LOVD & ITHANET: Synergies and plans under GG2020 - Carsten W Lederer
1. The Cyprus
Institute of
Neurology
and Genetics
LOVD & ITHANET – Synergies
and Plans under GG2020
Carsten W. Lederer
The Cyprus Institute of Neurology and Genetics
The Cyprus School of Molecular Medicine
Lederer@cing.ac.cy
http://www. relationology.co.uk
UNESCO Headquarters
Paris, France
30 – 31st May 2016
Human Variome Project
Consortium
6th Biennial Meeting
GG2020 Fringe Meeting
2. The Cyprus
Institute of
Neurology
and Genetics
Key Characteristics
LOVD
LOVD-localised HBB variant database already with data form >7000
individuals (>18.500 variants)
Standardised entry of variant-related data
Sequence variants, including large (gene-spanning) indels
Individual and clinical data
Support for SSL-access
Cooperativity
Batch import, including NGS import with automated gene/transcript setup
ITHANET/IthaGenes
Complementary web environment for target group(s)
Seamlessly “disease-specific” (disease-specific, rather than locus-specific)
Visualisation of sequence context
Map display
Visualisation of epidemiology
Contributor/publication-specific display: comparison of findings and trends
Integration and formatted display of multimedia content
CE-HPLC
[e-Education content]
Genotype-phenotype database
www.lovd.nl
www.ithanet.eu
3. The Cyprus
Institute of
Neurology
and Genetics
Synergies for GG2020
LOVD
Familiar interface
Secure and stable data entry point
Training of partners for all LOVD-based databases
ITHANET
Content customisation
Meta-analyses
Visualisations (Maps, HPLC, other)
[Statistical analyses (Summary data)]
Interactive tools
[Prediction of disease severity]
[Suggestion of underlying variants]
http://http://www.condenaststore.com/
4. The Cyprus
Institute of
Neurology
and Genetics
The Envisaged Database
Molecular per gene as standard
Which variants to include? – All
Which genes to include? – All?!
Which non-molecular data to include? – All???
Consider the human aspect of medical data entry
Fields left blank for many entries become worthless
or ?
Spartan? Lucullan?
14. The Cyprus
Institute of
Neurology
and Genetics
What next?
G6PD-deficiency data fields pending.
Decision on required and optional fields.
Decision on how to integrate LOVD and the ITHANET Portal
Decision on collection strategy (personnel/online/offline).
Addressing the elephant that is (NOT) in the room.
Your input pending and essential!
Digital
Registries
https://en.wikipedia.org/wiki/Elephant_in_the_room
16. The Cyprus
Institute of
Neurology
and Genetics
This project has received funding
from the European Union’s Sixth and
Seventh Framework Programmes for
research, technological development
and demonstration under grant
agreement nos. 26539 (ITHANET)
and 306201 (ThalaMoSS) and from
the Cypriot Government as core
funding and through the Research
Promotion Foundation of Cyprus.
Acknowledgements
CING & ITHANET
Marina Kleanthous
Petros Kountouris
Pavlos Fanis
Coralea Stephanou
Xenia Feleki
GG2020
Helen Robinson
Zilfalil bin Alwi
Raj Ramesar
LOVD
Johan T. den Dunnen
All our collaborators and patients!
16
Editor's Notes
Notes for Ithanet/LOVD talk
Provision of complementary environment and content for the target group
Combination of multiple loci: not LSDB, but DSDB
Provision of additional components that are not part of LOVD
Maps
As indicated by Petros for the fine-mapping and additional information on health care provision etc.
Ithaphen
All genes in Ithagenes
Multiple examinations
Categories
We want staff
HPLC data
Visualisations and annotation of sequence context
Plans for GG2020
?Registries?
Transfer of mutations, only, not problematic
GG2020 as networking motivation
GenPhen with individual data problematic (but essential) – has to be resolved
How to receive data
Web interface for individual entry. LOVD?
Batch upload by file format (XML; JSON). LOVD?
Receipt of summary data for IthaMap
Storage of summary data
Visualisation of epidemiology
[BioRad portal for genotype-phenotype]
Personal data
GG2020ID
Sex
Date of birth
Country of residence
Ethnic group
Referring Centre
Diagnosis
Date or age at diagnosis
Type of diagnosis: neonatal screening, other screening, complication
Status idem + add item deceased
Beta locus
Alpha locus
Genotype idem
Treatment
Penicillin therapy no, yes date of initiation ; date of termination
Folic acid no, yes date of initiation ; date of termination
Hydroxyurea no, yes date of initiation ; date of termination
other specify
History of transfusion : no yes date unspecified
General Clinical Examination
Date
Age ? (=date of birth - date)
Blood pressure
Height
Weight
Jaundice
Splenomegaly
Splenectomy no yes date
Leg ulcers no yes date unspecified
Pain crises no yes date (multiple entry or #/yr) unspecified
History of acute chest syndrome ACS no yes date (multiple entry) unspecified
Cholelithiasis no yes date unspecified
Cholecystectomy no yes date unspecified
Priapism no yes date unspecified inappropriate
Neurovascular disease no yes date unspecified
Hip injury no yes date unspecified
Fertility :
Children
General Biomarkers
Date
Haematology
CBC including reticulocytes
Personal data
GG2020ID
Sex
Date of birth
Country of residence
Ethnic group
Referring Centre
Diagnosis
Date or age at diagnosis
Type of diagnosis: neonatal screening, other screening, complication
Status idem + add item deceased
Beta locus
Alpha locus
Genotype idem
Treatment
Penicillin therapy no, yes date of initiation ; date of termination
Folic acid no, yes date of initiation ; date of termination
Hydroxyurea no, yes date of initiation ; date of termination
other specify
History of transfusion : no yes date unspecified
General Clinical Examination
Date
Age ? (=date of birth - date)
Blood pressure
Height
Weight
Jaundice
Splenomegaly
Splenectomy no yes date
Leg ulcers no yes date unspecified
Pain crises no yes date (multiple entry or #/yr) unspecified
History of acute chest syndrome ACS no yes date (multiple entry) unspecified
Cholelithiasis no yes date unspecified
Cholecystectomy no yes date unspecified
Priapism no yes date unspecified inappropriate
Neurovascular disease no yes date unspecified
Hip injury no yes date unspecified
Fertility :
Children
General Biomarkers
Date
Haematology
CBC including reticulocytes
Personal data
GG2020ID
Sex
Date of birth
Country of residence
Ethnic group
Referring Centre
Diagnosis
Date or age at diagnosis
Type of diagnosis: neonatal screening, other screening, complication
Status idem + add item deceased
Beta locus
Alpha locus
Genotype idem
Treatment
Penicillin therapy no, yes date of initiation ; date of termination
Folic acid no, yes date of initiation ; date of termination
Hydroxyurea no, yes date of initiation ; date of termination
other specify
History of transfusion : no yes date unspecified
General Clinical Examination
Date
Age ? (=date of birth - date)
Blood pressure
Height
Weight
Jaundice
Splenomegaly
Splenectomy no yes date
Leg ulcers no yes date unspecified
Pain crises no yes date (multiple entry or #/yr) unspecified
History of acute chest syndrome ACS no yes date (multiple entry) unspecified
Cholelithiasis no yes date unspecified
Cholecystectomy no yes date unspecified
Priapism no yes date unspecified inappropriate
Neurovascular disease no yes date unspecified
Hip injury no yes date unspecified
Fertility :
Children
General Biomarkers
Date
Haematology
CBC including reticulocytes
Personal data
GG2020ID
Sex
Date of birth
Country of residence
Ethnic group
Referring Centre
Diagnosis
Date or age at diagnosis
Type of diagnosis: neonatal screening, other screening, complication
Status idem + add item deceased
Beta locus
Alpha locus
Genotype idem
Treatment
Penicillin therapy no, yes date of initiation ; date of termination
Folic acid no, yes date of initiation ; date of termination
Hydroxyurea no, yes date of initiation ; date of termination
other specify
History of transfusion : no yes date unspecified
General Clinical Examination
Date
Age ? (=date of birth - date)
Blood pressure
Height
Weight
Jaundice
Splenomegaly
Splenectomy no yes date
Leg ulcers no yes date unspecified
Pain crises no yes date (multiple entry or #/yr) unspecified
History of acute chest syndrome ACS no yes date (multiple entry) unspecified
Cholelithiasis no yes date unspecified
Cholecystectomy no yes date unspecified
Priapism no yes date unspecified inappropriate
Neurovascular disease no yes date unspecified
Hip injury no yes date unspecified
Fertility :
Children
General Biomarkers
Date
Haematology
CBC including reticulocytes
Personal data
GG2020ID
Sex
Date of birth
Country of residence
Ethnic group
Referring Centre
Diagnosis
Date or age at diagnosis
Type of diagnosis: neonatal screening, other screening, complication
Status idem + add item deceased
Beta locus
Alpha locus
Genotype idem
Treatment
Penicillin therapy no, yes date of initiation ; date of termination
Folic acid no, yes date of initiation ; date of termination
Hydroxyurea no, yes date of initiation ; date of termination
other specify
History of transfusion : no yes date unspecified
General Clinical Examination
Date
Age ? (=date of birth - date)
Blood pressure
Height
Weight
Jaundice
Splenomegaly
Splenectomy no yes date
Leg ulcers no yes date unspecified
Pain crises no yes date (multiple entry or #/yr) unspecified
History of acute chest syndrome ACS no yes date (multiple entry) unspecified
Cholelithiasis no yes date unspecified
Cholecystectomy no yes date unspecified
Priapism no yes date unspecified inappropriate
Neurovascular disease no yes date unspecified
Hip injury no yes date unspecified
Fertility :
Children
General Biomarkers
Date
Haematology
CBC including reticulocytes
Personal data
GG2020ID
Sex
Date of birth
Country of residence
Ethnic group
Referring Centre
Diagnosis
Date or age at diagnosis
Type of diagnosis: neonatal screening, other screening, complication
Status idem + add item deceased
Beta locus
Alpha locus
Genotype idem
Treatment
Penicillin therapy no, yes date of initiation ; date of termination
Folic acid no, yes date of initiation ; date of termination
Hydroxyurea no, yes date of initiation ; date of termination
other specify
History of transfusion : no yes date unspecified
General Clinical Examination
Date
Age ? (=date of birth - date)
Blood pressure
Height
Weight
Jaundice
Splenomegaly
Splenectomy no yes date
Leg ulcers no yes date unspecified
Pain crises no yes date (multiple entry or #/yr) unspecified
History of acute chest syndrome ACS no yes date (multiple entry) unspecified
Cholelithiasis no yes date unspecified
Cholecystectomy no yes date unspecified
Priapism no yes date unspecified inappropriate
Neurovascular disease no yes date unspecified
Hip injury no yes date unspecified
Fertility :
Children
General Biomarkers
Date
Haematology
CBC including reticulocytes
Personal data
GG2020ID
Sex
Date of birth
Country of residence
Ethnic group
Referring Centre
Diagnosis
Date or age at diagnosis
Type of diagnosis: neonatal screening, other screening, complication
Status idem + add item deceased
Beta locus
Alpha locus
Genotype idem
Treatment
Penicillin therapy no, yes date of initiation ; date of termination
Folic acid no, yes date of initiation ; date of termination
Hydroxyurea no, yes date of initiation ; date of termination
other specify
History of transfusion : no yes date unspecified
General Clinical Examination
Date
Age ? (=date of birth - date)
Blood pressure
Height
Weight
Jaundice
Splenomegaly
Splenectomy no yes date
Leg ulcers no yes date unspecified
Pain crises no yes date (multiple entry or #/yr) unspecified
History of acute chest syndrome ACS no yes date (multiple entry) unspecified
Cholelithiasis no yes date unspecified
Cholecystectomy no yes date unspecified
Priapism no yes date unspecified inappropriate
Neurovascular disease no yes date unspecified
Hip injury no yes date unspecified
Fertility :
Children
General Biomarkers
Date
Haematology
CBC including reticulocytes