High-resolution repeat structure analysis in myotonic dystrophy type 2 diagnostics using short-read whole genome sequencing

被引:0
作者
Lojova, Ingrid [1 ,2 ,3 ]
Kucharik, Marcel [1 ,2 ,4 ]
Zatkova, Andrea [1 ]
Balaz, Andrej [1 ,4 ]
Pös, Zuzana [1 ,4 ]
Tarova, Eva Tothova [1 ]
Kadasi, Ludevit [1 ,3 ]
Budis, Jaroslav [2 ,4 ,5 ]
Szemes, Tomas [2 ,3 ,4 ]
Radvanszky, Jan [1 ,2 ,3 ,6 ]
机构
[1] Institute of Clinical and Translational Research, Biomedical Research Center of the Slovak Academy of Sciences, Dúbravská Cesta 9, Karlova Ves, Bratislava
[2] Comenius University Science Park, Ilkovičova 8, Karlova Ves, Bratislava, 841
[3] Department of Molecular Biology, Faculty of Natural Sciences, Comenius University, Ilkovičova 6, Karlova Ves, Bratislava
[4] Geneton Ltd., Ilkovičova 8, Bratislava
[5] Genovisio Ltd., Ilkovičova 8, Karlova Ves, Bratislava
[6] G2 Consulting Slovakia Ltd., Slnečnicová 559/5, Hviezdoslavov
基金
欧盟地平线“2020”;
关键词
Massively parallel sequencing; Myotonic dystrophy type 2; Repeat expansion disorders; Tandem repeats; Whole genome sequencing;
D O I
10.1016/j.ab.2025.115793
中图分类号
学科分类号
摘要
Background/Objectives: Diagnostic possibilities for myotonic dystrophy type 2 (DM2) are constantly evolving in order to achieve more accurate and faster diagnosis. Whole genome sequencing (WGS), together with specialized tandem repeat (TR) genotyping bioinformatic tools, represent a breakthrough technology in molecular diagnostics. We decided to characterize new opportunities and challenges in WGS-based DM2 molecular diagnostics. Methods: WGS data were obtained from 50 individuals, including five DM2 patients, and one individual carrying a premutation range allele. TR characterization was performed using a modified version of the Dante tool, with results validated by conventional PCR and repeat-primed PCR. Results: We used WGS to identify all of the expansion-range DM2 alleles, together with the premutation-range allele. Compared to conventional methods, WGS was more efficient for a detailed sequence structure characterization of the normal-range alleles, and phasing of the entire CNBP-complex motif. A 97 % genotyping concordance rate was achieved between the conventional methods and the WGS-derived results, with discrepancies mainly based on single-repeat differences in the genotypes. The stutter effect introduced some uncertainty in both methods. Conclusion: Short-read WGS offers significant potential for DM2 diagnostics by enabling precise repeat motif characterization and may also apply to other tandem repeat disorders (TRDs). © 2025 The Authors
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