Transcriptomics and Mendelian Disorders

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Questions and Answers

What percentage of "solved" cases in a cohort of 5647 families were accounted for by transcript-deleterious variants (TDVs)?

  • 5%
  • 10%
  • 15% (correct)
  • 20%

What is the diagnostic rate of whole-exome sequencing (WES) for Mendelian disorders?

  • 10-25%
  • 25-52% (correct)
  • 52-75%
  • 75-90%

What percentage of disease-causing mutations are contributed by splice-altering variants?

  • 5-15%
  • 15-30%
  • 30-45%
  • 45-60% (correct)

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Study Notes

  • Whole-exome sequencing (WES) has a diagnostic rate of 25-52% for Mendelian disorders.
  • Non-coding variants (NCV) may contribute to the remaining undiagnosed cases.
  • Whole transcriptome sequencing (WTS) is a promising supplement to WES.
  • Transcript-deleterious variants (TDVs) account for 15% of all "solved" cases in a cohort of 5647 families.
  • RNA analysis can establish a diagnosis in 13.5% of patients with "negative" clinical WES reports.
  • RT-PCR is effective in obtaining definitive results for the overwhelming majority of variants.
  • TDVs may modulate penetrance even in highly penetrant Mendelian disorders.
  • NCVs mediate their effects through RNA either directly or indirectly.
  • Splice-altering variants contribute 15-60% of disease-causing mutations.
  • Transcriptomics holds a promising role in delineating Mendelian diseases.

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