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GenIA, the Genetic Immunology Advisor database for inborn errors of immunity - 08/03/24

Doi : 10.1016/j.jaci.2023.11.022 
Andrés Caballero-Oteyza, PhD a, b, c, , Laura Crisponi, PhD d, , Xiao P. Peng, MD, PhD e, , Kevin Yauy, MD f, Stefano Volpi, MD, PhD g, Stefano Giardino, MD h, Alexandra F. Freeman, MD i, Bodo Grimbacher, MD c, j, k, l, m, Michele Proietti, MD, PhD a, b, c,
a Clinic for Immunology and Rheumatology, Hanover Medical School, Hanover, Germany 
b RESiST-Cluster of Excellence 2155, Hanover Medical School, Hanover, Germany 
c Institute for Immunodeficiency, Center for Chronic Immunodeficiency, University Hospital Freiburg, Freiburg, Germany 
d Institute for Genetic and Biomedical Research, The National Research Council, Monserrato, Cagliari, Italy 
e Department of Genetic Medicine, Johns Hopkins School of Medicine, Baltimore, Md 
f University of Montpellier, LIRMM, CNRS, Reference Center for Congenital Anomalies, Clinical Genetic Unit, Montpellier University Hospital Center, Montpellier, France 
g Center for Autoinflammatory Diseases and Immunodeficiencies, Pediatric Rheumatology Clinic, IRCCS Istituto Giannina Gaslini, Genova, and DINOGMI, Università degli Studi di Genova, Genova, Italy 
h Hematopoietic Stem Cell Transplantation Unit, IRCCS Istituto Giannina Gaslini, Genova, Italy 
i Laboratory of Clinical Immunology and Microbiology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Md 
j Clinic of Rheumatology and Clinical Immunology, Center for Chronic Immunodeficiency, Medical Center, Faculty of Medicine, Albert-Ludwigs University of Freiburg, Freiburg, Germany 
m Centre for Integrative Biological Signalling Studies, Albert-Ludwigs University of Freiburg, Freiburg, Germany 
k RESiST-Cluster of Excellence 2155, Hanover Medical School, Satellite Center Freiburg, Freiburg, Germany 
l German Center for Infection Research, Satellite Center Freiburg, Freiburg, Germany 

Corresponding author: Michele Proietti, MD, PhD, or Andrés Caballero, PhD, Center for Chronic Immunodeficiency, Breisacher Str 115, University Hospital Freiburg, 79106 Freiburg, GermanyCenter for Chronic ImmunodeficiencyBreisacher Str 115University Hospital FreiburgFreiburg79106Germany

Abstract

Background

To date, no publicly accessible platform has captured and synthesized all of the layered dimensions of genotypic, phenotypic, and mechanistic information published in the field of inborn errors of immunity (IEIs). Such a platform would represent the extensive and complex landscape of IEIs and could increase the rate of diagnosis in patients with a suspected IEI, which remains unacceptably low.

Objective

Our aim was to create an expertly curated, patient-centered, multidimensional IEI database that enables aggregation and sophisticated data interrogation and promotes involvement from diverse stakeholders across the community.

Methods

The database structure was designed following a subject-centered model and written in Structured Query Language (SQL). The web application is written in Hypertext Preprocessor (PHP), Hypertext Markup Language (HTML), Cascading Style Sheets (CSS), and JavaScript. All data stored in the Genetic Immunology Advisor (GenIA) are extracted by manually reviewing published research articles.

Results

We completed data collection and curation for 24 pilot genes. Using these data, we have exemplified how GenIA can provide quick access to structured, longitudinal, more thorough, comprehensive, and up-to-date IEI knowledge than do currently existing databases, such as ClinGen, Human Phenotype Ontology (HPO), ClinVar, or Online Mendelian Inheritance in Man (OMIM), with which GenIA intends to dovetail.

Conclusions

GenIA strives to accurately capture the extensive genetic, mechanistic, and phenotypic heterogeneity found across IEIs, as well as genetic paradigms and diagnostic pitfalls associated with individual genes and conditions. The IEI community's involvement will help promote GenIA as an enduring resource that supports and improves knowledge sharing, research, diagnosis, and care for patients with genetic immune disease.

Le texte complet de cet article est disponible en PDF.

Key words : Inborn error of immunity, immune disease, immunogenetics, genotype-phenotype, genetic paradigms, natural history, curation, database, resource, patient-centered

Abbreviations used : GOF, HIES1, HPO, HSCT, IEI, IMAD1, IUIS, LOF, OMIM


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