PURPOSEClinically relevant secondary variants were identified in parents
enrolled with a child with developmental delay and intellectual
disability.METHODSExome/genome sequencing and analysis of 789
‘unaffected’ parents was performed.RESULTSPathogenic/likely pathogenic variants were identified in 21 genes
within 25 individuals (3.2%), with 11 (1.4%) participants
harboring variation in a gene defined as clinically actionable by the ACMG.
These 25 individuals self-reported, either: relevant clinical diagnoses (5),
relevant family history or symptoms (13), or no relevant family history,
symptoms or clinical diagnoses (7). A limited carrier screen was performed
yielding 15 variants in 48 (6.1%) parents. Parents were also
analyzed as mate-pairs (n=365) to identify cases in which both
parents were carriers for the same recessive disease, yielding three such
cases (0.8%), two of which had children with the relevant recessive
disease. Four participants had two findings (one carrier and one non-carrier
variant). In total, 71 of the 789 enrolled parents (9.0%) received
secondary findings.CONCLUSIONWe provide an overview of the rates and types of clinically relevant
secondary findings, which may be useful in the design, and implementation of
research and clinical sequencing efforts to identify such findings.