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通过全外显子组测序分析退行性痴呆患者的基因型-表型相关性

Analysis of Genotype-Phenotype Correlations in Patients With Degenerative Dementia Through the Whole Exome Sequencing.

作者信息

Sun Lin, Zhang Jianye, Su Ning, Zhang Shaowei, Yan Feng, Lin Xiang, Yu Jie, Li Wei, Li Xia, Xiao Shifu

机构信息

Alzheimer's Disease and Related Disorders Center, Shanghai Mental Health Center, Department of Geriatric Psychiatry, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

Front Aging Neurosci. 2021 Oct 14;13:745407. doi: 10.3389/fnagi.2021.745407. eCollection 2021.

DOI:10.3389/fnagi.2021.745407
PMID:34720994
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8551445/
Abstract

Sporadic dementias generally occur in older age and are highly polygenic, which indicates some patients transmitted in a poly-genes hereditary fashion. Our study aimed to analyze the correlations of genetic features with clinical symptoms in patients with degenerative dementia. We recruited a group of 84 dementia patients and conducted the whole exome sequencing (WES). The data were analyzed focusing on 153 dementia-related causing and susceptible genes. According to the American College of Medical Genetics and Genomics (ACMG) standards and guidelines, we identified four reported pathogenic variants, namely, c.A344G, c.G2149A, c.G1165A, and c.G742A, one reported likely pathogenic variant, namely, c.G100A, one novel pathogenic variants, c.C671A, and three novel likely pathogenic variants, namely, c.C4690T, c.3135delC, and c.2897-2A > G. 21 variants with uncertain significance in , , , , , , , , , , , and , were also detected in patients with Alzheimer's disease (AD) and frontotemporal dementia (FTD). The new variants in dementia-related genes indicated heterogeneity in pathogenesis and phenotype of degenerative dementia. WES could serve as an efficient diagnostic tool for detecting intractable dementia.

摘要

散发性痴呆通常发生于老年,且具有高度多基因性,这表明一些患者是以多基因遗传方式遗传的。我们的研究旨在分析退行性痴呆患者的遗传特征与临床症状之间的相关性。我们招募了一组84名痴呆患者并进行了全外显子组测序(WES)。数据聚焦于153个与痴呆相关的致病和易感基因进行分析。根据美国医学遗传学与基因组学学会(ACMG)的标准和指南,我们鉴定出4个已报道的致病变异,即c.A344G、c.G2149A、c.G1165A和c.G742A,1个已报道的可能致病变异,即c.G100A,1个新的致病变异c.C671A,以及3个新的可能致病变异,即c.C4690T、c.3135delC和c.2897-2A>G。在阿尔茨海默病(AD)和额颞叶痴呆(FTD)患者中还检测到了21个在、、、、、、、、、、、和中意义未明的变异。痴呆相关基因中的新变异表明退行性痴呆在发病机制和表型上具有异质性。WES可作为检测难治性痴呆的有效诊断工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5689/8551445/bd4d9ee5e92c/fnagi-13-745407-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5689/8551445/d31668abc73d/fnagi-13-745407-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5689/8551445/bd4d9ee5e92c/fnagi-13-745407-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5689/8551445/d31668abc73d/fnagi-13-745407-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5689/8551445/bd4d9ee5e92c/fnagi-13-745407-g002.jpg

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