A comprehensive custom panel evaluation for routine hereditary cancer testing: improving the yield of germline mutation detection
JOURNAL OF TRANSLATIONAL MEDICINE
Authors: Velazquez, Carolina; Lastra, Enrique; Cobos, Francisco Avila; Abella, Luis; de la Cruz, Virginia; Ascension Hernando, Blanca; Hernandez, Lara; Martinez, Noemi; Infante, Mar; Duran, Mercedes
Abstract
Background In the context of our Regional Program of Hereditary Cancer, individuals fulfilling the criteria are tested for germline mutations to subsequently establish the clinical management. Our standard diagnostic approach focuses on sequencing a few classic high-risk genes, a method that frequently renders uninformative genetic results. This study aims to examine the improved yield offered by an On-Demand panel. Methods We designed an On-Demand panel for the analysis of 35-genes associated with inherited cancer susceptibility in a total of 128 cases of Hereditary Breast and Ovarian Cancer (HBOC) and Hereditary Nonpolyposis Colorectal Cancer (HNPCC). Results Eighteen deleterious mutations were detected, in both routinely (BRCA2, MLH1, MSH2, PMS2) and non-routinely (ATM, BLM, BRIP1, CHEK2, MUTYH) tested genes. The screening extended to 35 genes rendered by patients carrying several- up to 6-Variants of Unknown Significance (VUS). Moreover, we confirmed the splicing disruption at RNA level for a not previously reportedBRIP1splicing mutation. Using an On-Demand panel, we identified 18 pathogenic mutation carriers, seven of which would have gone unnoticed with traditional analysis. Conclusions Our results reinforce the utility of NGS gene panels in the diagnostic routine to increase the performance of genetic testing, especially in individuals from families with overlapping cancer phenotypes.
A soil quality index for evaluation of degradation under land use and soil erosion categories in a small mountainous catchment, Iran
JOURNAL OF MOUNTAIN SCIENCE
Authors: Nosrati, Kazem; Collins, Adrian L.
Abstract
Soil erosion and land use type have long been viewed as being particularly important drivers of soil degradation. The objectives of this study, therefore, were to select a new soil quality index (SQI) which varies significantly with land use/soil erosion, and to evaluate the new SQI using expert opinion. In total, 18 soil physical, chemical, and biochemical properties (indicators) were measured on 56 soil samples collected from four land use/soil erosion categories (rangeland/surface erosion, rangeland/subsurface erosion, cultivated land/surface erosion and dry-farming land/surface erosion). Principal component and classification analysis (PCCA) identified five PCs that explained 77.7% of the variation in soil properties with the biochemical PC varying significantly with land use/soil erosion. General discriminant analysis (GDA) selected urease and clay as the most sensitive properties distinguishing the land use/soil erosion categories. The GDA canonical scores for the new SQI were significantly correlated with expert opinion soil surface summed scores (for soil movement, surface litter, pedestalling, rills and flow pattern) derived using the U.S. Department of the Interior Bureau of Land Management (BLM) method. A forward stepwise general regression model revealed that the new SQI values were explained by soil movement, surface litter, and the summed values of the soil surface factors. Overall, this study confirmed that soil quality in the study area in Iran is controlled by land use and corresponding soil erosion.