Germline-focussed analysis of tumour-only sequencing: recommendations from the ESMO Precision Medicine Working Group.
Biomarkers, Tumor
/ genetics
DNA Mutational Analysis
European Union
Genetic Predisposition to Disease
Genetic Testing
/ standards
Germ-Line Mutation
High-Throughput Nucleotide Sequencing
Humans
Informed Consent
/ standards
Medical Oncology
/ methods
Neoplasms
/ diagnosis
Practice Guidelines as Topic
Precision Medicine
/ methods
Societies, Medical
/ standards
gene
germline
panel
predisposition
sequencing
susceptibility
Journal
Annals of oncology : official journal of the European Society for Medical Oncology
ISSN: 1569-8041
Titre abrégé: Ann Oncol
Pays: England
ID NLM: 9007735
Informations de publication
Date de publication:
01 08 2019
01 08 2019
Historique:
pubmed:
6
5
2019
medline:
10
6
2020
entrez:
4
5
2019
Statut:
ppublish
Résumé
It is increasingly common in oncology practice to perform tumour sequencing using large cancer panels. For pathogenic sequence variants in cancer susceptibility genes identified on tumour-only sequencing, it is often unclear whether they are of somatic or constitutional (germline) origin. There is wide-spread disparity regarding both the extent to which systematic 'germline-focussed analysis' is carried out upon tumour sequencing data and for which variants follow-up analysis of a germline sample is carried out. Here we present analyses of paired sequencing data from 17 152 cancer samples, in which 1494 pathogenic sequence variants were identified across 65 cancer susceptibility genes. From these analyses, the European Society of Medical Oncology Precision Medicine Working Group Germline Subgroup has generated (i) recommendations regarding germline-focussed analyses of tumour-only sequencing data, (ii) indications for germline follow-up testing and (iii) guidance on patient information-giving and consent.
Identifiants
pubmed: 31050713
pii: S0923-7534(19)31270-0
doi: 10.1093/annonc/mdz136
pmc: PMC6683854
pii:
doi:
Substances chimiques
Biomarkers, Tumor
0
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1221-1231Subventions
Organisme : Cancer Research UK
ID : C61296/A26688
Pays : United Kingdom
Organisme : NCI NIH HHS
ID : R01 CA227534
Pays : United States
Organisme : NCI NIH HHS
ID : R25 CA233208
Pays : United States
Organisme : NCI NIH HHS
ID : P30 CA008748
Pays : United States
Organisme : Cancer Research UK
ID : 27223
Pays : United Kingdom
Organisme : NCI NIH HHS
ID : R01 CA204749
Pays : United States
Commentaires et corrections
Type : ErratumIn
Informations de copyright
© The Author(s) 2019. Published by Oxford University Press on behalf of the European Society for Medical Oncology.
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