Genome sequencing in families with congenital limb malformations
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Genome sequencing in families with congenital limb malformations. / Elsner, Jonas; Mensah, Martin A; Holtgrewe, Manuel; Hertzberg, Jakob; Bigoni, Stefania; Busche, Andreas; Coutelier, Marie; de Silva, Deepthi C; Elçioglu, Nursel; Filges, Isabel; Gerkes, Erica; Girisha, Katta M; Graul-Neumann, Luitgard; Jamsheer, Aleksander; Krawitz, Peter; Kurth, Ingo; Markus, Susanne; Megarbane, Andre; Reis, André; Reuter, Miriam S; Svoboda, Daniel; Teller, Christopher; Tuysuz, Beyhan; Türkmen, Seval; Wilson, Meredith; Woitschach, Rixa; Vater, Inga; Caliebe, Almuth; Hülsemann, Wiebke; Horn, Denise; Mundlos, Stefan; Spielmann, Malte.
In: HUM GENET, Vol. 140, No. 8, 08.2021, p. 1229-1239.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Genome sequencing in families with congenital limb malformations
AU - Elsner, Jonas
AU - Mensah, Martin A
AU - Holtgrewe, Manuel
AU - Hertzberg, Jakob
AU - Bigoni, Stefania
AU - Busche, Andreas
AU - Coutelier, Marie
AU - de Silva, Deepthi C
AU - Elçioglu, Nursel
AU - Filges, Isabel
AU - Gerkes, Erica
AU - Girisha, Katta M
AU - Graul-Neumann, Luitgard
AU - Jamsheer, Aleksander
AU - Krawitz, Peter
AU - Kurth, Ingo
AU - Markus, Susanne
AU - Megarbane, Andre
AU - Reis, André
AU - Reuter, Miriam S
AU - Svoboda, Daniel
AU - Teller, Christopher
AU - Tuysuz, Beyhan
AU - Türkmen, Seval
AU - Wilson, Meredith
AU - Woitschach, Rixa
AU - Vater, Inga
AU - Caliebe, Almuth
AU - Hülsemann, Wiebke
AU - Horn, Denise
AU - Mundlos, Stefan
AU - Spielmann, Malte
PY - 2021/8
Y1 - 2021/8
N2 - The extensive clinical and genetic heterogeneity of congenital limb malformation calls for comprehensive genome-wide analysis of genetic variation. Genome sequencing (GS) has the potential to identify all genetic variants. Here we aim to determine the diagnostic potential of GS as a comprehensive one-test-for-all strategy in a cohort of undiagnosed patients with congenital limb malformations. We collected 69 cases (64 trios, 1 duo, 5 singletons) with congenital limb malformations with no molecular diagnosis after standard clinical genetic testing and performed genome sequencing. We also developed a framework to identify potential noncoding pathogenic variants. We identified likely pathogenic/disease-associated variants in 12 cases (17.4%) including four in known disease genes, and one repeat expansion in HOXD13. In three unrelated cases with ectrodactyly, we identified likely pathogenic variants in UBA2, establishing it as a novel disease gene. In addition, we found two complex structural variants (3%). We also identified likely causative variants in three novel high confidence candidate genes. We were not able to identify any noncoding variants. GS is a powerful strategy to identify all types of genomic variants associated with congenital limb malformation, including repeat expansions and complex structural variants missed by standard diagnostic approaches. In this cohort, no causative noncoding SNVs could be identified.
AB - The extensive clinical and genetic heterogeneity of congenital limb malformation calls for comprehensive genome-wide analysis of genetic variation. Genome sequencing (GS) has the potential to identify all genetic variants. Here we aim to determine the diagnostic potential of GS as a comprehensive one-test-for-all strategy in a cohort of undiagnosed patients with congenital limb malformations. We collected 69 cases (64 trios, 1 duo, 5 singletons) with congenital limb malformations with no molecular diagnosis after standard clinical genetic testing and performed genome sequencing. We also developed a framework to identify potential noncoding pathogenic variants. We identified likely pathogenic/disease-associated variants in 12 cases (17.4%) including four in known disease genes, and one repeat expansion in HOXD13. In three unrelated cases with ectrodactyly, we identified likely pathogenic variants in UBA2, establishing it as a novel disease gene. In addition, we found two complex structural variants (3%). We also identified likely causative variants in three novel high confidence candidate genes. We were not able to identify any noncoding variants. GS is a powerful strategy to identify all types of genomic variants associated with congenital limb malformation, including repeat expansions and complex structural variants missed by standard diagnostic approaches. In this cohort, no causative noncoding SNVs could be identified.
KW - Base Sequence
KW - Cohort Studies
KW - DNA Copy Number Variations
KW - Gene Expression
KW - Genetic Heterogeneity
KW - Genetic Testing
KW - Homeodomain Proteins/genetics
KW - Humans
KW - Infant
KW - Limb Deformities, Congenital/genetics
KW - Male
KW - Mutation
KW - Pedigree
KW - Transcription Factors/deficiency
KW - Ubiquitin-Activating Enzymes/deficiency
KW - Whole Genome Sequencing
U2 - 10.1007/s00439-021-02295-y
DO - 10.1007/s00439-021-02295-y
M3 - SCORING: Journal article
C2 - 34159400
VL - 140
SP - 1229
EP - 1239
JO - HUM GENET
JF - HUM GENET
SN - 0340-6717
IS - 8
ER -