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基于靶向二代测序的中国汉族非综合征性聋的遗传病因学研究。

Genetic etiology study of the non-syndromic deafness in Chinese Hans by targeted next-generation sequencing.

机构信息

Department of Otolaryngology-Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.

出版信息

Orphanet J Rare Dis. 2013 Jun 14;8:85. doi: 10.1186/1750-1172-8-85.

Abstract

BACKGROUND

Although over 60 non-syndromic deafness genes have been identified to date, the etiologic contribution of most deafness genes remained elusive. In this study, we addressed this issue by targeted next-generation sequencing of a large cohort of non-syndromic deaf probands.

METHODS

Probands with mutations in commonly screened deafness genes GJB2, SLC26A4 and MT-RNR1 were pre-excluded by Sanger sequencing. The remaining 125 deaf probands proceeded through targeted exon capturing of 79 known deafness genes and Illumina HiSeq2000 sequencing.

RESULTS

Bi-allelic mutations in 15 less commonly screened deafness genes were identified in 28 deaf probands, with mutations in MYO15A, GPR98, TMC1, USH2A and PCDH15 being relatively more frequent (≥3 probands each). Dominant mutations in MYO6, TECTA, POU4F3 and COCH were identified in 4 deaf families. A mitochondrial MTTS1 mutation was identified in one maternally inherited deaf family. No pathogenic mutations were identified in three dominant deaf families and two consanguineous families.

CONCLUSIONS

Mutations in the less commonly screened deafness genes were heterogeneous and contributed to a significant percentage (17.4%) of causes for non-syndromic deafness. Targeted next-generation sequencing provided a comprehensive and efficient diagnosis for known deafness genes. Complementary to linkage analysis or whole-exome sequencing of deaf families, pre-exclusion of known deafness genes by this strategy may facilitate the discovery of novel deafness genes.

摘要

背景

尽管迄今为止已经确定了超过 60 个非综合征性耳聋基因,但大多数耳聋基因的病因仍难以捉摸。在这项研究中,我们通过对一大群非综合征性耳聋先证者进行靶向下一代测序来解决这个问题。

方法

通过 Sanger 测序预先排除 GJB2、SLC26A4 和 MT-RNR1 等常见筛查耳聋基因中存在突变的先证者。其余 125 名耳聋先证者通过靶向捕获 79 个已知耳聋基因和 Illumina HiSeq2000 测序进行。

结果

在 28 名耳聋先证者中发现了 15 个较少筛查的耳聋基因中的双等位基因突变,其中 MYO15A、GPR98、TMC1、USH2A 和 PCDH15 的突变相对更为频繁(每个基因≥3 个先证者)。在 4 个耳聋家系中发现了 MYO6、TECTA、POU4F3 和 COCH 的显性突变。在一个母系遗传耳聋家系中发现了一个线粒体 MTTS1 突变。在 3 个显性耳聋家系和 2 个近亲家系中未发现致病性突变。

结论

较少筛查的耳聋基因中的突变是异质性的,导致非综合征性耳聋的比例相当高(17.4%)。靶向下一代测序为已知耳聋基因提供了全面而有效的诊断。通过这种策略预先排除已知耳聋基因,与耳聋家系的连锁分析或全外显子组测序互补,可能有助于发现新的耳聋基因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5274/3703291/e636515d042a/1750-1172-8-85-1.jpg

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