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针对短读长测序无法解决的肌肉疾病的疾病特异性基因诊断策略。

Disease-specific genetic diagnostic strategies for muscle diseases unresolved by short-read sequencing.

作者信息

Saito Yoshihiko, Nishino Ichizo

机构信息

Department of Neuromuscular Research, National Institute of Neuroscience, National Center of Neurology and Psychiatry, Kodaira, Japan.

出版信息

J Hum Genet. 2025 Aug 26. doi: 10.1038/s10038-025-01391-5.

DOI:10.1038/s10038-025-01391-5
PMID:40858832
Abstract

In recent years, whole-exome and whole-genome sequencing have been increasingly applied for the genetic diagnosis of muscle diseases. However, standard short-read sequencing often fails to detect pathogenic variants in some inherited muscle diseases, such as Duchenne/Becker muscular dystrophy (DMD/BMD), facioscapulohumeral muscular dystrophy (FSHD), oculopharyngeal muscular dystrophy (OPMD), and oculopharyngodistal myopathy (OPDM). This review outlines the genetic diagnostic approaches for these conditions, with a particular focus on novel analytical approaches for genetic diagnosis.

摘要

近年来,全外显子组测序和全基因组测序越来越多地应用于肌肉疾病的基因诊断。然而,标准的短读长测序在某些遗传性肌肉疾病中常常无法检测到致病变异,如杜氏/贝克型肌营养不良症(DMD/BMD)、面肩肱型肌营养不良症(FSHD)、眼咽型肌营养不良症(OPMD)和眼咽远端型肌病(OPDM)。本综述概述了这些疾病的基因诊断方法,特别关注基因诊断的新型分析方法。

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本文引用的文献

1
Delandistrogene Moxeparvovec Gene Therapy in Ambulatory Patients (Aged ≥4 to <8 Years) with Duchenne Muscular Dystrophy: 1-Year Interim Results from Study SRP-9001-103 (ENDEAVOR).在 4 岁至<8 岁的门诊患者中使用 Delandistrogene Moxeparvovec 基因疗法治疗杜氏肌营养不良症:研究 SRP-9001-103(ENDEAVOR)的 1 年中期结果。
Ann Neurol. 2023 Nov;94(5):955-968. doi: 10.1002/ana.26755. Epub 2023 Sep 7.
2
Intranuclear inclusions in muscle biopsy can differentiate oculopharyngodistal myopathy and oculopharyngeal muscular dystrophy.肌肉活检中的核内包涵体可区分眼咽型远端肌病和眼咽型肌营养不良症。
Acta Neuropathol Commun. 2022 Dec 7;10(1):176. doi: 10.1186/s40478-022-01482-w.
3
Simultaneous measurement of the size and methylation of chromosome 4qA-D4Z4 repeats in facioscapulohumeral muscular dystrophy by long-read sequencing.
利用长读测序技术同时测量面肩肱型肌营养不良症 4qA-D4Z4 重复序列的大小和甲基化。
J Transl Med. 2022 Nov 8;20(1):517. doi: 10.1186/s12967-022-03743-7.
4
RILPL1-related OPDM is absent in a Japanese cohort.在一个日本队列中不存在与RILPL1相关的OPDM。
Am J Hum Genet. 2022 Nov 3;109(11):2088-2089. doi: 10.1016/j.ajhg.2022.10.005.
5
RNA-seq analysis, targeted long-read sequencing and in silico prediction to unravel pathogenic intronic events and complicated splicing abnormalities in dystrophinopathy.RNA测序分析、靶向长读长测序和计算机模拟预测,以揭示肌营养不良症中的致病性内含子事件和复杂的剪接异常。
Hum Genet. 2023 Jan;142(1):59-71. doi: 10.1007/s00439-022-02485-2. Epub 2022 Sep 1.
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CGG repeats trigger translational frameshifts that generate aggregation-prone chimeric proteins.CGG 重复引发翻译移码突变,从而产生易于聚集的嵌合蛋白。
Nucleic Acids Res. 2022 Aug 26;50(15):8674-8689. doi: 10.1093/nar/gkac626.
7
The polyG diseases: a new disease entity.多聚甘氨酸病:一种新的疾病实体。
Acta Neuropathol Commun. 2022 May 31;10(1):79. doi: 10.1186/s40478-022-01383-y.
8
The CGG repeat expansion in RILPL1 is associated with oculopharyngodistal myopathy type 4.RILPL1 中的 CGG 重复扩展与眼咽远端肌病 4 型有关。
Am J Hum Genet. 2022 Mar 3;109(3):533-541. doi: 10.1016/j.ajhg.2022.01.012. Epub 2022 Feb 10.
9
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Sci Adv. 2021 Apr 30;7(18). doi: 10.1126/sciadv.abg4910. Print 2021 Apr.
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