laboratory Services, Illumina Inc, San Diego, CA; Ambry Genetics, Aliso Viejo, CABiomedical Data Science, Stanford University, Palo Alto, CAIllumina Laboratory Services, Illumina Inc, San Diego, CAIllumina Laboratory Services, Illumina Inc, San Diego, CA; Maternal-Fetal Medicine, Tufts Medical Center, Boston, MAIllumina Laboratory Services, Illumina Inc, San Diego, CAIllumina Laboratory Services, Illumina Inc, San Diego, CA; Department of Pathology and Laboratory Medicine, Children’s Hospital Colorado, Aurora, COIllumina Laboratory Services, Illumina Inc, San Diego, CA; Department of Pathology and Laboratory Medicine, Children’s Hospital Colorado, Aurora, COIllumina Laboratory Services, Illumina Inc, San Diego, CAPediatrics, University of Washington, Seattle, WA; Brotman-Baty Institute for Precision Medicine, Seattle, WARosamund Stone Zander Translational Neuroscience Center, Boston Children’s Hospital, Boston, MAIllumina Laboratory Services, Illumina Inc, San Diego, CA; Neurology, Washington University in St. Louis, St. Louis, MOProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MAProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MAGenetics, The University of North Carolina at Chapel Hill, Chapel Hill, NCProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MAHunter Genetics, Waratah, NSW, AustraliaIllumina Laboratory Services, Illumina Inc, San Diego, CA; Rady Children’s Institute for Genomic Medicine, San Diego, CAGenetics and Molecular Pathology, SA Pathology, Adelaide, SA, Australia; Alliance between SA Pathology and UniSA, Centre for Cancer Biology, Adelaide, SA, Australia; Adelaide Medical School, University of Adelaide, Adelaide, SA, AustraliaDepartment of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, MDAmbry Genetics, Aliso Viejo, CAProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MAGenetics Service, Department of Paediatric Medicine, KK Women’s and Children’s Hospital, Singapore; SingHealth Duke-NUS Genomic Medicine Centre, Singapore; SingHealth Duke-NUS Institute of Precision Medicine, SingaporeGenetics Service, Department of Paediatric Medicine, KK Women’s and Children’s Hospital, Singapore; SingHealth Duke-NUS Genomic Medicine Centre, SingaporeIllumina Laboratory Services, Illumina Inc, San Diego, CAGenetics Service, Department of Paediatric Medicine, KK Women’s and Children’s Hospital, Singapore; SingHealth Duke-NUS Genomic Medicine Centre, SingaporeAmbry Genetics, Aliso Viejo, CABiocuration, Genomics England Ltd, London, United KingdomProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA; Division of Genetics and Genomics, Boston Children’s Hospital, Boston, MA; Children’s Hospital of Eastern Ontario, Ottawa, ON, CanadaGenetics Service, Department of Paediatric Medicine, KK Women’s and Children’s Hospital, Singapore; SingHealth Duke-NUS Genomic Medicine Centre, SingaporeIllumina Laboratory Services, Illumina Inc, San Diego, CAProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MAIllumina Laboratory Services, Illumina Inc, San Diego, CA; Hereditary Cancer Genetic Counselor, PreventionGenetics part of Exact Sciences, Marshfield, WIDivision of Molecular Biology and Human Genetics, Stellenbosch University, Cape Town, WC, South Africa; Medical Genetics, Tygerberg Hospital, Cape Town, WC, South AfricaThe Jackson Laboratory, Bar Harbor, MEGenetics, The University of North Carolina at Chapel Hill, Chapel Hill, NCSchool of Paediatrics and Child Health, Faculty of Medicine and Health, University of New South Wales, Randwick, NSW, AustraliaGenetics, The University of North Carolina at Chapel Hill, Chapel Hill, NCProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MAIllumina Laboratory Services, Illumina Inc, San Diego, CAProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MADepartment of Medical Genetics, University of Cambridge, Cambridge, United KingdomNeurogenetics, University of São Paulo, São Paulo, SP, BrazilCytogenetics, Wisconsin State Laboratory of Hygiene, University of Wisconsin-Madison, Madison, WI; Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WIIllumina Laboratory Services, Illumina Inc, San Diego, CA; Alzheimer’s Therapeutic Research Institute (ATRI), University of Southern California, San Diego, CAIllumina Laboratory Services, Illumina Inc, San Diego, CA; Clinical Genomics Research and Development, Natera, Inc, Austin, TXAustralian Genomics, Melbourne, VIC, Australia; Victorian Clinical Genetics Services, Murdoch Children’s Research Institute, Melbourne, VIC, Australia; Department of Paediatrics, University of Melbourne, Melbourne, VIC, AustraliaIllumina Laboratory Services, Illumina Inc, San Diego, CA; Clinical Services, Fabric Genomics, Oakland, CAIllumina Laboratory Services, Illumina Inc, San Diego, CAGenetics, The University of North Carolina at Chapel Hill, Chapel Hill, NCAmbry Genetics, Aliso Viejo, CAGenetics, The University of North Carolina at Chapel Hill, Chapel Hill, NCProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MAData Collaboration Center, Critical Path Institute, Tucson, AZAmbry Genetics, Aliso Viejo, CAProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MADivision of Genetics and Genomics, Boston Children’s Hospital, Boston, MA; Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA; Anne O’Donnell-Luria, Boston Children’s Hospital, 300 Longwood Avenue, CLS15023 Boston, MA 02115.Translational Research, Illumina Inc, Cambridge, United Kingdom; Correspondence and requests for materials should be addressed to Alison J. Coffey, Illumina Centre, 19 Granta Park, Great Abington, Cambridge, Cambridgeshire CB21 6DF, United Kingdom.Purpose: The Clinical Genome Resource (ClinGen) Gene Curation Expert Panels have historically focused on specific organ systems or phenotypes; thus, the ClinGen Syndromic Disorders Gene Curation Expert Panel (SD-GCEP) was formed to address an unmet need. Methods: The SD-GCEP applied ClinGen’s framework to evaluate the clinical validity of genes associated with rare syndromic disorders. A total of 111 gene-disease relationships (GDRs) associated with 100 genes spanning the clinical spectrum of syndromic disorders were curated. Results: From April 2020 through March 2024, 38 precurations were performed on genes with multiple disease relationships and were reviewed to determine if the disorders were part of a spectrum or distinct entities. A total of 14 genes were lumped into a single disease entity, and 24 were split into separate entities, of which 11 were curated by the SD-GCEP. A full review of 111 GDRs for 100 genes followed, with 78 classified as Definitive, 9 as Strong, 15 as Moderate, and 9 as Limited, highlighting cases in which further data are needed. All diseases involved 2 or more organ systems, whereas the majority (88/111 GDRs, 79.2%) had 5 or more organ systems affected. Conclusion: The SD-GCEP addresses a critical gap in gene curation efforts, enabling inclusion of genes for syndromic disorders in clinical testing and contributing to keeping pace with the rapid discovery of new genetic syndromes.http://www.sciencedirect.com/science/article/pii/S2949774425014682ClinGenGene curationGene-disease relationshipRare diseaseSyndromic disorders
spellingShingle Eleanor C. Broeren
Vanessa N. Gitau
Alicia B. Byrne
Pamela Ajuyah
Marie B. Balzotti
Jonathan S. Berg
Krista Bluske
B. Monica Bowen
Matthew P. Brown
Amanda Buchanan
Brendan T. Burns
Nicole J. Burns
Anjana Chandrasekhar
Aditi Chawla
Jessica X. Chong
Maya Chopra
Amanda R. Clause
Marina T. DiStefano
Stephanie DiTroia
Marwa A. Elnagheeb
Amanda N. Girod
Himanshu Goel
Katie L. Golden-Grant
Thuong Ha
Ada Hamosh
Jennifer M. Huang
Madeline Y. Hughes
Saumya S. Jamuar
Sylvia Kam
Akanchha Kesari
Ai Ling Koh
Rhonda N.T. Lassiter
Sarah E. Leigh
Gabrielle Lemire
Jiin Ying Lim
Alka Malhotra
Hannah R. McCurry
Becky Milewski
Shahida Moosa
Stephen A. Murray
Emma H. Owens
Elizabeth E. Palmer
Brooke C. Palus
Mayher J. Patel
Revathi Rajkumar
Julie C. Ratliff
F. Lucy Raymond
Bruno Della Ripa Rodrigues Assis
Samin A. Sajan
Zinayida Schlachetzki
Sarah A. Schmidt
Zornitza Stark
Samuel P. Strom
Julie P. Taylor
Courtney Thaxton
Devon L. Thrush
Sabrina Toro
Kezang C. Tshering
Nicole A. Vasilevsky
Bess Wayburn
Ryan F. Webb
Anne O’Donnell-Luria
Alison J. Coffey
The ClinGen Syndromic Disorders Gene Curation Expert Panel: Assessing the clinical validity of 111 gene-disease relationships
Genetics in Medicine Open
ClinGen
Gene curation
Gene-disease relationship
Rare disease
Syndromic disorders
title The ClinGen Syndromic Disorders Gene Curation Expert Panel: Assessing the clinical validity of 111 gene-disease relationships
title_full The ClinGen Syndromic Disorders Gene Curation Expert Panel: Assessing the clinical validity of 111 gene-disease relationships
title_fullStr The ClinGen Syndromic Disorders Gene Curation Expert Panel: Assessing the clinical validity of 111 gene-disease relationships
title_full_unstemmed The ClinGen Syndromic Disorders Gene Curation Expert Panel: Assessing the clinical validity of 111 gene-disease relationships
title_short The ClinGen Syndromic Disorders Gene Curation Expert Panel: Assessing the clinical validity of 111 gene-disease relationships
title_sort clingen syndromic disorders gene curation expert panel assessing the clinical validity of 111 gene disease relationships
topic ClinGen
Gene curation
Gene-disease relationship
Rare disease
Syndromic disorders
url http://www.sciencedirect.com/science/article/pii/S2949774425014682
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AT adahamosh clingensyndromicdisordersgenecurationexpertpanelassessingtheclinicalvalidityof111genediseaserelationships
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AT julieptaylor clingensyndromicdisordersgenecurationexpertpanelassessingtheclinicalvalidityof111genediseaserelationships
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AT devonlthrush clingensyndromicdisordersgenecurationexpertpanelassessingtheclinicalvalidityof111genediseaserelationships
AT sabrinatoro clingensyndromicdisordersgenecurationexpertpanelassessingtheclinicalvalidityof111genediseaserelationships
AT kezangctshering clingensyndromicdisordersgenecurationexpertpanelassessingtheclinicalvalidityof111genediseaserelationships
AT nicoleavasilevsky clingensyndromicdisordersgenecurationexpertpanelassessingtheclinicalvalidityof111genediseaserelationships
AT besswayburn clingensyndromicdisordersgenecurationexpertpanelassessingtheclinicalvalidityof111genediseaserelationships
AT ryanfwebb clingensyndromicdisordersgenecurationexpertpanelassessingtheclinicalvalidityof111genediseaserelationships
AT anneodonnellluria clingensyndromicdisordersgenecurationexpertpanelassessingtheclinicalvalidityof111genediseaserelationships
AT alisonjcoffey clingensyndromicdisordersgenecurationexpertpanelassessingtheclinicalvalidityof111genediseaserelationships