Improving diagnosis of inherited peripheral neuropathies through gene panel analysis
Language English Country England, Great Britain Media electronic
Document type Journal Article
PubMed
27549087
PubMed Central
PMC4994270
DOI
10.1186/s13023-016-0500-5
PII: 10.1186/s13023-016-0500-5
Knihovny.cz E-resources
- Keywords
- Charcot-Marie-Tooth, Inherited peripheral neuropathies, Mutation, Phenotype, Targeted gene panel testing,
- MeSH
- Charcot-Marie-Tooth Disease diagnosis genetics MeSH
- Cytoplasmic Dyneins genetics MeSH
- DNA Helicases MeSH
- Genetic Testing methods MeSH
- Genotype MeSH
- Hereditary Sensory and Motor Neuropathy genetics MeSH
- Intracellular Signaling Peptides and Proteins genetics MeSH
- Connexins genetics MeSH
- Humans MeSH
- Multifunctional Enzymes MeSH
- Mutation MeSH
- Peripheral Nervous System Diseases diagnosis genetics MeSH
- Gap Junction beta-1 Protein MeSH
- Cell Cycle Proteins genetics MeSH
- RNA Helicases genetics MeSH
- Age of Onset MeSH
- High-Throughput Nucleotide Sequencing methods MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Names of Substances
- Cytoplasmic Dyneins MeSH
- DNA Helicases MeSH
- DYNC1H1 protein, human MeSH Browser
- Intracellular Signaling Peptides and Proteins MeSH
- Connexins MeSH
- Multifunctional Enzymes MeSH
- N-myc downstream-regulated gene 1 protein MeSH Browser
- Cell Cycle Proteins MeSH
- RNA Helicases MeSH
- SETX protein, human MeSH Browser
BACKGROUND: Inherited peripheral neuropathies (IPN) are the most common inherited neurological condition. It represents a highly heterogeneous group, both clinically and genetically. Targeted disease specific gene panel massively parallel sequencing (MPS) seems to be a useful tool in diagnosis of disorders with high genetic heterogeneity. METHODS: In our study, we have designed, validated and updated our own custom gene panel of all known genes associated with IPN. One hundred and ninety-eight patients have been tested so far. Only patients in whom mutations in more common causes or relevant genes have already been excluded were enrolled. Five consecutive panel designs were prepared according to recent literature search, the last one covering ninety-three genes. Each patient was tested only once. All data were evaluated with at least two different pipelines. RESULTS: In summary, causative mutation has been found in fifty-one patients (26 %). The results were inconclusive in thirty-one (16 %) patients. No variants of likely significance to IPN were found in one hundred and sixteen (58 %) patients. CONCLUSION: MPS gene panel enables testing of all known IPN causes at once with high coverage and at an affordable cost making it truly a method of choice also in IPN. Gene panel testing results in several interesting results and findings.
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