Publications Search

Search for publications by author
Search for publications by abstract keyword(s)

Population data improves variant interpretation in autosomal dominant polycystic kidney disease


PURPOSE: Autosomal dominant polycystic kidney disease (ADPKD) is a common adult-onset monogenic disorder, with prevalence of 1/1000. Population databases including ExAC have improved pathogenic variant prioritization in many diseases. Due to pseudogene homology of PKD1, the predominant ADPKD disease gene, and the variable disease severity and age of onset, we aimed to investigate the utility of ExAC for variant assessment in ADPKD. METHODS: We assessed coverage and variant quality in the ExAC cohort and combined allele frequency and age data from the ExAC database (n = 60,706) with curated variants from 2000 ADPKD pedigrees (ADPKD Mutation Database). RESULTS: Seventy-six percent of PKD1 and PKD2 were sequenced adequately for variant discovery and variant quality was high in ExAC. In ExAC, we identified 25 truncating and 393 previously reported disease-causing variants in PKD1 and PKD2, 6.9-fold higher than expected. Fifty-four different variants, previously classified as disease-causing, were observed in >/=5 participants in ExAC. CONCLUSION: Our study demonstrates that many previously implicated disease-causing variants are too common, challenging their pathogenicity, or penetrance. The presence of protein-truncating variants in older participants in ExAC demonstrates the complexity of variant classification and highlights need for further study of prevalence and penetrance of this common monogenic disease.

Type Journal
ISBN 1098-3600
Authors Mallawaarachchi, A. C.; Furlong, T. J.; Shine, J.; Harris, P. C.; Cowley, M. J.
Responsible Garvan Author (missing name)
Published Date 2019-06-01
Published Volume 21
Published Issue 6
Published Pages 1425-1434
Status Published in-print
DOI 10.1038/s41436-018-0324-x
URL link to publisher's version