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medRxivGenetic & Genomic MedicinePreprint

Noninvasive prenatal exome sequencing inefficient for detecting single-gene disorders -- problems and possible solutions

Dayne L. FileriD, Piotr A. MieczkowskiiD, Alicia BrandtiD, Kelly L. GilmoreiD, Bradford C. PowelliD, Jonathan S. BergiD, Kirk C. WilhelmseniD, Neeta L. VoraiD

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Abstract

Whats already known about this topic?O_LISequencing-based noninvasive testing can detect large copy number abnormalities and some auto-somal dominant single-gene disorders C_LIO_LIExome sequencing (ES) on fetal samples provides 20% diagnostic yield for structural abnormalities after normal karyotype & microarray C_LI What does this study add?O_LIES on cell-free DNA in three gravid patients with suspected genetic disease in the fetus C_LIO_LIWe demonstrate broad sequencing approaches are limited by sampling and technical difficulties, concluding broad sequencing is currently inappropriate for noninvasive testing C_LI

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