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Advancing the Genetics of Lewy Body Disorders with Disease-Modifying Treatments in Mind 推进路易体疾病的遗传学与疾病修饰治疗
Pub Date : 2022-08-19 DOI: 10.1002/ggn2.202200011
Gilberto Levy, Bruce Levin, Eliasz Engelhardt

In this article, a caveat for advancing the genetics of Lewy body disorders is raised, given the nosological controversy about whether to consider dementia with Lewy bodies (DLB) and Parkinson's disease (PD) as one entity or two separate entities. Using the framework of the sufficient and component causes model of causation, as further developed into an evolution-based model of causation, it is proposed that a disease of complex etiology is defined as having a relatively high degree of sharing of the component causes (a genetic or environmental factor), that is, a low degree of heterogeneity of the sufficient causes. Based on this definition, only if the sharing of component causes within each of two diseases is similar to their combined sharing can lumping be warranted. However, it is not known whether the separate and combined sharing are similar before conducting the etiologic studies. This means that lumping DLB and PD can be counterproductive as it can decrease the ability to detect component causes despite the potential benefit of conducting studies with larger sample sizes. In turn, this is relevant to the development of disease-modifying treatments, because non-overlapping causal genetic factors may result in distinct pathogenetic pathways providing promising targets for interventions.

鉴于将路易体痴呆(DLB)和帕金森病(PD)作为一个实体还是两个独立实体在分类学上存在争议,本文对推进路易体疾病的遗传学提出了警告。利用充分原因和组成原因因果模型的框架,进一步发展为基于进化的因果模型,提出将复杂病因定义为组成原因(遗传或环境因素)具有相对较高的共享程度,即充分原因的异质性程度较低。根据这一定义,只有当两种疾病中每一种的组成原因的共享与它们的共同共享相似时,才能保证进行集中。然而,在进行病因学研究之前,尚不清楚单独和联合共享是否相似。这意味着将DLB和PD集中在一起可能会适得其反,因为它会降低检测成分原因的能力,尽管进行更大样本量的研究有潜在的好处。反过来,这与疾病修饰治疗的发展有关,因为非重叠的因果遗传因素可能导致不同的发病途径,为干预提供了有希望的目标。
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引用次数: 0
3D-Epigenomic Regulation of Gene Transcription in Hepatocellular Carcinoma 肝细胞癌基因转录的3d表观基因组调控
Pub Date : 2022-06-29 DOI: 10.1002/ggn2.202100010
Yuliang Feng, Ping Wang, Liuyang Cai, Meixiao Zhan, Fan He, Jiahui Wang, Yong Li, Eva Gega, Wei Zhang, Wei Zhao, Yongjie Xin, Xudong Chen, Yijun Ruan, Ligong Lu

The fundamental cause of transcription dysregulation in hepatocellular carcinoma (HCC) remains elusive. To investigate the underlying mechanisms, comprehensive 3D-epigenomic analyses are performed in cellular models of THLE2 (a normal hepatocytes cell line) and HepG2 (a hepatocellular carcinoma cell line) using integrative approaches for chromatin topology, genomic and epigenomic variation, and transcriptional output. Comparing the 3D-epigenomes in THLE2 and HepG2 reveal that most HCC-associated genes are organized in complex chromatin interactions mediated by RNA polymerase II (RNAPII). Incorporation of genome-wide association studies (GWAS) data enables the identification of non-coding genetic variants that are enriched in distal enhancers connecting to the promoters of HCC-associated genes via long-range chromatin interactions, highlighting their functional roles. Interestingly, CTCF binding and looping proximal to HCC-associated genes appear to form chromatin architectures that overarch RNAPII-mediated chromatin interactions. It is further demonstrated that epigenetic variants by DNA hypomethylation at a subset of CTCF motifs proximal to HCC-associated genes can modify chromatin topological configuration, which in turn alter RNAPII-mediated chromatin interactions and lead to dysregulation of transcription. Together, the 3D-epigenomic analyses provide novel insights of multifaceted interplays involving genetics, epigenetics, and chromatin topology in HCC cells.

肝细胞癌(HCC)中转录失调的根本原因尚不清楚。为了研究潜在的机制,在THLE2(一种正常肝细胞细胞系)和HepG2(一种肝癌细胞系)的细胞模型中使用染色质拓扑、基因组和表观基因组变异以及转录输出的综合方法进行了全面的3d -表观基因组分析。比较THLE2和HepG2的3d表观基因组发现,大多数hcc相关基因是在RNA聚合酶II (RNAPII)介导的复杂染色质相互作用中组织的。结合全基因组关联研究(GWAS)数据,可以识别非编码遗传变异,这些变异富集于通过远程染色质相互作用连接hcc相关基因启动子的远端增强子,突出了它们的功能作用。有趣的是,CTCF结合并环结hcc相关基因的近端似乎形成了覆盖rnapii介导的染色质相互作用的染色质结构。研究进一步证明,在靠近hcc相关基因的CTCF基序亚基DNA低甲基化的表观遗传变异可以改变染色质拓扑结构,从而改变rnapii介导的染色质相互作用并导致转录失调。总之,3d表观基因组分析为HCC细胞中涉及遗传学、表观遗传学和染色质拓扑结构的多方面相互作用提供了新的见解。
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引用次数: 1
Single-Cell Transcriptome Identifies Drug-Resistance Signature and Immunosuppressive Microenvironment in Metastatic Small Cell Lung Cancer (Advanced Genetics 2/03) 单细胞转录组鉴定转移性小细胞肺癌的耐药特征和免疫抑制微环境(Advanced Genetics 2/03)
Pub Date : 2022-06-13 DOI: 10.1002/ggn2.202270021
Jing Zhang, Haiping Zhang, Lele Zhang, Dianke Li, Mengfan Qi, Liping Zhang, Huansha Yu, Di Wang, Gening Jiang, Xujun Wang, Xianmin Zhu, Peng Zhang

Single-Cell RNA Sequencing

This cover illustrates the work of Xujun Wang, Xianmin Zhu, Peng Zhang, and co-workers in article number 2100060 which reveals the drug-resistance signature and immunosuppressive microenvironment in small cell lung cancer (SCLC) by single-cell RNA-sequencing. “Wu Song Fought the Tiger” comes from the famous Chinese novel: Outlaws of the Marsh. In the cover, the warrior Wu Song stands for the doctors and researchers. The tiger bearing “SCLC” on its face is dangerous for its sharp teeth and claws (early metastasis and drug resistance) and the surrounding water bubbles (immune infiltration). In addition, 2022 is the Year of the Tiger.

单细胞RNA测序本封面介绍了王旭军、朱宪民、张鹏等人在第2100060篇文章中通过单细胞RNA测序揭示小细胞肺癌(SCLC)耐药特征和免疫抑制微环境的工作。“武松打虎”出自中国著名小说《水浒传》。在封面上,武松代表着医生和研究人员。脸上有“SCLC”字样的老虎因其锋利的牙齿和爪子(早期转移和耐药性)和周围的水泡(免疫浸润)而危险。此外,2022年是虎年。
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引用次数: 0
Masthead: (Advanced Genetics 2/03) 报头:(Advanced Genetics 2/03)
Pub Date : 2022-06-13 DOI: 10.1002/ggn2.202270022
Nadav Ahituv, University of California, San Francisco, San Francisco, CA USA Nir Barzilai, Albert Einstein College of Medicine, Bronx, NY USA Jacqueline Batley, University of Western Australia, Perth, Australia Touati Benoukraf,Memorial University of Newfoundland, St. John’s, NL, Canada Ewan Birney, EMBL-EBI, Cambridge, UK Catherine A. Brownstein, Boston Children’s Hospital, Boston, MA USA Stephen J. Chanock, National Cancer Institute, Bethesda, MD USA George Church, Harvard Medical School, Boston, MA USA Francesco Cucca, University of Sassari, Sassari, Sardinia, Italy Marcella Devoto, Children’s Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA USA Roland Eils, Berlin Institue of Health, Berlin, Germany Jeanette Erdmann, Institute for Cardiogenetics, University of Lubeck, Lubeck, Germany Andrew Feinberg, Johns Hopkins University, Baltimore, MD USA Claudio Franceschi, University of Bologna, Bologna, Italy Paul W. Franks, Lund University, Malmö, Sweden Rachel Freathy, University of Exeter, Exeter, UK Jingyuan Fu, University Medical Center Groningen, Groningen, The Netherlands Eileen Furlong, European Molecular Biology Laboratory, Heidelberg, Germany Tom Gilbert, University of Copenhagen, The Globe Institute, Copenhagen, Denmark Joseph G. Gleeson, University of California, San Diego, Howard Hughes Medical Institute for Genomic Medicine, La Jolla, CA USA Erica Golemis, Fox Chase Cancer Center, Philadelphia, PA USA Sarah Hearne, International Maize and Wheat Improvement Centre (CIMMYT), Texcoco, Mexico Agnar Helgason, deCODE Genetics, Reykjavik, Iceland Kristina Hettne, Leiden University Libraries, Leiden, The Netherlands John Hickey, The Roslin Institute, Edinburgh, UK Sanwen Huang, Agricultural Genomics Institute at Shenzhen, Chinese Academy of Agricultural Sciences, Shenzhen, China Youssef Idaghdour, New York University, Abu Dhabi, Abu Dhabi, UAE Rosalind John, Cardiff University, Cardiff, UK Astrid Junker, Leibniz Institute of Plant Genetics, Crop Plant Research (IPK) Gatersleben, Stadt Seeland, OT Gatersleben, Germany Moien Kanaan, Bethlehem University, Bethlehem, Palestine Beat Keller, University of Zurich, Zurich, Switzerland Tuuli Lappalainen, New York Genome Center, Columbia University, New York, NY USA Luis F. Larrondo, Pontifica Universidad Catolica de Chile, Santiago, Chile Suet-Yi Leung, The University of Hong Kong, Hong Kong, China Ryan Lister, The University of Western Australia, Perth, Australia Jianjun Liu, Genome Institute Singapore, Singapore Naomichi Matsumoto, Yokohama City University, Yokohama, Japan Rachel S. Meyer, University of California, Los Angeles, Los Angeles, CA USA Nicola Mulder, University of Cape Town, Cape Town, South Africa Huck-Hui Ng, Genome Institute of Singapore, Singapore John Novembre, University of Chicago, Chicago, IL USA Seishi Ogawa, Kyoto University, Kyoto, Japan Guilherme Oliveira, Vale Institute of Technology, Belem, Brazil Qiang Pan-Hammarstrom, Karolinska Institute, Stockholm, Sw
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引用次数: 0
Recovering High-Quality Host Genomes from Gut Metagenomic Data through Genotype Imputation 通过基因型插入从肠道宏基因组数据中恢复高质量宿主基因组
Pub Date : 2022-05-06 DOI: 10.1002/ggn2.202100065
Sofia Marcos, Melanie Parejo, Andone Estonba, Antton Alberdi

Metagenomic datasets of host-associated microbial communities often contain host DNA that is usually discarded because the amount of data is too low for accurate host genetic analyses. However, genotype imputation can be employed to reconstruct host genotypes if a reference panel is available. Here, the performance of a two-step strategy is tested to impute genotypes from four types of reference panels built using different strategies to low-depth host genome data (≈2× coverage) recovered from intestinal samples of two chicken genetic lines. First, imputation accuracy is evaluated in 12 samples for which both low- and high-depth sequencing data are available, obtaining high imputation accuracies for all tested panels (>0.90). Second, the impact of reference panel choice in population genetics statistics on 100 chickens is assessed, all four panels yielding comparable results. In light of the observations, the feasibility and application of the applied imputation strategy are discussed for different species with regard to the host DNA proportion, genomic diversity, and availability of a reference panel. This method enables leveraging insofar discarded host DNA to get insights into the genetic structure of host populations, and in doing so, facilitates the implementation of hologenomic approaches that jointly analyze host and microbial genomic data.

宿主相关微生物群落的宏基因组数据集通常包含宿主DNA,这些DNA通常被丢弃,因为数据量太低,无法进行准确的宿主遗传分析。然而,基因型插入可以用来重建宿主基因型,如果有参考面板可用。本文测试了两步策略的性能,将使用不同策略构建的四种参考面板的基因型与从两个鸡遗传系的肠道样本中恢复的低深度宿主基因组数据(≈2倍覆盖率)相关联。首先,在12个样品中评估了低深度和高深度测序数据,获得了所有测试面板的高输入精度(>0.90)。其次,对100只鸡群体遗传统计中参考面板选择的影响进行了评估,所有四个面板都产生了可比较的结果。在此基础上,从宿主DNA比例、基因组多样性和参考面板的可用性等方面讨论了应用代入策略在不同物种中的可行性和应用。这种方法可以利用迄今为止丢弃的宿主DNA来深入了解宿主种群的遗传结构,并在此过程中促进了联合分析宿主和微生物基因组数据的全基因组学方法的实施。
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引用次数: 4
Genotype Value Decomposition: Simple Methods for the Computation of Kernel Statistics 基因型值分解:核统计量计算的简单方法
Pub Date : 2022-04-05 DOI: 10.1002/ggn2.202100066
Kazuharu Misawa

Recent advances in sequencing technologies enable genome-wide analyses for thousands of individuals. The sequential kernel association test (SKAT) is a widely used method to test for associations between a phenotype and a set of rare variants. As the sample size of human genetics studies increases, the computational time required to calculate a kernel is becoming more and more problematic. In this study, a new method to obtain kernel statistics without calculating a kernel matrix is proposed. A simple method for the computation of two kernel statistics, namely, a kernel statistic based on a genetic relationship matrix (GRM) and one based on an identity by state (IBS) matrix, are proposed. By using this method, calculation of the kernel statistics can be conducted using vector calculation without matrix calculation. The proposed method enables one to conduct SKAT for large samples of human genetics.

测序技术的最新进展使人们能够对成千上万的个体进行全基因组分析。序列核关联测试(SKAT)是一种广泛使用的方法,用于测试表型和一组罕见变异之间的关联。随着人类遗传学研究样本量的增加,计算核的计算时间变得越来越困难。本文提出了一种无需计算核矩阵即可获得核统计量的新方法。提出了一种计算两个核统计量的简便方法,即基于遗传关系矩阵的核统计量和基于状态恒等矩阵的核统计量。利用这种方法,核统计量的计算可以不需要矩阵计算而只用矢量计算。所提出的方法使人们能够对人类遗传学的大样本进行SKAT。
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引用次数: 1
Persistent Parental RNAi in the Beetle Tribolium castaneum Involves Maternal Transmission of Long Double-Stranded RNA 长双链RNA的母系传播是甲虫持续亲本RNAi的重要途径
Pub Date : 2022-03-20 DOI: 10.1002/ggn2.202100064
Thorsten Horn, Kalin D. Narov, Kristen A. Panfilio

Parental RNA interference (pRNAi) is a powerful and widely used method for gene-specific knockdown. Yet in insects its efficacy varies between species, and how the systemic response is transmitted from mother to offspring remains elusive. Using the beetle Tribolium castaneum, an RT-qPCR strategy to distinguish the presence of double-stranded RNA (dsRNA) from endogenous mRNA is reported. It is found that injected dsRNA is directly transmitted into the egg and persists throughout embryogenesis. Despite this depletion of dsRNA from the mother, it is shown that strong pRNAi can persist for months before waning at strain-specific rates. In seeking the receptor proteins for cellular uptake of long dsRNA into the egg, a phylogenomics profiling approach of candidate proteins is also presented. A visualization strategy based on taxonomically hierarchical assessment of orthology clustering data to rapidly assess gene age and copy number changes, refined by sequence-based evidence, is demonstrated. Repeated losses of SID-1-like channel proteins in the arthropods, including wholesale loss in the Heteroptera (true bugs), which are nonetheless highly sensitive to pRNAi, are thereby documented. Overall, practical considerations for insect pRNAi against a backdrop of outstanding questions on the molecular mechanism of dsRNA transmission for long-term, systemic knockdown are elucidated.

亲本RNA干扰(pRNAi)是一种功能强大且应用广泛的基因特异性敲除方法。然而,在昆虫中,它的功效因物种而异,并且系统反应如何从母亲传递给后代仍然难以捉摸。利用甲虫Tribolium castaneum,采用RT-qPCR策略区分了双链RNA (dsRNA)与内源性mRNA的存在。研究发现,注射的dsRNA直接传播到卵子中,并在整个胚胎发生过程中持续存在。尽管来自母体的dsRNA耗竭,但研究表明,在以菌株特异性速率减弱之前,强pRNAi可以持续数月。在寻找长dsRNA进入卵子的细胞摄取受体蛋白时,还提出了候选蛋白的系统基因组学分析方法。展示了一种基于分类层次评估的形态学聚类数据的可视化策略,该策略可以快速评估基因年龄和拷贝数变化,并通过基于序列的证据进行改进。节肢动物中sid -1样通道蛋白的反复丢失,包括对pRNAi高度敏感的异翅目昆虫(真正的昆虫)的大量丢失,因此被记录下来。总的来说,在dsRNA传播的长期系统性敲低的分子机制的突出问题的背景下,阐明了昆虫pRNAi的实际考虑。
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引用次数: 5
In Vitro and In Vivo Analysis of Extracellular Vesicle-Mediated Metastasis Using a Bright, Red-Shifted Bioluminescent Reporter Protein (Advanced Genetics 1/03) 利用明亮的红移生物发光报告蛋白对细胞外囊泡介导的转移进行体内外分析(Advanced Genetics 1/03)
Pub Date : 2022-03-18 DOI: 10.1002/ggn2.202270011
Gloria I. Perez, David Broadbent, Ahmed A. Zarea, Benedikt Dolgikh, Matthew P. Bernard, Alicia Withrow, Amelia McGill, Victoria Toomajian, Lukose K. Thampy, Jack Harkema, Joel R. Walker, Thomas A. Kirkland, Michael H. Bachmann, Jens Schmidt, Masamitsu Kanada

Extracellular Vesicle Imaging

Cancer cell-derived extracellular vesicles (EVs) promote tumor growth and spread. Studying the distribution of EVs in the body is key to understanding cancer progression and developing therapies. In article number 2100055, Masamitsu Kanada and co-workers develop a highly sensitive EV reporter for tracking heterogeneous EV populations released from cancer cells in live mice.

细胞外囊泡成像癌细胞来源的细胞外囊泡(EVs)促进肿瘤生长和扩散。研究ev在体内的分布是了解癌症进展和开发治疗方法的关键。在文章2100055中,Masamitsu Kanada及其同事开发了一种高灵敏度的EV报告器,用于跟踪活小鼠癌细胞释放的异种EV群体。
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引用次数: 0
Masthead: (Advanced Genetics 1/03) 报头:(Advanced Genetics 1/03)
Pub Date : 2022-03-18 DOI: 10.1002/ggn2.202270012
Nadav Ahituv, University of California, San Francisco, San Francisco, CA USA Nir Barzilai, Albert Einstein College of Medicine, Bronx, NY USA Jacqueline Batley, University of Western Australia, Perth, Australia Touati Benoukraf,Memorial University of Newfoundland, St. John’s, NL, Canada Ewan Birney, EMBL-EBI, Cambridge, UK Catherine A. Brownstein, Boston Children’s Hospital, Boston, MA USA Stephen J. Chanock, National Cancer Institute, Bethesda, MD USA George Church, Harvard Medical School, Boston, MA USA Francesco Cucca, University of Sassari, Sassari, Sardinia, Italy Marcella Devoto, Children’s Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA USA Roland Eils, Berlin Institue of Health, Berlin, Germany Jeanette Erdmann, Institute for Cardiogenetics, University of Lubeck, Lubeck, Germany Andrew Feinberg, Johns Hopkins University, Baltimore, MD USA Claudio Franceschi, University of Bologna, Bologna, Italy Paul W. Franks, Lund University, Malmö, Sweden Rachel Freathy, University of Exeter, Exeter, UK Jingyuan Fu, University Medical Center Groningen, Groningen, The Netherlands Eileen Furlong, European Molecular Biology Laboratory, Heidelberg, Germany Tom Gilbert, University of Copenhagen, The Globe Institute, Copenhagen, Denmark Joseph G. Gleeson, University of California, San Diego, Howard Hughes Medical Institute for Genomic Medicine, La Jolla, CA USA Erica Golemis, Fox Chase Cancer Center, Philadelphia, PA USA Sarah Hearne, International Maize and Wheat Improvement Centre (CIMMYT), Texcoco, Mexico Agnar Helgason, deCODE Genetics, Reykjavik, Iceland Kristina Hettne, Leiden University Libraries, Leiden, The Netherlands John Hickey, The Roslin Institute, Edinburgh, UK Sanwen Huang, Agricultural Genomics Institute at Shenzhen, Chinese Academy of Agricultural Sciences, Shenzhen, China Youssef Idaghdour, New York University, Abu Dhabi, Abu Dhabi, UAE Rosalind John, Cardiff University, Cardiff, UK Astrid Junker, Leibniz Institute of Plant Genetics, Crop Plant Research (IPK) Gatersleben, Stadt Seeland, OT Gatersleben, Germany Moien Kanaan, Bethlehem University, Bethlehem, Palestine Beat Keller, University of Zurich, Zurich, Switzerland Tuuli Lappalainen, New York Genome Center, Columbia University, New York, NY USA Luis F. Larrondo, Pontifica Universidad Catolica de Chile, Santiago, Chile Suet-Yi Leung, The University of Hong Kong, Hong Kong, China Ryan Lister, The University of Western Australia, Perth, Australia Jianjun Liu, Genome Institute Singapore, Singapore Naomichi Matsumoto, Yokohama City University, Yokohama, Japan Rachel S. Meyer, University of California, Los Angeles, Los Angeles, CA USA Nicola Mulder, University of Cape Town, Cape Town, South Africa Huck-Hui Ng, Genome Institute of Singapore, Singapore John Novembre, University of Chicago, Chicago, IL USA Seishi Ogawa, Kyoto University, Kyoto, Japan Guilherme Oliveira, Vale Institute of Technology, Belem, Brazil Qiang Pan-Hammarstrom, Karolinska Institute, Stockholm, Sw
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引用次数: 0
Genetics of Ataxias in Indian Population: A Collative Insight from a Common Genetic Screening Tool 印度人群共济失调的遗传学:来自共同遗传筛选工具的合作见解
Pub Date : 2022-03-10 DOI: 10.1002/ggn2.202100078
Pooja Sharma, Akhilesh Kumar Sonakar, Nishu Tyagi, Varun Suroliya, Manish Kumar, Rintu Kutum, Vivekananda Asokchandran, Sakshi Ambawat, Uzma Shamim, Avni Anand, Ishtaq Ahmad, Sunil Shakya, Bharathram Uppili, Aradhana Mathur, Shaista Parveen, Shweta Jain, Jyotsna Singh, Malika Seth, Sana Zahra, Aditi Joshi, Divya Goel, Shweta Sahni, Asangla Kamai, Saruchi Wadhwa, Aparna Murali, Sheeba Saifi, Debashish Chowdhury, Sanjay Pandey, Kuljeet Singh Anand, Ranganathan Lakshmi Narasimhan, Sanghamitra Laskar, Suman Kushwaha, Mukesh Kumar, Cheruvallill Velayudhan Shaji, Madakasira Vasantha Padma Srivastava, Achal K. Srivastava, Mohammed Faruq, GOMED-Ataxia study group

Cerebellar ataxias (CAs) represent a group of autosomal dominant and recessive neurodegenerative disorders affecting cerebellum with or without spinal cord. Overall, CAs have preponderance for tandem nucleotide repeat expansions as an etiological factor (10 TREs explain nearly 30–40% of ataxia cohort globally). The experience of 10 years of common genetic ataxia subtypes for ≈5600 patients’ referrals (Pan-India) received at a single center is shared herein. Frequencies (in %, n) of SCA types and FRDA in the sample cohort are observed as follows: SCA12 (8.6%, 490); SCA2 (8.5%, 482); SCA1 (4.8%, 272); SCA3 (2%, 113); SCA7 (0.5%, 28); SCA6 (0.1%, 05); SCA17 (0.1%, 05), and FRDA (2.2%, 127). A significant amount of variability in TRE lengths at each locus is observed, we noted presence of biallelic expansion, co-occurrence of SCA-subtypes, and the presence of premutable normal alleles. The frequency of mutated GAA-FRDA allele in healthy controls is 1/158 (0.63%), thus an expected FRDA prevalence of 1:100 000 persons. The data of this study are relevant not only for clinical decision making but also for guidance in direction of genetic investigations, transancestral comparison of genotypes, and lastly provide insight for policy decision for the consideration of SCAs under rare disease category.

小脑共济失调(CAs)是一组常染色体显性和隐性影响小脑的神经退行性疾病,伴或不伴脊髓。总的来说,CAs具有串联核苷酸重复扩增的优势,作为一个病因因素(10个TREs解释了全球近30-40%的共济失调队列)。本文分享了在单一中心接收的约5600名转诊患者(泛印度)10年来常见遗传性共济失调亚型的经验。样本队列中SCA类型和FRDA的频率(以%,n为单位)如下:SCA12 (8.6%, 490);Sca2 (8.5%, 482);sc1 (4.8%, 272);Sca3 (2%, 113);Sca7 (0.5%, 28);Sca6 (0.1%, 05);SCA17(0.1%, 05)和FRDA(2.2%, 127)。在每个位点上观察到大量的TRE长度变异性,我们注意到存在双等位基因扩增,sca亚型共发生,以及存在不可变的正常等位基因。健康对照中GAA-FRDA等位基因突变的频率为1/158(0.63%),因此FRDA的预期患病率为1:10万人。本研究的数据不仅对临床决策有指导意义,而且对遗传调查方向、基因型跨代比较有指导意义,最后为罕见病类别下考虑SCAs的政策决策提供参考。
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引用次数: 4
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Advanced genetics (Hoboken, N.J.)
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