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Revision 26 (Jason Bobe, 02/03/2010 01:19 PM) → Revision 27/88 (Jason Bobe, 02/03/2010 02:17 PM)

 = Genotype + Environment = Trait (GET) Evidence Database =  

 The '''GET Evidence''' project was started by Abraham Rosenbaum, Joe Thakuria, Xiaodi Wu and Alexander Wait Zaranek to help the [http://personalgenomes.org Personal Genome Project], the clinical genetics community, and, the general public interpret individual genomes.    The database is closely integrated with [wiki:Trait-o-matic]. 

 You can find the PGP production server at: 
  * http://evidence.personalgenomes.org 

 A development sandbox can be found at:  
  * http://evidence-dev.personalgenomes.org 

 Many contributors helped make '''GET Evidence''' possible. You can find specific contributions at:  
  * http://evidence.personalgenomes.org/editors 

 Please help the project by editing the database or making suggestions on the wiki!   

  == Field Descriptions and Definitions == 
  === Short Summary ===  
  * free text providing a one line summary of clinical action to be undertaken given this variant (possibly modified by known phenotypes).  

  === Variant Quality Data ===  
 Each of these fields is a sliding scale of 0-5 where 0 represents no evidence and 5 strong evidence that the Impact is correct. Where the data is not entered the default is N/A. When Genetests and/or the literature correlate this variant with a number of phenotypes the impact should be reported for the most extreme condition 
  a. ''In silico'': One star for each consistent prediction and one start subtracted for conflicting results from: 
   i. evolutionary conservation (minimum of three species) 
   i. presence in active domain  
   i. SIFT  
   (score <= 0.05) 
   i. !PolyPhen (possibly or probably damaging)  
   i. NBLOSUM  
   i. GVGD (score => 3) 
   i. Other variants in this gene cause similar disease  
   i. etc...  
  a. ''In vitro'': One star for each experiment supporting the result, and penalize one star for conflicting results from:  
   i. enzyme extracts  
   i. cell lines   
   i. animal models 
   i. etc...  
  a. Case/Control: Odds Ratio etc...  
   i. 0 stars for OR<1 
   i. 1 star for 1<OR<1.5 
   i. 2 stars for 1.5<OR<2 
   i. 3 stars for 2<OR<3  
   i. 4 stars for 3<OR<5 
   i. 5 stars for OR>5  
  a. Familial Disease Segregation 
   i. 0 stars for no segregation (LOD < -2) 
   i. 1 star if segregation exists in one family pedigree 
   i. 2 stars for segregation in more than one family with some conflicting information (e.g. asymptomatic carrier of young age or possibility of second causative mutation) 
   i. 3 stars for more than one family no conflicting information 
   i. 4 stars for LOD > 2 
   i. 5 stars for LOD > 3. 
  a. Clinical Outcomes: The quality of studies investigating the effectiveness of action based on the described impact of this mutation given a specific phenotype/family history 
   i. 0 stars for poor outcome for intervention (diagnostic and medical) 
   i. 1 star no proven benefit for intervention 
   i. 2 stars anecdotal evidence for intervention (unpublished results)  
   i. 3 stars weak evidence for intervention (less than 10 cases) 
   i. 4 stars standard recommendations for further intervention in development (or more than 10 cases) 
   i. 5 stars for further intervention in routine use   
   
  === Impact ===  
 When Genetests and/or the literature this variant with a number of phenotypes the impact should be reported for the most extreme condition. 

  a. Pathogenic: Causative for disease; the evidence must have four stars in one of the clinical categories and at least three stars in two other categories.  
  a. Putative Pathogenic: 
  a. Putative Benign 
  a. Benign 
  a. Putative Protective 
  a. Protective: Protective from disease; the evidence must have four stars in one of the clinical categories and at least three stars in two other categories. 
  a. Other 
  a. Unknown 

  === Inheritance Pattern ===  
  a. Dominant 
  a. Recessive 
  a. Other: A defined form of inheritance that is neither dominant or recessive (e.g. modifier, co-dominant, incomplete penetrance). These variants will get prioritized due to their potential phenotypic affect should the additional factors be present. 
  a. Undefined: Undefined in the literature. 
  a. Unknown: The default value for all variants and all variants without literature. 

  === Summary of published research, and additional commentary ===  
  * Free text providing a comprehensive review of the variant including youngest age of onset, oldest age of onset and oldest asymptomatic individual.  

  === Allele Frequency ===  
  * Automatically generated frequencies for the !HapMap Project, 1000 Genomes Project and the weighted average of the two.    Sub-population frequencies and homozygous/heterozygous break-downs are currently not shown.  

  === Publications ===  

  * User-entered publications and user entered synopses of the relevant details from the publication. A short summary is also entered for each paper (as above). 
 
  === Genomes ===   

  * Automatically generated list of all genomes from Trait-o-matic in which this variant is seen. Additionally, specific actions taken by each individual harboring the variant can be reported. 
 
  === Other External References ===  
 These are automatically generated by web "robots":   
    a. dbSNP: The link to the dbSNP entry for this nucleotide position (for this nucleotide change?) 
    a. Genetests: Link to all clinical laboratories performing diagnostic tests on this gene and the list of diseases that the labs are looking for. 
    a. Web Search Results: A web search for this exact variant using the Yahoo search engine 

  === Edit History === 
  * Automatically generated history of all page edits with the contributor's name. 

  == To Do == 
  * [wiki:GET-Evidence/23andWe] 

  == Suggestions ==  

  * your suggestion here.