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Utilization of Whole Exome Sequencing Data to Identify Clinically Relevant Pharmacogenomic Variants in Pediatric Inflammatory Bowel Disease.


ABSTRACT:

Introduction

We hypothesized that variants within clinically relevant pharmacogenes could be identified using a whole exome sequencing data set derived from a cohort of more than 1,000 patients with inflammatory bowel disease (IBD).

Methods

Pediatric patients diagnosed with IBD underwent whole exome sequencing. We selected 18 genes with supporting literature where specific exonic variants would influence clinical care.

Results

We identified actionable pharmacogenomic variants in 63% of patients. Importantly, 5% of patients with IBD were at risk for serious adverse effects from anesthesia and 3% were at increased risk for thrombosis.

Discussion

We identified exonic variants in most of our patients with IBD that directly impact clinical care.

SUBMITTER: Mulder DJ 

PROVIDER: S-EPMC7710220 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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Publications

Utilization of Whole Exome Sequencing Data to Identify Clinically Relevant Pharmacogenomic Variants in Pediatric Inflammatory Bowel Disease.

Mulder Daniel J DJ   Khalouei Sam S   Warner Neil N   Gonzaga-Jauregui Claudia C   Church Peter C PC   Walters Thomas D TD   Ramani Arun K AK   Griffiths Anne M AM   Cohn Iris I   Muise Aleixo M AM  

Clinical and translational gastroenterology 20201201 12


<h4>Introduction</h4>We hypothesized that variants within clinically relevant pharmacogenes could be identified using a whole exome sequencing data set derived from a cohort of more than 1,000 patients with inflammatory bowel disease (IBD).<h4>Methods</h4>Pediatric patients diagnosed with IBD underwent whole exome sequencing. We selected 18 genes with supporting literature where specific exonic variants would influence clinical care.<h4>Results</h4>We identified actionable pharmacogenomic varian  ...[more]

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