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Exome Sequence Analysis Suggests that Genetic Burden Contributes to Phenotypic Variability and Complex Neuropathy.


ABSTRACT: Charcot-Marie-Tooth (CMT) disease is a clinically and genetically heterogeneous distal symmetric polyneuropathy. Whole-exome sequencing (WES) of 40 individuals from 37 unrelated families with CMT-like peripheral neuropathy refractory to molecular diagnosis identified apparent causal mutations in ? 45% (17/37) of families. Three candidate disease genes are proposed, supported by a combination of genetic and in vivo studies. Aggregate analysis of mutation data revealed a significantly increased number of rare variants across 58 neuropathy-associated genes in subjects versus controls, confirmed in a second ethnically discrete neuropathy cohort, suggesting that mutation burden potentially contributes to phenotypic variability. Neuropathy genes shown to have highly penetrant Mendelizing variants (HPMVs) and implicated by burden in families were shown to interact genetically in a zebrafish assay exacerbating the phenotype established by the suppression of single genes. Our findings suggest that the combinatorial effect of rare variants contributes to disease burden and variable expressivity.

SUBMITTER: Gonzaga-Jauregui C 

PROVIDER: S-EPMC4545408 | biostudies-literature | 2015 Aug

REPOSITORIES: biostudies-literature

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Exome Sequence Analysis Suggests that Genetic Burden Contributes to Phenotypic Variability and Complex Neuropathy.

Gonzaga-Jauregui Claudia C   Harel Tamar T   Gambin Tomasz T   Kousi Maria M   Griffin Laurie B LB   Francescatto Ludmila L   Ozes Burcak B   Karaca Ender E   Jhangiani Shalini N SN   Bainbridge Matthew N MN   Lawson Kim S KS   Pehlivan Davut D   Okamoto Yuji Y   Withers Marjorie M   Mancias Pedro P   Slavotinek Anne A   Reitnauer Pamela J PJ   Goksungur Meryem T MT   Shy Michael M   Crawford Thomas O TO   Koenig Michel M   Willer Jason J   Flores Brittany N BN   Pediaditrakis Igor I   Us Onder O   Wiszniewski Wojciech W   Parman Yesim Y   Antonellis Anthony A   Muzny Donna M DM   Katsanis Nicholas N   Battaloglu Esra E   Boerwinkle Eric E   Gibbs Richard A RA   Lupski James R JR  

Cell reports 20150806 7


Charcot-Marie-Tooth (CMT) disease is a clinically and genetically heterogeneous distal symmetric polyneuropathy. Whole-exome sequencing (WES) of 40 individuals from 37 unrelated families with CMT-like peripheral neuropathy refractory to molecular diagnosis identified apparent causal mutations in ∼ 45% (17/37) of families. Three candidate disease genes are proposed, supported by a combination of genetic and in vivo studies. Aggregate analysis of mutation data revealed a significantly increased nu  ...[more]

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