Vasculitis & polymyalgia rheumatica

Genetic testing of Behçet’s disease using next-generation sequencing to identify monogenic mimics and HLA-B*51

Rheumatology (Oxford)Published Genetic diagnostic cohort study

Authors' conclusion

We describe a novel genetic workflow for BD, which can efficiently detect known and potentially novel monogenic forms of BD, whilst additionally providing HLA-typing.

Study context

Population
Patients with clinically suspected Behçet's disease (BD), four BD specialist care centres in the UKmedian age 15 (4–52)
Participants
31 patients
Outcome
Identification of rare monogenic BD-like diseases and contribution of HLA haplotype
Methodological detailsmulticentre, whole-exome sequencing, whole-exome sequencing (WES); analysis by virtual gene panel, Exomiser with Human Phenotype Ontology (HPO), ExomeDepth for copy number variants, and HLA-typing with OptiType
  • Multicentre
  • Whole-exome sequencing
  • WES; analysis by virtual gene panel, Exomiser with HPO, ExomeDepth for copy number variants, and HLA-typing with OptiType

Performance

As reported in the abstract

Monogenic disease mimicking BD
Monogenic disease mimicking BD
9/31 (29%)
Haploinsufficiency of A20 (novel TNFAIP3 variants)
5
ISG15 deficiency (novel nonsense variant ISG15: p.Q16X and 1p36.33 microdeletion)
1
Common variable immune deficiency (TNFRSF13B: p.A181E)
1
TNF receptor-associated periodic syndrome (TNFRSF1A: p.R92Q)
2

Further findings

HLA-B*51 positive among remaining 22 patients

HLA-B*51 positive
8 (36%)

Original publication

Genetic testing of Behçet’s disease using next-generation sequencing to identify monogenic mimics and HLA-B*51. Rheumatology (Oxford). Published 25 November 2023. doi:10.1093/rheumatology/kead628

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