Cargando…

The complex genetic landscape of familial MDS and AML reveals pathogenic germline variants

The inclusion of familial myeloid malignancies as a separate disease entity in the revised WHO classification has renewed efforts to improve the recognition and management of this group of at risk individuals. Here we report a cohort of 86 acute myeloid leukemia (AML) and myelodysplastic syndrome (M...

Descripción completa

Detalles Bibliográficos
Autores principales: Rio-Machin, Ana, Vulliamy, Tom, Hug, Nele, Walne, Amanda, Tawana, Kiran, Cardoso, Shirleny, Ellison, Alicia, Pontikos, Nikolas, Wang, Jun, Tummala, Hemanth, Al Seraihi, Ahad Fahad H., Alnajar, Jenna, Bewicke-Copley, Findlay, Armes, Hannah, Barnett, Michael, Bloor, Adrian, Bödör, Csaba, Bowen, David, Fenaux, Pierre, Green, Andrew, Hallahan, Andrew, Hjorth-Hansen, Henrik, Hossain, Upal, Killick, Sally, Lawson, Sarah, Layton, Mark, Male, Alison M., Marsh, Judith, Mehta, Priyanka, Mous, Rogier, Nomdedéu, Josep F., Owen, Carolyn, Pavlu, Jiri, Payne, Elspeth M., Protheroe, Rachel E., Preudhomme, Claude, Pujol-Moix, Nuria, Renneville, Aline, Russell, Nigel, Saggar, Anand, Sciuccati, Gabriela, Taussig, David, Toze, Cynthia L., Uyttebroeck, Anne, Vandenberghe, Peter, Schlegelberger, Brigitte, Ripperger, Tim, Steinemann, Doris, Wu, John, Mason, Joanne, Page, Paula, Akiki, Susanna, Reay, Kim, Cavenagh, Jamie D., Plagnol, Vincent, Caceres, Javier F., Fitzgibbon, Jude, Dokal, Inderjeet
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7042299/
https://www.ncbi.nlm.nih.gov/pubmed/32098966
http://dx.doi.org/10.1038/s41467-020-14829-5
_version_ 1783501282405777408
author Rio-Machin, Ana
Vulliamy, Tom
Hug, Nele
Walne, Amanda
Tawana, Kiran
Cardoso, Shirleny
Ellison, Alicia
Pontikos, Nikolas
Wang, Jun
Tummala, Hemanth
Al Seraihi, Ahad Fahad H.
Alnajar, Jenna
Bewicke-Copley, Findlay
Armes, Hannah
Barnett, Michael
Bloor, Adrian
Bödör, Csaba
Bowen, David
Fenaux, Pierre
Green, Andrew
Hallahan, Andrew
Hjorth-Hansen, Henrik
Hossain, Upal
Killick, Sally
Lawson, Sarah
Layton, Mark
Male, Alison M.
Marsh, Judith
Mehta, Priyanka
Mous, Rogier
Nomdedéu, Josep F.
Owen, Carolyn
Pavlu, Jiri
Payne, Elspeth M.
Protheroe, Rachel E.
Preudhomme, Claude
Pujol-Moix, Nuria
Renneville, Aline
Russell, Nigel
Saggar, Anand
Sciuccati, Gabriela
Taussig, David
Toze, Cynthia L.
Uyttebroeck, Anne
Vandenberghe, Peter
Schlegelberger, Brigitte
Ripperger, Tim
Steinemann, Doris
Wu, John
Mason, Joanne
Page, Paula
Akiki, Susanna
Reay, Kim
Cavenagh, Jamie D.
Plagnol, Vincent
Caceres, Javier F.
Fitzgibbon, Jude
Dokal, Inderjeet
author_facet Rio-Machin, Ana
Vulliamy, Tom
Hug, Nele
Walne, Amanda
Tawana, Kiran
Cardoso, Shirleny
Ellison, Alicia
Pontikos, Nikolas
Wang, Jun
Tummala, Hemanth
Al Seraihi, Ahad Fahad H.
Alnajar, Jenna
Bewicke-Copley, Findlay
Armes, Hannah
Barnett, Michael
Bloor, Adrian
Bödör, Csaba
Bowen, David
Fenaux, Pierre
Green, Andrew
Hallahan, Andrew
Hjorth-Hansen, Henrik
Hossain, Upal
Killick, Sally
Lawson, Sarah
Layton, Mark
Male, Alison M.
Marsh, Judith
Mehta, Priyanka
Mous, Rogier
Nomdedéu, Josep F.
Owen, Carolyn
Pavlu, Jiri
Payne, Elspeth M.
Protheroe, Rachel E.
Preudhomme, Claude
Pujol-Moix, Nuria
Renneville, Aline
Russell, Nigel
Saggar, Anand
Sciuccati, Gabriela
Taussig, David
Toze, Cynthia L.
Uyttebroeck, Anne
Vandenberghe, Peter
Schlegelberger, Brigitte
Ripperger, Tim
Steinemann, Doris
Wu, John
Mason, Joanne
Page, Paula
Akiki, Susanna
Reay, Kim
Cavenagh, Jamie D.
Plagnol, Vincent
Caceres, Javier F.
Fitzgibbon, Jude
Dokal, Inderjeet
author_sort Rio-Machin, Ana
collection PubMed
description The inclusion of familial myeloid malignancies as a separate disease entity in the revised WHO classification has renewed efforts to improve the recognition and management of this group of at risk individuals. Here we report a cohort of 86 acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS) families with 49 harboring germline variants in 16 previously defined loci (57%). Whole exome sequencing in a further 37 uncharacterized families (43%) allowed us to rationalize 65 new candidate loci, including genes mutated in rare hematological syndromes (ADA, GP6, IL17RA, PRF1 and SEC23B), reported in prior MDS/AML or inherited bone marrow failure series (DNAH9, NAPRT1 and SH2B3) or variants at novel loci (DHX34) that appear specific to inherited forms of myeloid malignancies. Altogether, our series of MDS/AML families offer novel insights into the etiology of myeloid malignancies and provide a framework to prioritize variants for inclusion into routine diagnostics and patient management.
format Online
Article
Text
id pubmed-7042299
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Nature Publishing Group UK
record_format MEDLINE/PubMed
spelling pubmed-70422992020-03-04 The complex genetic landscape of familial MDS and AML reveals pathogenic germline variants Rio-Machin, Ana Vulliamy, Tom Hug, Nele Walne, Amanda Tawana, Kiran Cardoso, Shirleny Ellison, Alicia Pontikos, Nikolas Wang, Jun Tummala, Hemanth Al Seraihi, Ahad Fahad H. Alnajar, Jenna Bewicke-Copley, Findlay Armes, Hannah Barnett, Michael Bloor, Adrian Bödör, Csaba Bowen, David Fenaux, Pierre Green, Andrew Hallahan, Andrew Hjorth-Hansen, Henrik Hossain, Upal Killick, Sally Lawson, Sarah Layton, Mark Male, Alison M. Marsh, Judith Mehta, Priyanka Mous, Rogier Nomdedéu, Josep F. Owen, Carolyn Pavlu, Jiri Payne, Elspeth M. Protheroe, Rachel E. Preudhomme, Claude Pujol-Moix, Nuria Renneville, Aline Russell, Nigel Saggar, Anand Sciuccati, Gabriela Taussig, David Toze, Cynthia L. Uyttebroeck, Anne Vandenberghe, Peter Schlegelberger, Brigitte Ripperger, Tim Steinemann, Doris Wu, John Mason, Joanne Page, Paula Akiki, Susanna Reay, Kim Cavenagh, Jamie D. Plagnol, Vincent Caceres, Javier F. Fitzgibbon, Jude Dokal, Inderjeet Nat Commun Article The inclusion of familial myeloid malignancies as a separate disease entity in the revised WHO classification has renewed efforts to improve the recognition and management of this group of at risk individuals. Here we report a cohort of 86 acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS) families with 49 harboring germline variants in 16 previously defined loci (57%). Whole exome sequencing in a further 37 uncharacterized families (43%) allowed us to rationalize 65 new candidate loci, including genes mutated in rare hematological syndromes (ADA, GP6, IL17RA, PRF1 and SEC23B), reported in prior MDS/AML or inherited bone marrow failure series (DNAH9, NAPRT1 and SH2B3) or variants at novel loci (DHX34) that appear specific to inherited forms of myeloid malignancies. Altogether, our series of MDS/AML families offer novel insights into the etiology of myeloid malignancies and provide a framework to prioritize variants for inclusion into routine diagnostics and patient management. Nature Publishing Group UK 2020-02-25 /pmc/articles/PMC7042299/ /pubmed/32098966 http://dx.doi.org/10.1038/s41467-020-14829-5 Text en © The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Rio-Machin, Ana
Vulliamy, Tom
Hug, Nele
Walne, Amanda
Tawana, Kiran
Cardoso, Shirleny
Ellison, Alicia
Pontikos, Nikolas
Wang, Jun
Tummala, Hemanth
Al Seraihi, Ahad Fahad H.
Alnajar, Jenna
Bewicke-Copley, Findlay
Armes, Hannah
Barnett, Michael
Bloor, Adrian
Bödör, Csaba
Bowen, David
Fenaux, Pierre
Green, Andrew
Hallahan, Andrew
Hjorth-Hansen, Henrik
Hossain, Upal
Killick, Sally
Lawson, Sarah
Layton, Mark
Male, Alison M.
Marsh, Judith
Mehta, Priyanka
Mous, Rogier
Nomdedéu, Josep F.
Owen, Carolyn
Pavlu, Jiri
Payne, Elspeth M.
Protheroe, Rachel E.
Preudhomme, Claude
Pujol-Moix, Nuria
Renneville, Aline
Russell, Nigel
Saggar, Anand
Sciuccati, Gabriela
Taussig, David
Toze, Cynthia L.
Uyttebroeck, Anne
Vandenberghe, Peter
Schlegelberger, Brigitte
Ripperger, Tim
Steinemann, Doris
Wu, John
Mason, Joanne
Page, Paula
Akiki, Susanna
Reay, Kim
Cavenagh, Jamie D.
Plagnol, Vincent
Caceres, Javier F.
Fitzgibbon, Jude
Dokal, Inderjeet
The complex genetic landscape of familial MDS and AML reveals pathogenic germline variants
title The complex genetic landscape of familial MDS and AML reveals pathogenic germline variants
title_full The complex genetic landscape of familial MDS and AML reveals pathogenic germline variants
title_fullStr The complex genetic landscape of familial MDS and AML reveals pathogenic germline variants
title_full_unstemmed The complex genetic landscape of familial MDS and AML reveals pathogenic germline variants
title_short The complex genetic landscape of familial MDS and AML reveals pathogenic germline variants
title_sort complex genetic landscape of familial mds and aml reveals pathogenic germline variants
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7042299/
https://www.ncbi.nlm.nih.gov/pubmed/32098966
http://dx.doi.org/10.1038/s41467-020-14829-5
work_keys_str_mv AT riomachinana thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT vulliamytom thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT hugnele thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT walneamanda thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT tawanakiran thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT cardososhirleny thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT ellisonalicia thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT pontikosnikolas thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT wangjun thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT tummalahemanth thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT alseraihiahadfahadh thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT alnajarjenna thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT bewickecopleyfindlay thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT armeshannah thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT barnettmichael thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT blooradrian thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT bodorcsaba thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT bowendavid thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT fenauxpierre thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT greenandrew thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT hallahanandrew thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT hjorthhansenhenrik thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT hossainupal thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT killicksally thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT lawsonsarah thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT laytonmark thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT malealisonm thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT marshjudith thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT mehtapriyanka thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT mousrogier thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT nomdedeujosepf thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT owencarolyn thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT pavlujiri thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT payneelspethm thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT protheroerachele thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT preudhommeclaude thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT pujolmoixnuria thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT rennevillealine thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT russellnigel thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT saggaranand thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT sciuccatigabriela thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT taussigdavid thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT tozecynthial thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT uyttebroeckanne thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT vandenberghepeter thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT schlegelbergerbrigitte thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT rippergertim thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT steinemanndoris thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT wujohn thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT masonjoanne thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT pagepaula thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT akikisusanna thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT reaykim thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT cavenaghjamied thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT plagnolvincent thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT caceresjavierf thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT fitzgibbonjude thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT dokalinderjeet thecomplexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT riomachinana complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT vulliamytom complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT hugnele complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT walneamanda complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT tawanakiran complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT cardososhirleny complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT ellisonalicia complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT pontikosnikolas complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT wangjun complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT tummalahemanth complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT alseraihiahadfahadh complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT alnajarjenna complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT bewickecopleyfindlay complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT armeshannah complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT barnettmichael complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT blooradrian complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT bodorcsaba complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT bowendavid complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT fenauxpierre complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT greenandrew complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT hallahanandrew complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT hjorthhansenhenrik complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT hossainupal complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT killicksally complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT lawsonsarah complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT laytonmark complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT malealisonm complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT marshjudith complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT mehtapriyanka complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT mousrogier complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT nomdedeujosepf complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT owencarolyn complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT pavlujiri complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT payneelspethm complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT protheroerachele complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT preudhommeclaude complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT pujolmoixnuria complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT rennevillealine complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT russellnigel complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT saggaranand complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT sciuccatigabriela complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT taussigdavid complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT tozecynthial complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT uyttebroeckanne complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT vandenberghepeter complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT schlegelbergerbrigitte complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT rippergertim complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT steinemanndoris complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT wujohn complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT masonjoanne complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT pagepaula complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT akikisusanna complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT reaykim complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT cavenaghjamied complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT plagnolvincent complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT caceresjavierf complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT fitzgibbonjude complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants
AT dokalinderjeet complexgeneticlandscapeoffamilialmdsandamlrevealspathogenicgermlinevariants