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Clinical relevance of mosaic variants detected by exome sequencing - PubMed

5 hours ago
  • #Immune Disorders
  • #Mosaicism
  • #Genetic Diagnosis
  • Mosaic variants contribute to human diseases like cancer and immune disorders but are underrecognized.
  • Exome sequencing in 2655 participants revealed mosaic variants in 1.4% of affected individuals, aiding molecular diagnosis.
  • 34% of diagnostic mosaic variants were missed by standard germline analysis due to low variant allele fractions (VAFs).
  • Parental mosaicism was found in two families, highlighting inheritance implications.
  • Mosaic variants were enriched in clonal hematopoiesis-related genes, influenced by age and GATA2 deficiency.
  • Chemotherapy resistance variants in NRAS, KRAS, and IDH2 were identified, suggesting treatment strategy adjustments.
  • Mosaic variants have significant diagnostic and prognostic value in immune and hematological disorders.