The Precise Diagnosis of Wolfram Syndrome Type 1 Based on Next-Generation Sequencing

Purpose: To explore a method for the early, rapid and accurate diagnosis of Wolfram syndrome 1 (WS1) and further enrich the spectrum of WFS1 mutations in the Chinese population.Methods: We analyzed 279 patients with unexplained optic atrophy using next-generation sequencing. All patients underwent d...

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Main Authors: Dan-Dan Wang, Fang-Yuan Hu, Feng-Juan Gao, Sheng-Hai Zhang, Ping Xu, Guo-Hong Tian, Ji-Hong Wu
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-11-01
Series:Frontiers in Genetics
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fgene.2019.01217/full
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author Dan-Dan Wang
Dan-Dan Wang
Dan-Dan Wang
Fang-Yuan Hu
Fang-Yuan Hu
Fang-Yuan Hu
Feng-Juan Gao
Feng-Juan Gao
Feng-Juan Gao
Sheng-Hai Zhang
Sheng-Hai Zhang
Sheng-Hai Zhang
Ping Xu
Ping Xu
Ping Xu
Guo-Hong Tian
Guo-Hong Tian
Guo-Hong Tian
Ji-Hong Wu
Ji-Hong Wu
Ji-Hong Wu
author_facet Dan-Dan Wang
Dan-Dan Wang
Dan-Dan Wang
Fang-Yuan Hu
Fang-Yuan Hu
Fang-Yuan Hu
Feng-Juan Gao
Feng-Juan Gao
Feng-Juan Gao
Sheng-Hai Zhang
Sheng-Hai Zhang
Sheng-Hai Zhang
Ping Xu
Ping Xu
Ping Xu
Guo-Hong Tian
Guo-Hong Tian
Guo-Hong Tian
Ji-Hong Wu
Ji-Hong Wu
Ji-Hong Wu
author_sort Dan-Dan Wang
collection DOAJ
description Purpose: To explore a method for the early, rapid and accurate diagnosis of Wolfram syndrome 1 (WS1) and further enrich the spectrum of WFS1 mutations in the Chinese population.Methods: We analyzed 279 patients with unexplained optic atrophy using next-generation sequencing. All patients underwent detailed clinical evaluations. Furthermore, Sanger sequencing and cosegregation analyses were performed within families.Results: Five patients with WS1 were identified in four unrelated families, and their clinical features were reviewed in detail. Seven variants of WFS1 were detected, including three reported variants (p.G674R, p.Tyr508Cysfs*34, and p.G702D) and four novel variants (p.W540G, p.K634*, p.F770C, and p.Q584P). Furthermore, the variant p.G674R was recurrent.Conclusion: Considering that WS1 is a rare progressive neurodegenerative disease, early diagnosis is beneficial to the systematic evaluation, monitoring and management of complications to improve patient quality of life and delay the progression of the disease. In the future, precise diagnosis on the basis of clinical manifestation and genetic testing will become the gold standard for the diagnosis of hereditary eye diseases and syndromes. Finally, our results further increase the spectrum of WFS1 mutations by adding four novel variants to the limited data available in the Chinese population.
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spelling doaj.art-cabb32470ca2431893493bc5155cb9d92022-12-21T19:52:49ZengFrontiers Media S.A.Frontiers in Genetics1664-80212019-11-011010.3389/fgene.2019.01217451548The Precise Diagnosis of Wolfram Syndrome Type 1 Based on Next-Generation SequencingDan-Dan Wang0Dan-Dan Wang1Dan-Dan Wang2Fang-Yuan Hu3Fang-Yuan Hu4Fang-Yuan Hu5Feng-Juan Gao6Feng-Juan Gao7Feng-Juan Gao8Sheng-Hai Zhang9Sheng-Hai Zhang10Sheng-Hai Zhang11Ping Xu12Ping Xu13Ping Xu14Guo-Hong Tian15Guo-Hong Tian16Guo-Hong Tian17Ji-Hong Wu18Ji-Hong Wu19Ji-Hong Wu20Eye Institute, Eye and ENT Hospital, College of Medicine, Fudan University, Shanghai, ChinaShanghai Key Laboratory of Visual Impairment and Restoration, Science and Technology Commission of Shanghai Municipality, Shanghai, ChinaKey Laboratory of Myopia, Ministry of Health, Shanghai, ChinaEye Institute, Eye and ENT Hospital, College of Medicine, Fudan University, Shanghai, ChinaShanghai Key Laboratory of Visual Impairment and Restoration, Science and Technology Commission of Shanghai Municipality, Shanghai, ChinaKey Laboratory of Myopia, Ministry of Health, Shanghai, ChinaEye Institute, Eye and ENT Hospital, College of Medicine, Fudan University, Shanghai, ChinaShanghai Key Laboratory of Visual Impairment and Restoration, Science and Technology Commission of Shanghai Municipality, Shanghai, ChinaKey Laboratory of Myopia, Ministry of Health, Shanghai, ChinaEye Institute, Eye and ENT Hospital, College of Medicine, Fudan University, Shanghai, ChinaShanghai Key Laboratory of Visual Impairment and Restoration, Science and Technology Commission of Shanghai Municipality, Shanghai, ChinaKey Laboratory of Myopia, Ministry of Health, Shanghai, ChinaEye Institute, Eye and ENT Hospital, College of Medicine, Fudan University, Shanghai, ChinaShanghai Key Laboratory of Visual Impairment and Restoration, Science and Technology Commission of Shanghai Municipality, Shanghai, ChinaKey Laboratory of Myopia, Ministry of Health, Shanghai, ChinaEye Institute, Eye and ENT Hospital, College of Medicine, Fudan University, Shanghai, ChinaShanghai Key Laboratory of Visual Impairment and Restoration, Science and Technology Commission of Shanghai Municipality, Shanghai, ChinaKey Laboratory of Myopia, Ministry of Health, Shanghai, ChinaEye Institute, Eye and ENT Hospital, College of Medicine, Fudan University, Shanghai, ChinaShanghai Key Laboratory of Visual Impairment and Restoration, Science and Technology Commission of Shanghai Municipality, Shanghai, ChinaKey Laboratory of Myopia, Ministry of Health, Shanghai, ChinaPurpose: To explore a method for the early, rapid and accurate diagnosis of Wolfram syndrome 1 (WS1) and further enrich the spectrum of WFS1 mutations in the Chinese population.Methods: We analyzed 279 patients with unexplained optic atrophy using next-generation sequencing. All patients underwent detailed clinical evaluations. Furthermore, Sanger sequencing and cosegregation analyses were performed within families.Results: Five patients with WS1 were identified in four unrelated families, and their clinical features were reviewed in detail. Seven variants of WFS1 were detected, including three reported variants (p.G674R, p.Tyr508Cysfs*34, and p.G702D) and four novel variants (p.W540G, p.K634*, p.F770C, and p.Q584P). Furthermore, the variant p.G674R was recurrent.Conclusion: Considering that WS1 is a rare progressive neurodegenerative disease, early diagnosis is beneficial to the systematic evaluation, monitoring and management of complications to improve patient quality of life and delay the progression of the disease. In the future, precise diagnosis on the basis of clinical manifestation and genetic testing will become the gold standard for the diagnosis of hereditary eye diseases and syndromes. Finally, our results further increase the spectrum of WFS1 mutations by adding four novel variants to the limited data available in the Chinese population.https://www.frontiersin.org/article/10.3389/fgene.2019.01217/fullwolfram syndromeWFS1optic atrophydiabetes mellitusnext-generation sequencingprecise diagnosis
spellingShingle Dan-Dan Wang
Dan-Dan Wang
Dan-Dan Wang
Fang-Yuan Hu
Fang-Yuan Hu
Fang-Yuan Hu
Feng-Juan Gao
Feng-Juan Gao
Feng-Juan Gao
Sheng-Hai Zhang
Sheng-Hai Zhang
Sheng-Hai Zhang
Ping Xu
Ping Xu
Ping Xu
Guo-Hong Tian
Guo-Hong Tian
Guo-Hong Tian
Ji-Hong Wu
Ji-Hong Wu
Ji-Hong Wu
The Precise Diagnosis of Wolfram Syndrome Type 1 Based on Next-Generation Sequencing
Frontiers in Genetics
wolfram syndrome
WFS1
optic atrophy
diabetes mellitus
next-generation sequencing
precise diagnosis
title The Precise Diagnosis of Wolfram Syndrome Type 1 Based on Next-Generation Sequencing
title_full The Precise Diagnosis of Wolfram Syndrome Type 1 Based on Next-Generation Sequencing
title_fullStr The Precise Diagnosis of Wolfram Syndrome Type 1 Based on Next-Generation Sequencing
title_full_unstemmed The Precise Diagnosis of Wolfram Syndrome Type 1 Based on Next-Generation Sequencing
title_short The Precise Diagnosis of Wolfram Syndrome Type 1 Based on Next-Generation Sequencing
title_sort precise diagnosis of wolfram syndrome type 1 based on next generation sequencing
topic wolfram syndrome
WFS1
optic atrophy
diabetes mellitus
next-generation sequencing
precise diagnosis
url https://www.frontiersin.org/article/10.3389/fgene.2019.01217/full
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