RT Journal Article SR Electronic T1 Evaluating the clinical validity of gene-disease associations: an evidence-based framework developed by the Clinical Genome Resource JF bioRxiv FD Cold Spring Harbor Laboratory SP 111039 DO 10.1101/111039 A1 Natasha T. Strande A1 Erin Rooney Riggs A1 Adam H. Buchanan A1 Ozge Ceyhan-Birsoy A1 Marina DiStefano A1 Selina S. Dwight A1 Jenny Goldstein A1 Rajarshi Ghosh A1 Bryce A. Seifert A1 Tam P. Sneddon A1 Matt W. Wright A1 Laura V. Milko A1 J. Michael Cherry A1 Monica A. Giovanni A1 Michael F. Murray A1 Julianne M. O’Daniel A1 Erin M. Ramos A1 Avni B. Santani A1 Alan F. Scott A1 Sharon E. Plon A1 Heidi L. Rehm A1 Christa L. Martin A1 Jonathan S. Berg YR 2017 UL http://biorxiv.org/content/early/2017/03/01/111039.abstract AB With advances in genomic sequencing technology, the number of reported gene-disease relationships has rapidly expanded. However, the evidence supporting these claims varies widely, confounding accurate evaluation of genomic variation in a clinical setting. Despite the critical need to differentiate clinically valid relationships from less well-substantiated relationships, currently no standard guidelines for such evaluation exist. Thus the NIH-funded Clinical Genome Resource (ClinGen) has developed a framework to define and evaluate the clinical validity of gene-disease pairs across a variety of Mendelian disorders. Relevant genetic and experimental evidence supporting or contradicting a gene-disease relationship is evaluated semi-quantitatively and assigned a preliminary classification: “Definitive”, “Strong”, “Moderate”, “Limited”, “No Reported Evidence” or “Conflicting Evidence.” Classifications are reviewed and confirmed or adjusted based on clinical expertise of appropriate disease experts. This evidence-based, systematic method to assess the strength of gene-disease relationships will facilitate more knowledgeable utilization of genomic variants in clinical and research settings.