Evidence map›Paper›PMID 42656996›Full record

ArticleGenetics in medicine open2026

Implications and ramifications of using the CDC tier 1 genetic screening concept in East Asian populations.

Kuang-Huan Cheng, Ralph Kirby, Ming-Wei Lin, Chen-Chi Wu, Chih-Cheng Hsu, Shih-Feng Tsai

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Article in Genetics in medicine open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Kuang-Huan ChengInstitute of Molecular Medicine, National Tsing Hua University, Hsinchu, Taiwan.
Ralph KirbyInstitute of Genetics, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Ming-Wei LinInstitute of Public Health, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Chen-Chi WuDepartment of Otolaryngology, National Taiwan University College of Medicine, Taipei, Taiwan.
Chih-Cheng HsuInstitute of Population Health Sciences, National Health Research Institutes, Miaoli, Taiwan.
Shih-Feng TsaiInstitute of Molecular Medicine, National Tsing Hua University, Hsinchu, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The US Centers for Disease Control and Prevention defined the Centers for Disease Control and Prevention Tier 1 (CDCT1) genomics applications, advocating mass screening for 3 hereditary conditions with significant public health impacts. On this premise, we investigated how genome sequencing (GS) and ethnic differences affect genetic screening in East Asia. Additionally, we incorporated 2 specific genes, Methods: We analyzed GS data from 1454 participants in the Taiwan Biobank (TWB) and 2473 participants from the National Health Research Institute (NHRI). SnpEff, ClinVar, and VarSome were used to identify and annotate pathogenic and likely pathogenic (P/LP) variants in the target genes. Results: The heterozygote frequencies for P/LP variants in the CDCT1 genes were 2.34% and 1.74% for the TWB and NHRI cohorts, respectively. These heterozygote frequencies were higher than those of the Healthy Nevada Project (1.33%). Familial hypercholesterolemia (MIM: 143890, 144010) accounts for more than 60% of the cases. Individuals (43%) who carried P/LP variants were unaware of their hypercholesterolemia status. Compared with the European and African populations, 7 variants were significantly more frequent in the Taiwanese population ( Conclusion: This Asian study underscores the implications of CDCT1 screening and the significance of including population-specific variants. Using a GS approach allows for broader detection of actionable diseases, advancing population-based preventive medicine.

Indexed as

CDC Tier 1 screeningEast AsiaGenome sequencing

Identifiers

PMID42656996
PMCPMC13508668

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