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      Text-based phenotypic profiles incorporating biochemical phenotypes of inborn errors of metabolism improve phenomics-based diagnosis

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          Abstract

          Phenomics is the comprehensive study of phenotypes at every level of biology: from metabolites to organisms. With high throughput technologies increasing the scope of biological discoveries, the field of phenomics has been developing rapid and precise methods to collect, catalog, and analyze phenotypes. Such methods have allowed phenotypic data to be widely used in medical applications, from assisting clinical diagnoses to prioritizing genomic diagnoses. To channel the benefits of phenomics into the field of inborn errors of metabolism (IEM), we have recently launched IEMbase, an expert-curated knowledgebase of IEM and their disease-characterizing phenotypes. While our efforts with IEMbase have realized benefits, taking full advantage of phenomics requires a comprehensive curation of IEM phenotypes in core phenomics projects, which is dependent upon contributions from the IEM clinical and research community. Here, we assess the inclusion of IEM biochemical phenotypes in a core phenomics project, the Human Phenotype Ontology. We then demonstrate the utility of biochemical phenotypes using a text-based phenomics method to predict gene-disease relationships, showing that the prediction of IEM genes is significantly better using biochemical rather than clinical profiles. The findings herein provide a motivating goal for the IEM community to expand the computationally accessible descriptions of biochemical phenotypes associated with IEM in phenomics resources.

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          The online version of this article (10.1007/s10545-017-0125-4) contains supplementary material, which is available to authorized users.

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          The Monarch Initiative: an integrative data and analytic platform connecting phenotypes to genotypes across species

          The correlation of phenotypic outcomes with genetic variation and environmental factors is a core pursuit in biology and biomedicine. Numerous challenges impede our progress: patient phenotypes may not match known diseases, candidate variants may be in genes that have not been characterized, model organisms may not recapitulate human or veterinary diseases, filling evolutionary gaps is difficult, and many resources must be queried to find potentially significant genotype–phenotype associations. Non-human organisms have proven instrumental in revealing biological mechanisms. Advanced informatics tools can identify phenotypically relevant disease models in research and diagnostic contexts. Large-scale integration of model organism and clinical research data can provide a breadth of knowledge not available from individual sources and can provide contextualization of data back to these sources. The Monarch Initiative (monarchinitiative.org) is a collaborative, open science effort that aims to semantically integrate genotype–phenotype data from many species and sources in order to support precision medicine, disease modeling, and mechanistic exploration. Our integrated knowledge graph, analytic tools, and web services enable diverse users to explore relationships between phenotypes and genotypes across species.
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            Next-generation sequencing demands next-generation phenotyping.

            Next-generation sequencing (NGS) is the most powerful diagnostic tool since the roentgenogram. NGS will facilitate diagnosis on a massive scale, allowing interrogation of all genes in a single assay. It has been suggested that NGS will decrease the need for phenotyping in general and medical geneticists in particular. We argue that NGS will shift focus and approach of phenotyping. We predict that NGS performed for diagnostic purposes will yield variants in several genes, and consequences of these variants will need to be analyzed and integrated with clinical findings to make a diagnosis. Diagnostic skills of medical specialists will shift from a pre-NGS-test differential diagnostic mode to a post-NGS-test diagnostic assessment mode. In research phenotyping and medical genetic assessments will remain essential as well. NGS can identify primary causative variants in phenotypes inherited in a Mendelian pattern, but biology is much more complex. Phenotypes are caused by the actions of several genes and epigenetic and environmental influences. Dissecting all influences necessitates ongoing and detailed phenotyping, refinement of clinical diagnostic assignments, and iterative analyses of NGS data. We conclude that there will be a critical need for phenotyping and clinical analysis, and that medical geneticists are uniquely positioned to address this need. © 2012 Wiley Periodicals, Inc.
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              From syndrome families to functional genomics.

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                Author and article information

                Contributors
                wyeth@cmmt.ubc.ca
                Journal
                J Inherit Metab Dis
                J. Inherit. Metab. Dis
                Journal of Inherited Metabolic Disease
                Springer Netherlands (Dordrecht )
                0141-8955
                1573-2665
                16 January 2018
                16 January 2018
                2018
                : 41
                : 3
                : 555-562
                Affiliations
                [1 ]ISNI 0000 0001 2288 9830, GRID grid.17091.3e, Centre for Molecular Medicine and Therapeutics, BC Children’s Hospital Research Institute, , University of British Columbia, ; Room 3109, 950 West 28th Avenue, Vancouver, BC V5Z 4H4 Canada
                [2 ]ISNI 0000 0001 0702 3000, GRID grid.248762.d, Canada’s Michael Smith Genome Sciences Centre, , BC Cancer Agency, ; Vancouver, BC Canada
                [3 ]ISNI 0000 0001 2288 9830, GRID grid.17091.3e, Department of Medical Genetics, , University of British Columbia, ; Vancouver, BC Canada
                [4 ]Dietmar-Hopp Metabolic Center, Department of General Pediatrics, University Hospital, Heidelberg, Germany
                [5 ]ISNI 0000 0001 2288 9830, GRID grid.17091.3e, Department of Pediatrics, , University of British Columbia, ; Vancouver, BC Canada
                [6 ]ISNI 0000000404654431, GRID grid.5650.6, Departments of Pediatrics and Clinical Genetics, Emma Children’s Hospital, , Academic Medical Centre, ; Amsterdam, The Netherlands
                Author notes

                Responsible Editor: Verena Peters

                Author information
                http://orcid.org/0000-0001-6098-6412
                Article
                125
                10.1007/s10545-017-0125-4
                5959948
                29340838
                ee242714-4685-4d29-9353-ab4021169229
                © The Author(s) 2018

                Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided 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.

                History
                : 31 July 2017
                : 1 December 2017
                : 5 December 2017
                Funding
                Funded by: BC Children's Hospital Foundation
                Award ID: Treatable Intellectual Disability Endeavour in British Columbia: 1st Collaborative Area of Innovation
                Award ID: Treatable Intellectual Disability Endeavour in British Columbia: 1st Collaborative Area of Innovation
                Award ID: Jan M. Friedman Studentship
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/501100000024, Canadian Institutes of Health Research;
                Funded by: Genome Canada/Genome British Columbia/CIHR
                Award ID: Large Scale Applied Research Grant ABC4DE project (174CDE)
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/501100000245, Michael Smith Foundation for Health Research;
                Award ID: Michael Smith Foundation for Health Research Scholar Award
                Funded by: Vanier Canada Graduate Scholarship
                Funded by: Compute Canada
                Funded by: RD-CONNECT
                Funded by: European Union
                Award ID: FP7-HEALTH-2012-INNOVATION-1 EU Grant No. 305444
                Award Recipient :
                Categories
                Phenomics
                Custom metadata
                © SSIEM 2018

                Internal medicine
                biochemical phenotypes,metabolic phenotypes,clinical informatics,text-based phenomics,data mining,inborn errors of metabolism

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