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疑似 X 连锁智力障碍患者的靶向下一代测序。

Targeted Next-Generation Sequencing in Patients with Suggestive X-Linked Intellectual Disability.

机构信息

Biocruces Bizkaia Health Research Institute, 48903 Barakaldo, Spain.

Spanish Consortium for Research on Rare Diseases (CIBERER), 28029 Madrid, Spain.

出版信息

Genes (Basel). 2020 Jan 2;11(1):51. doi: 10.3390/genes11010051.


DOI:10.3390/genes11010051
PMID:31906484
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7017351/
Abstract

X-linked intellectual disability (XLID) is known to contribute up to 10% of intellectual disability (ID) in males and could explain the increased ratio of affected males observed in patients with ID. Over the past decade, next-generation sequencing has clearly stimulated the gene discovery process and has become part of the diagnostic procedure. We have performed targeted next-generation sequencing of 82 XLID genes on 61 non-related male patients with suggestive non-syndromic XLID. These patients were initially referred to the molecular genetics laboratory to exclude Fragile X Syndrome. The cohort includes 47 male patients with suggestive X-linked family history of ID meaning that they had half-brothers or maternal cousins or uncles affected; and 14 male patients with ID and affected brothers whose mothers show skewed X-inactivation. Sequencing data analysis identified 17 candidate variants in 16 patients. Seven families could be re-contacted and variant segregation analysis of the respective eight candidate variants was performed: , , , , , , and . Our results show the utility of targeted next-generation sequencing in unravelling the genetic origin of XLID, especially in retrospective cases. Variant segregation and additional studies like RNA sequencing and biochemical assays also helped in re-evaluating and further classifying the genetic variants found.

摘要

X 连锁智力障碍(XLID)已知占男性智力障碍(ID)的 10%,并可能解释了 ID 患者中受影响男性比例增加的原因。在过去的十年中,下一代测序技术明显刺激了基因发现过程,并成为诊断程序的一部分。我们对 61 名无关联的男性 XLID 患者进行了 82 个 XLID 基因的靶向下一代测序。这些患者最初被转介到分子遗传学实验室,以排除脆性 X 综合征。该队列包括 47 名具有提示性 X 连锁 ID 家族史的男性患者,即他们有同父异母兄弟或表亲或叔叔受影响;和 14 名 ID 男性患者和受影响的兄弟,其母亲表现出偏性 X 失活。测序数据分析在 16 名患者中鉴定出 17 个候选变体。可以重新联系到七个家庭,并对各自的八个候选变体进行变体分离分析:、、、、、、和。我们的结果表明,靶向下一代测序在揭示 XLID 的遗传起源方面非常有用,尤其是在回顾性病例中。变体分离和其他研究,如 RNA 测序和生化分析,也有助于重新评估和进一步分类发现的遗传变体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ca/7017351/cf4276aea6f1/genes-11-00051-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ca/7017351/51f7921b62d5/genes-11-00051-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ca/7017351/40d835edb5b7/genes-11-00051-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ca/7017351/230d128e8bec/genes-11-00051-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ca/7017351/4ed78d8af920/genes-11-00051-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ca/7017351/01b437db12d2/genes-11-00051-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ca/7017351/33c5e6672347/genes-11-00051-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ca/7017351/cf4276aea6f1/genes-11-00051-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ca/7017351/51f7921b62d5/genes-11-00051-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ca/7017351/40d835edb5b7/genes-11-00051-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ca/7017351/230d128e8bec/genes-11-00051-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ca/7017351/4ed78d8af920/genes-11-00051-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ca/7017351/01b437db12d2/genes-11-00051-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ca/7017351/33c5e6672347/genes-11-00051-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ca/7017351/cf4276aea6f1/genes-11-00051-g007.jpg

相似文献

[1]
Targeted Next-Generation Sequencing in Patients with Suggestive X-Linked Intellectual Disability.

Genes (Basel). 2020-1-2

[2]
Non-syndromic X linked intellectual disability: Current knowledge in light of the recent advances in molecular and functional studies.

Clin Genet. 2020-5

[3]
Next-generation sequencing in X-linked intellectual disability.

Eur J Hum Genet. 2015-11

[4]
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Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2024-5-10

[5]
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Am J Med Genet A. 2016-1

[6]
Novel MED12 variant in a multiplex Fragile X syndrome family: dual molecular etiology of two X-linked intellectual disabilities with autism in the same family.

Mol Biol Rep. 2019-5-16

[7]
Next-Generation Sequencing Reveals Novel Mutations in X-linked Intellectual Disability.

OMICS. 2017-5

[8]
MED12 missense mutation in a three-generation family. Clinical characterization of MED12-related disorders and literature review.

Eur J Med Genet. 2020-3

[9]
: A Novel Gene Implicated in Non-Syndromic Intellectual Disability.

Genes (Basel). 2021-11-28

[10]
Dysregulations of sonic hedgehog signaling in MED12-related X-linked intellectual disability disorders.

Mol Genet Genomic Med. 2019-4

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本文引用的文献

[1]
Molecular and Clinical Characterization of a Novel Nonsense Variant in Exon 1 of the Gene Found in a Large Spanish Basque Family (MRX82).

Front Genet. 2019-10-31

[2]
X-linked intellectual disability: Phenotypic expression in carrier females.

Clin Genet. 2019-11-24

[3]
Functional Assessment of the Mouse Homolog of the Human Ala-9-Ser NHE6 Variant.

eNeuro. 2019-12-4

[4]
Rare Genetic Variation in 135 Families With Family History Suggestive of X-Linked Intellectual Disability.

Front Genet. 2019-6-26

[5]
IQSEC2-Associated Intellectual Disability and Autism.

Int J Mol Sci. 2019-6-21

[6]
An IQSEC2 Mutation Associated With Intellectual Disability and Autism Results in Decreased Surface AMPA Receptors.

Front Mol Neurosci. 2019-2-20

[7]
IQSEC2 mutation update and review of the female-specific phenotype spectrum including intellectual disability and epilepsy.

Hum Mutat. 2018-11-8

[8]
A potential gain-of-function variant of SLC9A6 leads to endosomal alkalinization and neuronal atrophy associated with Christianson Syndrome.

Neurobiol Dis. 2018-10-5

[9]
The power of the Mediator complex-Expanding the genetic architecture and phenotypic spectrum of MED12-related disorders.

Clin Genet. 2018-8-9

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X-linked intellectual disability update 2017.

Am J Med Genet A. 2018-6

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