{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T23:53:03Z","timestamp":1787701983180,"version":"build-2784847793"},"reference-count":19,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2022,7,29]],"date-time":"2022-07-29T00:00:00Z","timestamp":1659052800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000071","name":"National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["HD02528"],"award-info":[{"award-number":["HD02528"]}],"id":[{"id":"10.13039\/100000071","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J of Med Genetics Pt A"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Heritable connective tissue disorders (HCTDs) consist of a wide array of genetic disorders such as Ehlers\u2013Danlos syndrome, Marfan syndrome, and osteogenesis imperfecta. The diagnosis relies on clinical presentation and family history to guide genetic testing with next\u2010generation sequencing (NGS) for identification of gene variants in HCTDs. NGS was performed on a cohort of 100 consecutive, unrelated patients referred for a connective tissue disorder at Fulgent Genetics, an accredited commercial laboratory. One hundred seventeen gene variants were found in 76 patients with 10 recognized pathogenic or likely pathogenic variants seen in nine patients. The remaining variants were grouped as unknown clinical significance with 36 meeting three out of four pathogenicity criteria, or potentially pathogenic, as defined in our study in 33 patients. They were judged as potentially pathogenic for clinical care and management with disease surveillance based on the specific gene and phenotypic presentation. Gene variants in collagen\u2010related proteins were the most frequent with <jats:italic>ZNF469<\/jats:italic> and <jats:italic>ADAMTSL2<\/jats:italic> variants most often identified. Joint hypermobility was the most frequent clinical finding. Variants were found in 76% of patients who had distinct clinical features of a HCTD. The data were stratified to provide insight into frequency and types of variants, their classification, and clinical manifestations.<\/jats:p>","DOI":"10.1002\/ajmg.a.62905","type":"journal-article","created":{"date-parts":[[2022,7,29]],"date-time":"2022-07-29T07:57:56Z","timestamp":1659081476000},"page":"3016-3023","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Next\u2010generation sequencing and analysis of consecutive patients referred for connective tissue disorders"],"prefix":"10.1002","volume":"188","author":[{"given":"Jacob","family":"Steinle","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Kansas Medical Center  Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Waheeda A.","family":"Hossain","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Kansas Medical Center  Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia J.","family":"Veatch","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Kansas Medical Center  Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel P.","family":"Strom","sequence":"additional","affiliation":[{"name":"Fulgent Genetics  Temple City California USA"},{"name":"Illumina, Inc.  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