RT Journal Article SR Electronic T1 A targeted next-generation sequencing assay for the molecular diagnosis of genetic disorders with orodental involvement JF Journal of Medical Genetics JO J Med Genet FD BMJ Publishing Group Ltd SP 98 OP 110 DO 10.1136/jmedgenet-2015-103302 VO 53 IS 2 A1 Megana K Prasad A1 Véronique Geoffroy A1 Serge Vicaire A1 Bernard Jost A1 Michael Dumas A1 Stéphanie Le Gras A1 Marzena Switala A1 Barbara Gasse A1 Virginie Laugel-Haushalter A1 Marie Paschaki A1 Bruno Leheup A1 Dominique Droz A1 Amelie Dalstein A1 Adeline Loing A1 Bruno Grollemund A1 Michèle Muller-Bolla A1 Séréna Lopez-Cazaux A1 Maryline Minoux A1 Sophie Jung A1 Frédéric Obry A1 Vincent Vogt A1 Jean-Luc Davideau A1 Tiphaine Davit-Beal A1 Anne-Sophie Kaiser A1 Ute Moog A1 Béatrice Richard A1 Jean-Jacques Morrier A1 Jean-Pierre Duprez A1 Sylvie Odent A1 Isabelle Bailleul-Forestier A1 Monique Marie Rousset A1 Laure Merametdijan A1 Annick Toutain A1 Clara Joseph A1 Fabienne Giuliano A1 Jean-Christophe Dahlet A1 Aymeric Courval A1 Mustapha El Alloussi A1 Samir Laouina A1 Sylvie Soskin A1 Nathalie Guffon A1 Anne Dieux A1 Bérénice Doray A1 Stephanie Feierabend A1 Emmanuelle Ginglinger A1 Benjamin Fournier A1 Muriel de la Dure Molla A1 Yves Alembik A1 Corinne Tardieu A1 François Clauss A1 Ariane Berdal A1 Corinne Stoetzel A1 Marie Cécile Manière A1 Hélène Dollfus A1 Agnès Bloch-Zupan YR 2016 UL http://jmg.bmj.com/content/53/2/98.abstract AB Background Orodental diseases include several clinically and genetically heterogeneous disorders that can present in isolation or as part of a genetic syndrome. Due to the vast number of genes implicated in these disorders, establishing a molecular diagnosis can be challenging. We aimed to develop a targeted next-generation sequencing (NGS) assay to diagnose mutations and potentially identify novel genes mutated in this group of disorders.Methods We designed an NGS gene panel that targets 585 known and candidate genes in orodental disease. We screened a cohort of 101 unrelated patients without a molecular diagnosis referred to the Reference Centre for Oro-Dental Manifestations of Rare Diseases, Strasbourg, France, for a variety of orodental disorders including isolated and syndromic amelogenesis imperfecta (AI), isolated and syndromic selective tooth agenesis (STHAG), isolated and syndromic dentinogenesis imperfecta, isolated dentin dysplasia, otodental dysplasia and primary failure of tooth eruption.Results We discovered 21 novel pathogenic variants and identified the causative mutation in 39 unrelated patients in known genes (overall diagnostic rate: 39%). Among the largest subcohorts of patients with isolated AI (50 unrelated patients) and isolated STHAG (21 unrelated patients), we had a definitive diagnosis in 14 (27%) and 15 cases (71%), respectively. Surprisingly, COL17A1 mutations accounted for the majority of autosomal-dominant AI cases.Conclusions We have developed a novel targeted NGS assay for the efficient molecular diagnosis of a wide variety of orodental diseases. Furthermore, our panel will contribute to better understanding the contribution of these genes to orodental disease.Trial registration numbers NCT01746121 and NCT02397824.