专家小组对 31 个与肢腰肌营养不良症有关的基因进行了整理。

IF 4.4 2区 医学 Q1 CLINICAL NEUROLOGY
Shruthi Mohan, Shannon McNulty, Courtney Thaxton, Marwa Elnagheeb, Emma Owens, May Flowers, Teagan Nunnery, Autumn Self, Brooke Palus, Svetlana Gorokhova, April Kennedy, Zhiyv Niu, Mridul Johari, Alassane Baneye Maiga, Kelly Macalalad, Amanda R. Clause, Jacques S. Beckmann, Lucas Bronicki, Sandra T. Cooper, Vijay S. Ganesh, Peter B. Kang, Akanchha Kesari, Monkol Lek, Jennifer Levy, Laura Rufibach, Marco Savarese, Melissa J. Spencer, Volker Straub, Giorgio Tasca, Conrad C. Weihl
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引用次数: 0

摘要

目的:肢腰肌营养不良症(LGMD)是一组遗传异质性常染色体疾病,但具有一定程度的表型同质性。LGMD的定义是:发病年龄大于2岁,伴有进行性近端无力、血清肌酸激酶水平升高和肌肉活检发现肌营养不良特征。大规模平行测序技术的进步导致与 LGMD 相关的基因激增:方法:ClinGen 肌肉萎缩症和肌病基因编辑专家小组(MDM GCEP,前身为肢体腰肌萎缩症 GCEP)召开会议,使用 ClinGen 基因-疾病临床有效性框架评估与 LGMD 有关的 31 个基因,以评估支持基因-疾病关系 (GDR) 的证据强度:结果:17 个基因的 GDR 完全与 LGMD 相关,而另外 14 个基因则与包括先天性乏力在内的更广泛表型相关。四个基因(CAPN3、COL6A1、COL6A2 和 COL6A3)分别显示显性和隐性遗传模式,因此被分为两个独立的疾病实体,从而产生了 35 个 GDR。其中,30 个基因(86%)被归类为明确基因,4 个基因(11%)被归类为中度基因,1 个基因(3%)被归类为有限基因。POMGNT1和DAG1这两个基因虽然明确与肌病有关,但目前还没有足够的证据支持它们与LGMD的关系:经过专家评审的关于 LGMD 相关基因临床有效性的论断为临床医生和分子遗传学家提供了宝贵的资源。我们鼓励全球神经肌肉学界发表有助于澄清有争议的或新的 LGMD 关联的病例级数据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Expert panel curation of 31 genes in relation to limb girdle muscular dystrophy

Expert panel curation of 31 genes in relation to limb girdle muscular dystrophy

Objective

Limb girdle muscular dystrophies (LGMDs) are a group of genetically heterogeneous autosomal conditions with some degree of phenotypic homogeneity. LGMD is defined as having onset >2 years of age with progressive proximal weakness, elevated serum creatine kinase levels and dystrophic features on muscle biopsy. Advances in massively parallel sequencing have led to a surge in genes linked to LGMD.

Methods

The ClinGen Muscular Dystrophies and Myopathies gene curation expert panel (MDM GCEP, formerly Limb Girdle Muscular Dystrophy GCEP) convened to evaluate the strength of evidence supporting gene–disease relationships (GDR) using the ClinGen gene–disease clinical validity framework to evaluate 31 genes implicated in LGMD.

Results

The GDR was exclusively LGMD for 17 genes, whereas an additional 14 genes were related to a broader phenotype encompassing congenital weakness. Four genes (CAPN3, COL6A1, COL6A2, and COL6A3) were split into two separate disease entities, based on each displaying both dominant and recessive inheritance patterns, resulting in curation of 35 GDRs. Of these, 30 (86%) were classified as definitive, 4 (11%) as moderate, and 1 (3%) as limited. Two genes, POMGNT1 and DAG1, though definitively related to myopathy, currently have insufficient evidence to support a relationship specifically with LGMD.

Interpretation

The expert-reviewed assertions on the clinical validity of genes implicated in LGMDs form an invaluable resource for clinicians and molecular geneticists. We encourage the global neuromuscular community to publish case-level data that help clarify disputed or novel LGMD associations.

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来源期刊
Annals of Clinical and Translational Neurology
Annals of Clinical and Translational Neurology Medicine-Neurology (clinical)
CiteScore
9.10
自引率
1.90%
发文量
218
审稿时长
8 weeks
期刊介绍: Annals of Clinical and Translational Neurology is a peer-reviewed journal for rapid dissemination of high-quality research related to all areas of neurology. The journal publishes original research and scholarly reviews focused on the mechanisms and treatments of diseases of the nervous system; high-impact topics in neurologic education; and other topics of interest to the clinical neuroscience community.
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