Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Optical Genome Mapping as a Potential Routine Clinical Diagnostic Method

Version 1 : Received: 30 January 2024 / Approved: 31 January 2024 / Online: 31 January 2024 (08:06:12 CET)

A peer-reviewed article of this Preprint also exists.

Barseghyan, H.; Eisenreich, D.; Lindt, E.; Wendlandt, M.; Scharf, F.; Benet-Pages, A.; Sendelbach, K.; Neuhann, T.; Abicht, A.; Holinski-Feder, E.; Koehler, U. Optical Genome Mapping as a Potential Routine Clinical Diagnostic Method. Genes 2024, 15, 342. Barseghyan, H.; Eisenreich, D.; Lindt, E.; Wendlandt, M.; Scharf, F.; Benet-Pages, A.; Sendelbach, K.; Neuhann, T.; Abicht, A.; Holinski-Feder, E.; Koehler, U. Optical Genome Mapping as a Potential Routine Clinical Diagnostic Method. Genes 2024, 15, 342.

Abstract

Chromosome analysis (CA) and chromosomal microarray analysis (CMA) have been successfully used to diagnose genetic disorders. However, many conditions remain undiagnosed due to limitations in resolution (CA) and detection of only unbalanced events (CMA). Optical genome mapping (OGM) has the potential to address these limitations by capturing both structural variants (SVs) resulting in copy number changes and balanced rearrangements with high resolution. In this study, we investigated OGM’s concordance using 87 SVs previously identified by CA, CMA, or Southern blot. Overall, OGM was 98% concordant with only three discordant cases: (1) uncalled translocation with one breakpoint in a centromere; (2) uncalled duplication with breakpoints in the pseudoautosomal region 1; and (3) uncalled mosaic triplication originating from a marker chromosome. OGM provided diagnosis for three previously unsolved cases: (1) disruption of the SON gene due to a balanced reciprocal translocation; (2) disruption of NBEA gene due to an inverted insertion; (3) disruption of the TSC2 gene due to a mosaic deletion. We show that OGM is a valid method for detection of many types of SVs in a single assay and is highly concordant with legacy cytogenomic methods; however, it has limited SV detection capabilities in centromeric and pseudoautosomal regions.

Keywords

optical genome mapping; OGM; chromosome analysis; CA; chromosomal microarray analysis; CMA; structural variant; SV; copy number variant; CNV; chromosomal rearrangements

Subject

Biology and Life Sciences, Life Sciences

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