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Table 2 Strategies for gene discovery

From: Genetic counseling in the context of Bangladesh: current scenario, challenges, and a framework for genetic service implementation

Characteristics

Approach to analysis

Unrelated individuals or families affected by the same very rare but highly relatable clinical condition

Identify a common disease-associated gene or pathway shared between unrelated affected individuals

Inbred (e.g., consanguineous) families

Map based on homozygosity to exclude most of the genome

Autosomal-dominant families

Map to exclude most of the genome

Non-inbred families with two or more affected siblings

Identify compound-heterozygous variants (in the same gene) shared between affected siblings

Single affected individuals with no family history

Identify deleterious variants in genes with disease associations