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Application of whole exome sequencing in undiagnosed inherited polyneuropathies

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单位: [1]Mayo Clin, Dept Neurol, Rochester, MN 55905 USA [2]Mayo Clin, Rochester, MN 55905 USA [3]Mayo Clin, Div Biomed Stat & Informat, Rochester, MN 55905 USA [4]China Japan Friendship Hosp, Dept Neurol, Beijing, Peoples R China [5]Mayo Clin, Dept Lab Med & Pathol, Rochester, MN 55905 USA
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Background Inherited polyneuropathies often go undiagnosed. We investigated whole exome sequencing (WES) in utility to identify the genetic causes of diverse forms of inherited polyneuropathies without genetic diagnosis. Methods WES was applied to 24 cases from 15 kindreds. These kindreds had earlier unsuccessful candidate gene testing and five probands were initially thought to have acquired neuropathy. We assessed the efficacy of WES in screening 74 known neuropathy genes and 5195 reported pathogenic mutations for hereditary motor and sensory neuropathy, distal hereditary motor neuropathy, hereditary sensory and autonomic neuropathy, complicated hereditary spastic paraplegia, and select hereditary metabolic neuropathies. Results Pathogenic mutations were identified in five kindreds: (1) ATL1-p. Val253Ile; (2) LITAF-p. Gly112Ser; (3) MFN2-p. Arg94Gln; (4) GARS-p. Ile334Phe; and (5) BSCL2-p.Ser 90Leu. Complexities in establishing inheritance, difficulties in selecting candidate genes and high cost of gene testing all hindered earlier gene discoveries. WES expanded the phenotypic spectrum of the identified known mutations. Possible causal mutations in known genes (SPTLC1, DCTN1, REEP1) were identified in three kindreds. In the remaining seven kindreds, multiple rare or novel variants were identified in novel genes not previously linked with neuropathy. Our results demonstrate an average sequencing depth of 140x, >98% coverage and >10x sequencing depth for 93% (range 89%-96%) of the diverse neuropathy genes and their known mutations. Conclusions Diverse inherited neuropathy patients without genetic discovery by candidate gene testing have a favourable probability of receiving a genetic diagnosis by WES. Frequently, atypical phenotypes account for earlier failed candidate approaches, and WES is demonstrated to expand the clinical spectrum of known pathogenic mutations.

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出版当年[2013]版:
大类 | 2 区 医学
小类 | 1 区 外科 2 区 临床神经病学 2 区 精神病学
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 临床神经病学 1 区 精神病学 1 区 外科
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出版当年[2012]版:
Q1 PSYCHIATRY Q1 CLINICAL NEUROLOGY Q1 SURGERY
最新[2023]版:
Q1 CLINICAL NEUROLOGY Q1 PSYCHIATRY Q1 SURGERY

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第一作者单位: [1]Mayo Clin, Dept Neurol, Rochester, MN 55905 USA [2]Mayo Clin, Rochester, MN 55905 USA [*1]Mayo Clin, Dept Neurol, 200 First St SW, Rochester, MN 55905 USA
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通讯机构: [1]Mayo Clin, Dept Neurol, Rochester, MN 55905 USA [2]Mayo Clin, Rochester, MN 55905 USA [*1]Mayo Clin, Dept Neurol, 200 First St SW, Rochester, MN 55905 USA
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