Diagnostic uplift through the implementation of short tandem repeat analysis using exome sequencing.
Eur J Hum Genet
; 32(5): 584-587, 2024 May.
Article
de En
| MEDLINE
| ID: mdl-38308084
ABSTRACT
To date, approximately 50 short tandem repeat (STR) disorders have been identified; yet, clinical laboratories rarely conduct STR analysis on exomes. To assess its diagnostic value, we analyzed STRs in 6099 exomes from 2510 families with mostly suspected neurogenetic disorders. We employed ExpansionHunter and REViewer to detect pathogenic repeat expansions, confirming them using orthogonal methods. Genotype-phenotype correlations led to the diagnosis of thirteen individuals in seven previously undiagnosed families, identifying three autosomal dominant disorders dentatorubral-pallidoluysian atrophy (n = 3), spinocerebellar ataxia type 7 (n = 2), and myotonic dystrophy type 1 (n = 2), resulting in a diagnostic gain of 0.28% (7/2510). Additionally, we found expanded ATXN1 alleles (≥39 repeats) with varying patterns of CAT interruptions in twelve individuals, accounting for approximately 0.19% in the Korean population. Our study underscores the importance of integrating STR analysis into exome sequencing pipeline, broadening the application of exome sequencing for STR assessments.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Répétitions microsatellites
/
Type d'étude:
Diagnostic_studies
Limites:
Adult
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Female
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Humans
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Male
Langue:
En
Journal:
Eur J Hum Genet
Sujet du journal:
GENETICA MEDICA
Année:
2024
Type de document:
Article