Uncovering the true features of dystrophin gene rearrangement and improving the molecular diagnosis of Duchenne and Becker muscular dystrophies

Summary: Duchenne and Becker muscular dystrophies (DMD/BMD) are caused by complex mutations in the dystrophin gene (DMD). Currently, there is no integrative method for the precise detection of all potential DMD variants, a gap which we aimed to address using long-read sequencing. The captured long-r...

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Main Authors: Chao Ling, Yi Dai, Chang Geng, Shirang Pan, Weipeng Quan, Qingyun Ding, Xunzhe Yang, Dongchao Shen, Qing Tao, Jingjing Li, Jia Li, Yinbing Wang, Shan Jiang, Yang Wang, Lin Chen, Liying Cui, Depeng Wang
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:iScience
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2589004223024422
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author Chao Ling
Yi Dai
Chang Geng
Shirang Pan
Weipeng Quan
Qingyun Ding
Xunzhe Yang
Dongchao Shen
Qing Tao
Jingjing Li
Jia Li
Yinbing Wang
Shan Jiang
Yang Wang
Lin Chen
Liying Cui
Depeng Wang
author_facet Chao Ling
Yi Dai
Chang Geng
Shirang Pan
Weipeng Quan
Qingyun Ding
Xunzhe Yang
Dongchao Shen
Qing Tao
Jingjing Li
Jia Li
Yinbing Wang
Shan Jiang
Yang Wang
Lin Chen
Liying Cui
Depeng Wang
author_sort Chao Ling
collection DOAJ
description Summary: Duchenne and Becker muscular dystrophies (DMD/BMD) are caused by complex mutations in the dystrophin gene (DMD). Currently, there is no integrative method for the precise detection of all potential DMD variants, a gap which we aimed to address using long-read sequencing. The captured long-read sequencing panel developed in this study was applied to 129 subjects, including 11 who had previously unsolved cases. The results showed that this method accurately detected DMD mutations, ranging from single-nucleotide variations to structural variations. Furthermore, our findings revealed that continuous exon duplication/deletion in the DMD/BMD cohort may be attributed to complex segmental rearrangements and that noncontiguous duplication/deletion is generally attributed to intragenic inversion or interchromosome translocation. Mutations in the deep introns were confirmed to produce a pseudoexon. Moreover, variations in female carriers were precisely identified. The integrated and precise DMD gene screening method proposed in this study could improve the molecular diagnosis of DMD/BMD.
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spelling doaj.art-c381457b3f64488ba8097ca3335ff2862023-12-17T06:40:30ZengElsevieriScience2589-00422023-12-012612108365Uncovering the true features of dystrophin gene rearrangement and improving the molecular diagnosis of Duchenne and Becker muscular dystrophiesChao Ling0Yi Dai1Chang Geng2Shirang Pan3Weipeng Quan4Qingyun Ding5Xunzhe Yang6Dongchao Shen7Qing Tao8Jingjing Li9Jia Li10Yinbing Wang11Shan Jiang12Yang Wang13Lin Chen14Liying Cui15Depeng Wang16The Laboratory of Clinical Genetics, Medical Research Center, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100730, China; State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100730, ChinaDepartment of Neurology, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100730, China; Corresponding authorDepartment of Neurology, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100730, ChinaGrandomics Biosciences, Beijing 102200, ChinaGrandomics Biosciences, Beijing 102200, ChinaDepartment of Neurology, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100730, ChinaDepartment of Neurology, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100730, ChinaDepartment of Neurology, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100730, ChinaGrandomics Biosciences, Beijing 102200, ChinaGrandomics Biosciences, Beijing 102200, ChinaDepartment of Neurology, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100730, ChinaDepartment of Neurology, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100730, ChinaDepartment of Neurology, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100730, ChinaGrandomics Biosciences, Beijing 102200, ChinaDepartment of Neurology, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100730, ChinaDepartment of Neurology, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100730, ChinaGrandomics Biosciences, Beijing 102200, ChinaSummary: Duchenne and Becker muscular dystrophies (DMD/BMD) are caused by complex mutations in the dystrophin gene (DMD). Currently, there is no integrative method for the precise detection of all potential DMD variants, a gap which we aimed to address using long-read sequencing. The captured long-read sequencing panel developed in this study was applied to 129 subjects, including 11 who had previously unsolved cases. The results showed that this method accurately detected DMD mutations, ranging from single-nucleotide variations to structural variations. Furthermore, our findings revealed that continuous exon duplication/deletion in the DMD/BMD cohort may be attributed to complex segmental rearrangements and that noncontiguous duplication/deletion is generally attributed to intragenic inversion or interchromosome translocation. Mutations in the deep introns were confirmed to produce a pseudoexon. Moreover, variations in female carriers were precisely identified. The integrated and precise DMD gene screening method proposed in this study could improve the molecular diagnosis of DMD/BMD.http://www.sciencedirect.com/science/article/pii/S2589004223024422Health sciencesClinical geneticsPediatrics
spellingShingle Chao Ling
Yi Dai
Chang Geng
Shirang Pan
Weipeng Quan
Qingyun Ding
Xunzhe Yang
Dongchao Shen
Qing Tao
Jingjing Li
Jia Li
Yinbing Wang
Shan Jiang
Yang Wang
Lin Chen
Liying Cui
Depeng Wang
Uncovering the true features of dystrophin gene rearrangement and improving the molecular diagnosis of Duchenne and Becker muscular dystrophies
iScience
Health sciences
Clinical genetics
Pediatrics
title Uncovering the true features of dystrophin gene rearrangement and improving the molecular diagnosis of Duchenne and Becker muscular dystrophies
title_full Uncovering the true features of dystrophin gene rearrangement and improving the molecular diagnosis of Duchenne and Becker muscular dystrophies
title_fullStr Uncovering the true features of dystrophin gene rearrangement and improving the molecular diagnosis of Duchenne and Becker muscular dystrophies
title_full_unstemmed Uncovering the true features of dystrophin gene rearrangement and improving the molecular diagnosis of Duchenne and Becker muscular dystrophies
title_short Uncovering the true features of dystrophin gene rearrangement and improving the molecular diagnosis of Duchenne and Becker muscular dystrophies
title_sort uncovering the true features of dystrophin gene rearrangement and improving the molecular diagnosis of duchenne and becker muscular dystrophies
topic Health sciences
Clinical genetics
Pediatrics
url http://www.sciencedirect.com/science/article/pii/S2589004223024422
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