Study Demonstrates the Utility of Exome Sequencing for Diagnosing Autism Spectrum Disorders
13 10월 2022 - 9:00PM
Sema4 (Nasdaq: SMFR), a health insights company, is presenting
research today on autism spectrum disorders (ASD) at the Child
Neurology Society (CNS) Annual Meeting. The research underscores
the positive outcomes of exome analysis for individuals with ASD,
supporting the use of a broader genetic testing approach to reach a
faster diagnosis. This study of almost 19,000 individuals is one of
the few to examine the genetic basis of autism and current
guidelines around screening and testing.
The study evaluated exome analysis for individuals with ASD
against current testing methods and provided proof points that
exome sequencing should be a first-tier test for ASD. The American
Academy of Pediatrics recommends screening for ASD between the ages
of 18-24 months. The median ages at testing in this analysis were
6.4 and 8.4 years for both isolated and syndromic ASD; exome
sequencing provided higher diagnostic rates of 7.9-21%. Step-wise
testing likely contributed to a delayed molecular diagnosis, as
nearly 90% of the 18,911 individuals in the study with ASD had at
least one prior negative test.
The study also suggests completing exome sequencing early on in
a child’s life can help identify other disorders that a child with
ASD may be at risk for, including epilepsy, as that affects up to a
third of people with autism, but only 1-2% of the general
population. Overall, this genetic testing approach helps break down
an individual’s genetic etiology, leading to better, more informed
health interventions and outcomes.
Additionally, this study revealed a high number of emerging
genes not previously connected to autism. Initial analysis
identified 1,337 emerging genes, 113 of which were upgraded to
disease-causing starting in 2015. Moreover, 60% of genes identified
in this study as associated with ASD were not found in the Simon
Foundation Autism Research Initiative (SFARI) Gene online database
– an evolving resource for the autism research community centered
on genes implicated in autism susceptibility.
"This dataset illustrates that relying on exome testing as a
proactive testing approach will help more patients and clinicians
reach faster diagnoses," said Dr. Paul Kruszka, Chief Medical
Officer of GeneDx at Sema4. "As we see in our research, updating
the standard of care to include exome sequencing as the front-line
test has the promise to help support children’s development.”
About Sema4|GeneDxSema4|GeneDx is a
patient-centered health intelligence company dedicated to advancing
healthcare through data-driven insights. Sema4 is transforming
healthcare by applying AI and machine learning to multidimensional,
longitudinal clinical and genomic data to build dynamic models of
human health and defining optimal, individualized health
trajectories. Centrellis™, our innovative health intelligence
platform, is enabling us to generate a more complete understanding
of disease and wellness and to provide science-driven
solutions to the most pressing medical needs. Sema4 believes
that patients should be treated as partners, and that data should
be shared for the benefit of all. For more information, please
visit sema4.com and connect with us on LinkedIn, Twitter,
Facebook, and Instagram.
Media contactRadley
Mossradley.moss@sema4.com
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