New techniques improve the diagnostic yield of high-throughput sequencing in neuromuscular diseases

Australian geneticists report on their experience in using more sophisticated high-throughput sequencing techniques (NGS for next-generation sequencing) or transcriptomic studies in the context of a molecular diagnostic laboratory for neuromuscular diseases:

  • faced with the negativity of conventional whole exome sequencing (WES) or gene panel studies in certain patients, the authors used either RNASeq or whole genome sequencing (WGS), or both,
  • this involved a total of 247 families,
  • the diagnostic yield, initially 34%, almost doubled to 62%.
  • in the vast majority of cases (96%), the variants identified belonged to known genes.

This feedback illustrates the situation faced by many diagnostic laboratories on a day-to-day basis. The fact remains that 38% of unsolved cases are still enigmas.

 

Genome and RNA sequencing boost neuromuscular diagnoses to 62% from 34% with exome sequencing alone. Marchant RG, Bryen SJ, Bahlo M et al. Ann Clin Transl Neurol. 2024 Mar 27. doi: 10.1002/acn3.52041. Epub ahead of print. PMID: 38544359.