Cheng-Hsin General Hospital, Taipei, Taiwan.
School of Medicine, National Yang Ming University, Taipei, Taiwan.
J Neurogenet. 2021 Mar;35(1):29-32. doi: 10.1080/01677063.2020.1853721. Epub 2020 Dec 17.
Spinal muscular atrophy (SMA) is a common autosomal recessive disorder which has been considered as the second common cause of infant death, with an estimated prevalence of 1 in 10,000 live births. The disorder is caused by survival motor neuron 1 gene () deficiency leading to limb weakness, difficult swallowing and abnormal breathing. Here, a fast and accurate method for SMA detection has been developed. Genomic DNA sample collected from whole blood, amniotic fluid, or dried blood spots can be analysed by using the Clarity™ Digital PCR (dPCR) System for determining the copy numbers of and genes. Two hundred and fourteen clinical samples determined by qPCR-based method were enrolled and used to establish the cut-off ranges for unaffected individual, SMA carrier and SMA patient categories. After setting the cut-off range for each group, 12 samples were analyzed by both dPCR-based method and MLPA (multiplex ligation-dependent probe amplification), the current testing golden standard for SMA, and 100% concordant results between the two testing methods were performed. CSB SMA Detection Kit combined with dPCR platform provides a robust and precise approach to distinguish unaffected individuals, SMA carrier and SMA patients. This rapid molecular diagnostic method can be adapted to pre-pregnancy eugenics inspection, prenatal testing as well as newborns screening and help physicians or genetic counselors to improve population SMA incidence.
脊髓性肌萎缩症(SMA)是一种常见的常染色体隐性遗传病,它被认为是导致婴儿死亡的第二大常见原因,其预估发病率为每 10000 例活产儿中有 1 例。这种疾病是由运动神经元存活 1 号基因()缺陷引起的,导致肢体无力、吞咽困难和呼吸异常。在这里,我们开发了一种快速准确的 SMA 检测方法。可以使用 Clarity™ Digital PCR(dPCR)系统分析来自全血、羊水或干血斑的基因组 DNA 样本,以确定和基因的拷贝数。通过基于 qPCR 的方法确定了 214 个临床样本,并用于建立正常个体、SMA 携带者和 SMA 患者类别的截止范围。为每个组设置截止范围后,通过基于 dPCR 的方法和 MLPA(多重连接依赖性探针扩增)分析了 12 个样本,MLPA 是 SMA 的当前测试金标准,两种测试方法的结果完全一致。CSB SMA 检测试剂盒与 dPCR 平台相结合,为区分正常个体、SMA 携带者和 SMA 患者提供了一种强大而精确的方法。这种快速的分子诊断方法可以适应于孕前优生检查、产前检测以及新生儿筛查,有助于医生或遗传咨询师提高人群 SMA 的发病率。