Detection of Mosaic Variants in Mothers of MPS II Patients by Next Generation Sequencing

Mucopolysaccharidosis type II is an X-linked lysosomal storage disorder caused by mutations in the IDS gene that encodes the iduronate-2-sulfatase enzyme. The IDS gene is located on the long arm of the X-chromosome, comprising 9 exons, spanning approximately 24 kb. The analysis of carriers, in addit...

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Main Authors: Alice Brinckmann Oliveira Netto, Ana Carolina Brusius-Facchin, Sandra Leistner-Segal, Francyne Kubaski, Juliana Josahkian, Roberto Giugliani
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-11-01
Series:Frontiers in Molecular Biosciences
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmolb.2021.789350/full
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author Alice Brinckmann Oliveira Netto
Alice Brinckmann Oliveira Netto
Ana Carolina Brusius-Facchin
Ana Carolina Brusius-Facchin
Ana Carolina Brusius-Facchin
Sandra Leistner-Segal
Francyne Kubaski
Francyne Kubaski
Francyne Kubaski
Francyne Kubaski
Juliana Josahkian
Juliana Josahkian
Roberto Giugliani
Roberto Giugliani
Roberto Giugliani
Roberto Giugliani
author_facet Alice Brinckmann Oliveira Netto
Alice Brinckmann Oliveira Netto
Ana Carolina Brusius-Facchin
Ana Carolina Brusius-Facchin
Ana Carolina Brusius-Facchin
Sandra Leistner-Segal
Francyne Kubaski
Francyne Kubaski
Francyne Kubaski
Francyne Kubaski
Juliana Josahkian
Juliana Josahkian
Roberto Giugliani
Roberto Giugliani
Roberto Giugliani
Roberto Giugliani
author_sort Alice Brinckmann Oliveira Netto
collection DOAJ
description Mucopolysaccharidosis type II is an X-linked lysosomal storage disorder caused by mutations in the IDS gene that encodes the iduronate-2-sulfatase enzyme. The IDS gene is located on the long arm of the X-chromosome, comprising 9 exons, spanning approximately 24 kb. The analysis of carriers, in addition to detecting mutations in patients, is essential for genetic counseling, since the risk of recurrence for male children is 50%. Mosaicism is a well-known phenomenon described in many genetic disorders caused by a variety of mechanisms that occur when a mutation arises in the early development of an embryo. Sanger sequencing is limited in detecting somatic mosaicism and sequence change levels of less than 20% may be missed. The Next Generation Sequencing (NGS) has been increasingly used in diagnosis. It is a sensitive and fast method for the detection of somatic mosaicism. Compared to Sanger sequencing, which represents a cumulative signal, NGS technology analyzes the sequence of each DNA read in a sample. NGS might therefore facilitate the detection of mosaicism in mothers of MPS II patients. The aim of this study was to reanalyze, by NGS, all MPS II mothers that showed to be non-carriers by Sanger analysis. Twelve non-carriers were selected for the reanalysis on the Ion PGM and Ion Torrent S5 platform, using a custom panel that includes the IDS gene. Results were visualized in the Integrative Genomics Viewer (IGV). We were able to detected the presence of the variant previously found in the index case in three of the mothers, with frequencies ranging between 13 and 49% of the reads. These results suggest the possibility of mosaicism in the mothers. The use of a more sensitive technology for detecting low-level mosaic mutations is essential for accurate recurrence-risk estimates. In our study, the NGS analysis showed to be an effective methodology to detect the mosaic event.
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spelling doaj.art-3b22f180790947778d87aeca9c971d992022-12-21T20:36:09ZengFrontiers Media S.A.Frontiers in Molecular Biosciences2296-889X2021-11-01810.3389/fmolb.2021.789350789350Detection of Mosaic Variants in Mothers of MPS II Patients by Next Generation SequencingAlice Brinckmann Oliveira Netto0Alice Brinckmann Oliveira Netto1Ana Carolina Brusius-Facchin2Ana Carolina Brusius-Facchin3Ana Carolina Brusius-Facchin4Sandra Leistner-Segal5Francyne Kubaski6Francyne Kubaski7Francyne Kubaski8Francyne Kubaski9Juliana Josahkian10Juliana Josahkian11Roberto Giugliani12Roberto Giugliani13Roberto Giugliani14Roberto Giugliani15Laboratory of Molecular Genetics, Medical Genetics Service, HCPA, Porto Alegre, BrazilPostgraduate Program in Genetics and Molecular Biology, UFRGS, Porto Alegre, BrazilLaboratory of Molecular Genetics, Medical Genetics Service, HCPA, Porto Alegre, BrazilNational Institute on Population Medical Genetics, INAGEMP, Porto Alegre, BrazilBioDiscovery Laboratory, Experimental Research Center, HCPA, Porto Alegre, BrazilLaboratory of Molecular Genetics, Medical Genetics Service, HCPA, Porto Alegre, BrazilLaboratory of Molecular Genetics, Medical Genetics Service, HCPA, Porto Alegre, BrazilPostgraduate Program in Genetics and Molecular Biology, UFRGS, Porto Alegre, BrazilNational Institute on Population Medical Genetics, INAGEMP, Porto Alegre, BrazilBioDiscovery Laboratory, Experimental Research Center, HCPA, Porto Alegre, BrazilPostgraduate Program in Genetics and Molecular Biology, UFRGS, Porto Alegre, BrazilDepartment of Clinical Medicine, Hospital Universitario de Santa Maria (HUSM), Santa Maria, BrazilLaboratory of Molecular Genetics, Medical Genetics Service, HCPA, Porto Alegre, BrazilNational Institute on Population Medical Genetics, INAGEMP, Porto Alegre, BrazilBioDiscovery Laboratory, Experimental Research Center, HCPA, Porto Alegre, BrazilDepartment of Genetics, UFRGS, Porto Alegre, BrazilMucopolysaccharidosis type II is an X-linked lysosomal storage disorder caused by mutations in the IDS gene that encodes the iduronate-2-sulfatase enzyme. The IDS gene is located on the long arm of the X-chromosome, comprising 9 exons, spanning approximately 24 kb. The analysis of carriers, in addition to detecting mutations in patients, is essential for genetic counseling, since the risk of recurrence for male children is 50%. Mosaicism is a well-known phenomenon described in many genetic disorders caused by a variety of mechanisms that occur when a mutation arises in the early development of an embryo. Sanger sequencing is limited in detecting somatic mosaicism and sequence change levels of less than 20% may be missed. The Next Generation Sequencing (NGS) has been increasingly used in diagnosis. It is a sensitive and fast method for the detection of somatic mosaicism. Compared to Sanger sequencing, which represents a cumulative signal, NGS technology analyzes the sequence of each DNA read in a sample. NGS might therefore facilitate the detection of mosaicism in mothers of MPS II patients. The aim of this study was to reanalyze, by NGS, all MPS II mothers that showed to be non-carriers by Sanger analysis. Twelve non-carriers were selected for the reanalysis on the Ion PGM and Ion Torrent S5 platform, using a custom panel that includes the IDS gene. Results were visualized in the Integrative Genomics Viewer (IGV). We were able to detected the presence of the variant previously found in the index case in three of the mothers, with frequencies ranging between 13 and 49% of the reads. These results suggest the possibility of mosaicism in the mothers. The use of a more sensitive technology for detecting low-level mosaic mutations is essential for accurate recurrence-risk estimates. In our study, the NGS analysis showed to be an effective methodology to detect the mosaic event.https://www.frontiersin.org/articles/10.3389/fmolb.2021.789350/fullmosaicismmucopolysaccharidosis type IIhunter syndromenext-generation sequencingIDS genex-linked disease
spellingShingle Alice Brinckmann Oliveira Netto
Alice Brinckmann Oliveira Netto
Ana Carolina Brusius-Facchin
Ana Carolina Brusius-Facchin
Ana Carolina Brusius-Facchin
Sandra Leistner-Segal
Francyne Kubaski
Francyne Kubaski
Francyne Kubaski
Francyne Kubaski
Juliana Josahkian
Juliana Josahkian
Roberto Giugliani
Roberto Giugliani
Roberto Giugliani
Roberto Giugliani
Detection of Mosaic Variants in Mothers of MPS II Patients by Next Generation Sequencing
Frontiers in Molecular Biosciences
mosaicism
mucopolysaccharidosis type II
hunter syndrome
next-generation sequencing
IDS gene
x-linked disease
title Detection of Mosaic Variants in Mothers of MPS II Patients by Next Generation Sequencing
title_full Detection of Mosaic Variants in Mothers of MPS II Patients by Next Generation Sequencing
title_fullStr Detection of Mosaic Variants in Mothers of MPS II Patients by Next Generation Sequencing
title_full_unstemmed Detection of Mosaic Variants in Mothers of MPS II Patients by Next Generation Sequencing
title_short Detection of Mosaic Variants in Mothers of MPS II Patients by Next Generation Sequencing
title_sort detection of mosaic variants in mothers of mps ii patients by next generation sequencing
topic mosaicism
mucopolysaccharidosis type II
hunter syndrome
next-generation sequencing
IDS gene
x-linked disease
url https://www.frontiersin.org/articles/10.3389/fmolb.2021.789350/full
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