Establishment of the endocrine variant extractor and its clinical application in identifying a novel GATA3 mutation in HDR syndrome - Report - MDSpire

Establishment of the endocrine variant extractor and its clinical application in identifying a novel GATA3 mutation in HDR syndrome

  • By

  • Yunseo Han

  • Danbi Song

  • Minsoo Noh

  • Mikyung Kang

  • Young Sil Eom

  • Hunsang Lee

  • Sihoon Lee

  • July 1, 2026

  • 0 min

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Clinical Report: Development of the Endocrine Variant Extractor and Its Role

Overview

The Endocrine Variant Extractor (EVE) is a bioinformatics pipeline designed to streamline genetic screening for endocrine disorders. EVE identified a de novo GATA3 mutation in a patient with HDR syndrome.

Background

Genetic diagnosis in endocrine disorders often faces challenges due to the complexity of Whole Exome Sequencing (WES) data. The development of user-friendly bioinformatics tools is crucial for enhancing the diagnostic capabilities of clinicians.

Data Highlights

EVE filtered over 300,000 raw variants to identify actionable candidates, including a GATA3 frameshift variant in HDR syndrome.

Key Findings

  • EVE integrates multiple bioinformatics engines for variant analysis.
  • The pipeline reduces manual data review time by over 99.6%.
  • EVE encompasses a core panel of 26 genes and an expanded panel of 413 genes.
  • The first identified GATA3 frameshift variant (p.Ala173fs) in HDR syndrome was reported using EVE.
  • The complete source code for EVE is available for public use.

Clinical Implications

The EVE pipeline facilitates identification of pathogenic variants in endocrine disorders. Its design allows clinicians to utilize genetic profiling in diagnostics.

Conclusion

EVE enables efficient identification of clinically relevant variants and supports the integration of genomic data into clinical practice.

Related Resources & Content

  1. The Journal of Clinical Endocrinology & Metabolism, 2023 -- Broadening the Understanding of Endocrine Disorders Linked to SOX11 Variants
  2. The Journal of Clinical Endocrinology & Metabolism, 2023 -- Investigation of a New NR3C1 Gene Variant: Distinguishing Glucocorticoid Resistance from Cushing's Syndrome
  3. Gastric Cancer, 2023 -- Loss of CDH1 and Associated Regulatory Elements Contributes to Early-Onset Diffuse Gastric Cancer and Enhances Hereditary Diffuse Gastric Cancer Penetrance
  4. The Journal of Clinical Endocrinology & Metabolism, 2023 -- Utilizing Long-Read Sequencing to Unravel the Complex Structure of CYP21A2 in a Large Cohort of Patients with 21-Hydroxylase Deficiency
  5. Revised European Society of Endocrinology Clinical Practice Guideline: Treatment of Chronic Hypoparathyroidism in Adults | European Journal of Endocrinology, 2025
  6. YORVIPATH (palopegteriparatide) Highlights of Prescribing Information, 2024
  7. Next-generation sequencing for constitutional variants in the clinical laboratory, 2021 revision: a technical standard of the American College of Medical Genetics and Genomics (ACMG)
  8. Revised European Society of Endocrinology Clinical Practice Guideline: Treatment of Chronic Hypoparathyroidism in Adults | European Journal of Endocrinology | Oxford Academic
  9. YORVIPATH (palopegteriparatide) Highlights of Prescribing Information
  10. Next-generation sequencing for constitutional variants in the clinical laboratory, 2021 revision: a technical standard of the American College of Medical Genetics and Genomics (ACMG) | Genetics in Medicine

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