Closed cmungall closed 7 years ago
May I suggest that we simply disregard the Disease-Ontology genetic diseases? DO should be importing from ORDO, OMIM or MONDO, and they simply are not doing a good job with this. In any case, I have looked into these terms. There following definitions of Charcot-Marie-Tooth (CMT) and CMT4 make the classification obvious and with one exception (!) we can just follow the primary term name of OMIM.
Charcot-Marie-Tooth (CMT) hereditary neuropathy refers to a group of disorders characterized by a chronic motor and sensory polyneuropathy.
By convention, the designation CMT4 is applied to autosomal recessive forms of demyelinating Charcot-Marie-Tooth disease, which is a peripheral neuropathy characterized by distal motor and sensory impairment resulting in gait difficulties and associated with foot deformities. Motor nerve conduction velocities are decreased, and sural nerve biopsies show loss of myelinated fibers. The age at onset and severity is variable (summary by Patzko and Shy, 2012).
Genetic Heterogeneity of Charcot-Marie-Tooth Disease Type 4
Several different subtypes of autosomal recessive demyelinating CMT (CMT4) have been identified, each with particular ethnic, pathologic, or clinical characteristics: CMT4A; CMT4B, which includes CMT4B1 (601382), caused by mutation in the MTMR2 gene (603557), CMT4B2 (604563), caused by mutation in the SBF2 gene (607697), and CMT4B3 (615284), caused by mutation in the SBF1 gene (603560); CMT4C (601596), caused by mutation in the SH3TC2 gene (608206); CMT4D (601455), caused by mutation in the NDRG1 gene (605262); CMT4E (605253), caused by mutation in the EGR2 (129010) or MPZ (159440) genes; CMT4F (614895), caused by mutation in the PRX gene (605725); CMT4G, or Russe-type hereditary motor and sensory neuropathy, (605285), which maps to chromosome 10q23; CMT4H (609311), caused by mutation in the FGD4 gene (611104); CMT4J (611228), caused by mutation in the FIG4 gene (609390); and CMT4K (616684), caused by mutation in the SURF1 gene (185620).
Xrefs
OMIM:145900 Dejerine-Sottas disease => No
OMIM:158580 Neuronopathy, distal hereditary motor, type VIIA => NO
OMIM:158590 Neuropathy, distal hereditary motor, type IIA => NO (Charcot-Marie-Tooth disease type 2L (CMT2L; 608673) is an allelic disorder with an overlapping phenotype.) => Note that 158590 is NOT Charcot Marie Tooth because it is limited to Motor deficits (sensory not affected).
OMIM:182960 Neuronopathy, distal hereditary motor, type I NO
OMIM:214400 Charcot-Marie-Tooth disease, type 4A => YES
OMIM:600794 Neuropathy, distal hereditary motor, type VA => NO
OMIM:601382 Charcot-Marie-Tooth disease, type 4B1 => YES
OMIM:601455 Charcot-Marie-Tooth disease, type 4D => YES
OMIM:601596 Charcot-Marie-Tooth disease, type 4C => YES
OMIM:604563 Charcot-Marie-Tooth disease, type 4B2 => YES
OMIM:605253 Neuropathy, congenital hypomyelinating => NO
OMIM:605285 Neuropathy, hereditary motor and sensory, Russe type => YES (The disease is also known as Charcot-Marie-Tooth disease type 4G (CMT4G) ).
OMIM:607641 Neuropathy, distal hereditary motor, type VIIB => NO
OMIM:607706 Charcot-Marie-Tooth disease, axonal, with vocal cord paresis => This is not a type 4 Charcot Marie tooth, so => NO OMIM:608634 Neuropathy, distal hereditary motor, type IIB => Not type 4 CMT
OMIM:609311 Charcot-Marie-Tooth disease, type 4H => YES
OMIM:611228 Charcot-Marie-Tooth disease, type 4J => YES
OMIM:613376 Neuronopathy, distal hereditary motor, type IIC => NO
OMIM:614751 ?Neuronopathy, distal hereditary motor, type VB => NO
OMIM:614895 Charcot-Marie-Tooth disease, type 4F => YES
OMIM:615284 Charcot-Marie-Tooth disease, type 4B3 => YES
OMIM:615575 Neuronopathy, distal hereditary motor, type IID => NO
ORDO:64749 Charcot-Marie-Tooth disease type 4 => YES
We will take a closer look at these.
Hello Chris and Peter, As I'm sure you have noticed we have been working with MGI and RGD to split out the genetic subtypes, and aligning these with OMIM. Previous to this area of work, OMIM terms were grouped in DO, as genetic subtypes were in the process of being defined. The examples you provided are from terms that have since been split. This is a multi-month process as we work to carefully to define the genetic subtypes (reviewing pertinent literature) and to assess the level of evidence for each disease. We did look to see if we could just adopt OMIM or Orphanet's categories, but after much evaluation, we found that we needed to review each disease term and manually define them. We are not importing MONDO, as it is built on DO and would not aid in this process. Pertinent to these two examples: Charcot-Marie-Tooth disease type 4: is now subdivided into 12 subtypes. The OMIM IDs have been removed from type 4. synonyms have been reviewed and edited
Cheers, Lynn
?Hi Lynn,
we'd be happy to have more contacts & synergy on this topic. We are not producing rare disease hierarchies ourselves in MONDO, but rather importing and integrating various sources including DO, as you know. However, Orphanet is doing essentially what you are describing as ORDO -- I wonder if there could be some mutual benefit for your groups. Let me know if you would like an introduction.
Also, the upper level categories for genetic disease in DO need work -- the use of syndrome etc is inconsistent. I would be glad to advise.
-Peter
Peter Robinson
Professor of Computational Biology
The Jackson Laboratory for Genomic Medicine
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The Jackson Laboratory: Leading the search for tomorrow's cures
From: lschriml notifications@github.com Sent: Thursday, December 8, 2016 3:23 PM To: DiseaseOntology/HumanDiseaseOntology Cc: Peter Robinson; Comment Subject: Re: [DiseaseOntology/HumanDiseaseOntology] Incorrect xrefs between CMT4 and DHMN (#156)
Hello Chris and Peter, As I'm sure you have noticed we have been working with MGI and RGD to split out the genetic subtypes, and aligning these with OMIM. Previous to this area of work, OMIM terms were grouped in DO, as genetic subtypes were in the process of being defined. The examples you provided are from terms that have since been split. This is a multi-month process as we work to carefully to define the genetic subtypes (reviewing pertinent literature) and to assess the level of evidence for each disease. We did look to see if we could just adopt OMIM or Orphanet's categories, but after much evaluation, we found that we needed to review each disease term and manually define them. We are not importing MONDO, as it is built on DO and would not aid in this process. Pertinent to these two examples: Charcot-Marie-Tooth disease type 4: is now subdivided into 12 subtypes. The OMIM IDs have been removed from type 4. synonyms have been reviewed and edited
Cheers, Lynn
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We are not importing MONDO, as it is built on DO and would not aid in this process
Obviously importing MonDO into DO makes no sense. However, you can use the kboom algorithm that constructs MonDO to resolve multiple alternate classifications and detect problem areas. This is where these requests from me to the DO tracker have been coming from. I didn't notice them myself by poring through the DO looking at xrefs, they fall out of the reporting. I spoke to @elviram about this at the BD2K meeting.
I find some of these dubious (marked
???
). I am fairly sure the ones marked***
are wrong.Can you point to any evidence of CMT type 4 being associated with DHMN?
A very cursory search seems to reveal that CMT 2F is associated with DHMB 2A, see https://en.wikipedia.org/wiki/Distal_hereditary_motor_neuronopathies
If this is the case then the xref, if present at all, should be at the level of CMT2, not CMT4. Even here it seems dubious. Are we really meaning to have xref mean any of: equivalent, subclass, superclass, phenotypically similar, caused by mutations in same gene, ....?
Here is the entry for CMT2; no link to DHMB 2A: