American journal of human genetics
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Tetra-amelia is a rare human genetic disorder characterized by complete absence of all four limbs and other anomalies. We studied a consanguineous family with four affected fetuses displaying autosomal recessive tetra-amelia and craniofacial and urogenital defects. By homozygosity mapping, the disease locus was assigned to chromosome 17q21, with a maximum multipoint LOD score of 2.9 at markers D17S931, D17S1785, D17SS1827, and D17S1868. ⋯ Our findings contrast with the observation of early lethality in mice homozygous for null alleles of Wnt3. To our knowledge, this is the first report of a mutation in a WNT gene associated with a Mendelian disorder. The identification of a WNT3 mutation in tetra-amelia indicates that WNT3 is required at the earliest stages of human limb formation and for craniofacial and urogenital development.
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Comparative Study
Antisense-induced multiexon skipping for Duchenne muscular dystrophy makes more sense.
Dystrophin deficiency, which leads to severe and progressive muscle degeneration in patients with Duchenne muscular dystrophy (DMD), is caused by frameshifting mutations in the dystrophin gene. A relatively new therapeutic strategy is based on antisense oligonucleotides (AONs) that induce the specific skipping of a single exon, such that the reading frame is restored. This allows the synthesis of a largely functional dystrophin, associated with a milder Becker muscular dystrophy phenotype. ⋯ This in-frame multiexon skipping would be therapeutic for a series of patients carrying different DMD-causing mutations. In fact, we here demonstrate its feasibility in myotubes from a patient with an exon 48-50 deletion. The application of multiexon skipping may provide a more uniform methodology for a larger group of patients with DMD.
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Comparative Study
Recent advances in human quantitative-trait-locus mapping: comparison of methods for discordant sibling pairs.
Extreme discordant sibling pairs (EDSPs) are theoretically powerful for the mapping of quantitative-trait loci (QTLs) in humans. EDSPs have not been used much in practice, however, because of the need to screen very large populations to find enough pairs that are extreme and discordant. Given appropriate statistical methods, another alternative is to use moderately discordant sibling pairs (MDSPs)--pairs that are discordant but not at the far extremes of the distribution. ⋯ We then use simulation to study the type I error and the power of various statistics for EDSPs and for MDSPs. We conclude that the best statistic(s) for discordant pairs (moderate or extreme) is (are) to be found among the new statistics. We suggest that the new statistics are appropriate for many other designs as well-and that, in fact, they open the way for the exploration of entirely novel designs.
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Germline intragenic mutations in PTEN are associated with 80% of patients with Cowden syndrome (CS) and 60% of patients with Bannayan-Riley-Ruvalcaba syndrome (BRRS). The underlying genetic causes remain to be determined in a considerable proportion of classic CS and BRRS without a polymerase chain reaction (PCR)-detectable PTEN mutation. We hypothesized that gross gene deletions and mutations in the PTEN promoter might alternatively account for a subset of apparently mutation-negative patients with CS and BRRS. ⋯ In contrast, control samples showed only the expected band. Further, an elevated level of phosphorylated Akt was detected in the five promoter-mutation-positive samples, compared with controls, indicating an absence of or marked reduction in functional PTEN. These data suggest that patients with BRRS and CS without PCR-detected intragenic PTEN mutations be offered clinical deletion analysis and promoter-mutation analysis, respectively.