
NEXT-GENERATION SEQUENCING INFERTILITY PANEL IN TURKEY: FIRST RESULTS Ikbal Atli E1*, Yalcintepe S1, Atli E1, Demir S1, Gurkan H1 *Corresponding Author: Corresponding Author: Associate Prof. Emine Ikbal Atli, Trakya University, Faculty of Medicine,
Department of Medical Genetics, Edirne, Turkey Balkan Campus, Highway D100 ORCID ID: 0000-
0001-9003-1449; Postal code: 22030; Phone: 0(284) 235-76-41/2330;
Email: emine.ikbal@gmail.com / eikbalatli@trakya.edu.tr page: 49
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RESULTS
A total of 85 patients (85 males) between 21 years
and 45 years old were included in the study group. NGS
analysis had been applied in all the primary infertility
cases. As a result of NGS analysis, 58 clinical variants in 28
genes were detected in 41 patients (%48,23- 41/85) (Table
1). Thirty-two of these variants are unknown clinical sig-
nificance (VUS), 11 of them likely pathogenic, and 15 of
these variants are classified as pathogenic in according to
the Varsome, The Human Genomic Variant Search Engine,
Franklin by Genoox, Clinvar and American College of
Medical Genetics and Genomics (ACMG) databases.
The most frequently observed variants are those ob-
served in the CFTR gene. 18 CFTR gene variants were de-
tected in 16 different patients. Among these, 7 variants are
pathogenic, 4 variants are likely pathogenic and 7 variants
are VUS. The remaining 40 variants are distributed among
the other 27 genes in the panel. Among these, 8 variants were
evaluated as pathogenic, 7 variants as likely pathogenic, and
25 variants as VUS. Segregation analyses could not be per-
formed in patients with VUS. Pathogenic and likely patho-
genic variants were detected de novo. Among the variants
considered as VUS, the most frequently observed variants
clustered in the DNAH1 gene. Among the pathogenic vari-
ants, the most common variants after CFTR were detected
in the CBS and F11 genes (Table 2). We also detected a
compound heterozygous CFTR variant in one of our patients.
This condition of the patient was evaluated clinically.
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