Genome sequencing with comprehensive variant calling identifies structural variants and repeat expansions in a large fraction of individuals with ataxia and/or neuromuscular disorders

被引:3
作者
Ek, Marlene [1 ,2 ]
Nilsson, Daniel [1 ,2 ,3 ]
Engvall, Martin [1 ,4 ]
Malmgren, Helena [1 ,2 ]
Thonberg, Hakan [1 ,2 ]
Pettersson, Maria [1 ,2 ]
Anderlid, Britt-Marie [1 ,2 ]
Hammarsjo, Anna [1 ,2 ]
Helgadottir, Hafdis T. [1 ,2 ]
Arnardottir, Snjolaug [5 ]
Naess, Karin [4 ,6 ]
Nennesmo, Inger [7 ]
Paucar, Martin [1 ,2 ]
Hjartarson, Helgi Thor [8 ]
Press, Rayomand [9 ]
Solders, Goran [5 ,9 ]
Sejersen, Thomas [8 ,10 ]
Lindstrand, Anna [1 ,2 ]
Kvarnung, Malin [1 ,2 ]
机构
[1] Karolinska Inst, Dept Mol Med & Surg, Stockholm, Sweden
[2] Karolinska Univ Hosp, Dept Clin Genet, Stockholm, Sweden
[3] Karolinska Inst, Dept Mol Med & Surg, Sci Life Lab, Sci Pk, Solna, Sweden
[4] Karolinska Univ Hosp, Ctr Inherited Metab Dis, Stockholm, Sweden
[5] Karolinska Univ Hosp, Dept Neurol, Stockholm, Sweden
[6] Karolinska Inst, Dept Med Biochem & Biophys, Stockholm, Sweden
[7] Karolinska Univ Hosp, Dept Oncol Pathol, Stockholm, Sweden
[8] Karolinska Univ Hosp, Astrid Lindgren Childrens Hosp, Dept Neuropediat, Stockholm, Sweden
[9] Karolinska Univ Hosp, Dept Clin Neurophysiol, Stockholm, Sweden
[10] Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden
来源
FRONTIERS IN NEUROLOGY | 2023年 / 14卷
关键词
neuromuscular disorders; genome sequencing; single nucleotide variant; structural variant; repeat expansion; ataxia;
D O I
10.3389/fneur.2023.1170005
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
IntroductionNeuromuscular disorders (NMDs) have a heterogeneous etiology. A genetic diagnosis is key to personalized healthcare and access to targeted treatment for the affected individuals. MethodsIn this study, 861 patients with NMDs were analyzed with genome sequencing and comprehensive variant calling including single nucleotide variants, small insertions/deletions (SNVs/INDELs), and structural variants (SVs) in a panel of 895 NMD genes, as well as short tandem repeat expansions (STRs) at 28 loci. In addition, for unsolved cases with an unspecific clinical presentation, the analysis of a panel with OMIM disease genes was added. ResultsIn the cohort, 27% (232/861) of the patients harbored pathogenic variants, of which STRs and SVs accounted for one-third of the patients (71/232). The variants were found in 107 different NMD genes. Furthermore, 18 pediatric patients harbored pathogenic variants in non-NMD genes. DiscussionOur results highlight that for children with unspecific hypotonia, a genome-wide analysis rather than a disease-based gene panel should be considered as a diagnostic approach. More importantly, our results clearly show that it is crucial to include STR- and SV-analyses in the diagnostics of patients with neuromuscular disorders.
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