Characterizing the Phenotype of Williams- Beuren S yndrome in - - PowerPoint PPT Presentation

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Characterizing the Phenotype of Williams- Beuren S yndrome in - - PowerPoint PPT Presentation

1 Characterizing the Phenotype of Williams- Beuren S yndrome in Diverse Populations Katherine Pardo 1,2 , Paul Kruszka, M.D. 2 , Maximilian Muenke, M.D. 2 University of Virginia 1 ; Medical Genetics Branch, National Human Genome Research


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Characterizing the Phenotype of Williams- Beuren S yndrome in Diverse Populations

Katherine Pardo1,2, Paul Kruszka, M.D. 2, Maximilian Muenke, M.D. 2 University of Virginia1; Medical Genetics Branch, National Human Genome Research Institute, National Institutes of Health2

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Atlas of Human Malformation Syndromes in Diverse Populations

 Response to many non-Caucasian populations having limited access to

geneticists and are underrepresented in medical and genetic research.

 Addressing the notion that discrepancies in racial and ethnic background

have posed a widespread challenge to phenotypic diagnosis.

 Will contain photographs and molecular diagnoses of individuals from

diverse geographic locations.

 Will serve as a tool for clinicians in diagnosing syndromic disorders by

promoting the association of congenital malformations with syndromes.

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Obj ective

To characterize the phenotype of Williams-Beuren S yndrome in underrepresented non-Caucasian populations in order to enhance the ability to clinically diagnose Williams-Beuren S yndrome across diverse populations.

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Introduction

 Often determined to be de novo

and occasionally hereditary

 Dist inct ive facies  Intellectual disability  S

upravalvular aortic stenosis

 Pulmonary arterial stenoses  Hypercalcemia  Dental malformation  Unusually outgoing and trusting

personality

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  • Williams-Beuren S

yndrome: a multisystem disorder resulting from a chromosomal abnormality.

Figure 1. Chinese female with positive clinical diagnosis.

  • 1. Yau EK, Lo IF, Lam ST. Williams-Beuren syndrome in the Hong Kong Chinese

population: retrospective study. Hong Kong Med J. 2004 Feb;10(1):22-7. PubMed PMID: 14967851. 1.

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Procedure and Methods

41 patients have been clinically diagnosed

with Williams-Beuren S yndrome and characterized by specific facial and gestalt phenotype.

Facial Dysmorphology Novel Analysis,

(FNDA) analysis using Face2Gene Technology served as exploratory tool for future diagnostic uses and an obj ective facial characterization instrument.

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Facial Dysmorphology Novel Analysis, (FDNA): Face2Gene

  • 1. Yau EK, Lo IF, Lam ST. Williams-Beuren syndrome in the Hong Kong Chinese

population: retrospective study. Hong Kong Med J. 2004 Feb;10(1):22-7. PubMed PMID: 14967851.

1.

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Face2Gene

 Face2Gene uses Bayesian net works t o assess t he probabilit y of

having a syndrome.  Gestalt: heat maps display the most distinguishable facial regions

 Red: strong similarity to a syndrome  Blue: absence of similarity to a syndrome

 Feature: facial proportions are obtained and compared against a

continually developing database.

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Results

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  • Underrepresentation of medical literature on

individuals from diverse populations.

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Results

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Results

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S ensitivity= Number of True Positives

_______________________________________________________________________________________________________

Number of True Positives + False Negatives X 100

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Discussion

 Williams-Beuren S

yndrome lacks definition in underprivileged non-Caucasian populations due to the small amount of reported cases.

 The distinct ive facies characterizing Williams-

Beuren S yndrome in Caucasians are consistent with found in non-Caucasian individuals.

 Face2Gene should only be used to support

diagnostic confirmation only and should not be used as a primary diagnostic method.

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Conclusion

 Williams-Beuren S

yndrome in individuals from diverse populations is under-represent ed in the medical literature.

 The considerable precision of FDNA analysis using

Face2Gene technology and its efficient improvement mechanism is indicative of its potential as a valuable resource to clinicians.

 This research will potentially enhance the quality and

accuracy of diagnosing Williams-Beuren S yndrome in individuals.

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Future Directions

  • Charact erizing Williams-Beuren S

yndrome in diverse populat ions from Asia, S ub-S aharan Africa, Lat in American, and t he Middle East .

  • Adding a cont rol sample consist ing of individuals wit h

syndromic diagnoses not including Williams-Beuren S yndrome t o furt her st at ist ical analysis.

  • Quant ifying observer variat ion t hrough blind t est ing of

unrelat ed clinicians.

  • Test ing t he accuracy and precision of FDNA analysis using

Face2Gene t echnology on individuals wit h a wide variet y of syndromes.

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Acknowledgements

Many t hanks go t o t he generous donors t o t he College S cience S cholars program who make t hese summer research awards possible: Charles Henry Leach, II, Foundat ion, Mr. S t eve Van Besien; Ent igence Corporat ion; Lois A. Fit t on & W. Christ opher Draper, Jr.; S haron B. Parent e & John W. Risner; The Jefferson Trust ; Robert At kinson; Lowe Family; Dean’s discret ionary gift s. I sincerely t hank Dr. Muenke and Dr. Kruszka for providing me wit h t he life-changing opport unit y of researching at t he Nat ional Inst it ut es of Healt h, and Professor S chmidt , Professor Epst ein, and Professor Demas for providing me wit h t he inspiring scient ific foundat ion t hat got me t here.

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Questions?

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