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Article

An Integrated Transcriptomics and Genomics Approach Detects an X/Autosome Translocation in a Female with Duchenne Muscular Dystrophy

by
Alba Segarra-Casas
1,2,
Vicente A. Yépez
3,
German Demidov
4,
Steven Laurie
5,
Anna Esteve-Codina
5,6,
Julien Gagneur
3,7,8,
Yolande Parkhurst
9,
Robert Muni-Lofra
1,
Elizabeth Harris
1,
Chiara Marini-Bettolo
1,
Volker Straub
1 and
Ana Töpf
1,*
1
John Walton Muscular Dystrophy Research Centre, Translational and Clinical Research Institute, Newcastle University and Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne NE1 3BZ, UK
2
Genetics Department, Institut de Recerca Sant Pau (IR SANT PAU), Hospital de la Santa Creu i Sant Pau, Genetics and Microbiology Department, Universitat Autonoma de Barcelona, 08041 Barcelona, Spain
3
School of Computation, Information and Technology, Technical University of Munich, 85748 Garching, Germany
4
Universitätsklinikum Tübingen—Institut für Medizinische Genetik und angewandte Genomik, 72076 Tübingen, Germany
5
Centro Nacional de Análisis Genómico (CNAG), 08028 Barcelona, Spain
6
Universitat de Barcelona (UB), 08007 Barcelona, Spain
7
Institute of Human Genetics, School of Medicine, Technical University of Munich, 81675 Munich, Germany
8
Computational Health Center, Helmholtz Center Munich, 85764 Neuherberg, Germany
9
Muscle Immunoanalysis Unit, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne NE7 7DN, UK
*
Author to whom correspondence should be addressed.
Int. J. Mol. Sci. 2024, 25(14), 7793; https://doi.org/10.3390/ijms25147793 (registering DOI)
Submission received: 15 June 2024 / Revised: 8 July 2024 / Accepted: 11 July 2024 / Published: 16 July 2024
(This article belongs to the Special Issue Molecular Advances in Muscular Dystrophy)

Abstract

Duchenne and Becker muscular dystrophies, caused by pathogenic variants in DMD, are the most common inherited neuromuscular conditions in childhood. These diseases follow an X-linked recessive inheritance pattern, and mainly males are affected. The most prevalent pathogenic variants in the DMD gene are copy number variants (CNVs), and most patients achieve their genetic diagnosis through Multiplex Ligation-dependent Probe Amplification (MLPA) or exome sequencing. Here, we investigated a female patient presenting with muscular dystrophy who remained genetically undiagnosed after MLPA and exome sequencing. RNA sequencing (RNAseq) from the patient’s muscle biopsy identified an 85% reduction in DMD expression compared to 116 muscle samples included in the cohort. A de novo balanced translocation between chromosome 17 and the X chromosome (t(X;17)(p21.1;q23.2)) disrupting the DMD and BCAS3 genes was identified through trio whole genome sequencing (WGS). The combined analysis of RNAseq and WGS played a crucial role in the detection and characterisation of the disease-causing variant in this patient, who had been undiagnosed for over two decades. This case illustrates the diagnostic odyssey of female DMD patients with complex structural variants that are not detected by current panel or exome sequencing analysis.
Keywords: Duchenne muscular dystrophy; female carrier; DMD; genetic diagnosis; RNA sequencing; whole genome sequencing; translocation Duchenne muscular dystrophy; female carrier; DMD; genetic diagnosis; RNA sequencing; whole genome sequencing; translocation

Share and Cite

MDPI and ACS Style

Segarra-Casas, A.; Yépez, V.A.; Demidov, G.; Laurie, S.; Esteve-Codina, A.; Gagneur, J.; Parkhurst, Y.; Muni-Lofra, R.; Harris, E.; Marini-Bettolo, C.; et al. An Integrated Transcriptomics and Genomics Approach Detects an X/Autosome Translocation in a Female with Duchenne Muscular Dystrophy. Int. J. Mol. Sci. 2024, 25, 7793. https://doi.org/10.3390/ijms25147793

AMA Style

Segarra-Casas A, Yépez VA, Demidov G, Laurie S, Esteve-Codina A, Gagneur J, Parkhurst Y, Muni-Lofra R, Harris E, Marini-Bettolo C, et al. An Integrated Transcriptomics and Genomics Approach Detects an X/Autosome Translocation in a Female with Duchenne Muscular Dystrophy. International Journal of Molecular Sciences. 2024; 25(14):7793. https://doi.org/10.3390/ijms25147793

Chicago/Turabian Style

Segarra-Casas, Alba, Vicente A. Yépez, German Demidov, Steven Laurie, Anna Esteve-Codina, Julien Gagneur, Yolande Parkhurst, Robert Muni-Lofra, Elizabeth Harris, Chiara Marini-Bettolo, and et al. 2024. "An Integrated Transcriptomics and Genomics Approach Detects an X/Autosome Translocation in a Female with Duchenne Muscular Dystrophy" International Journal of Molecular Sciences 25, no. 14: 7793. https://doi.org/10.3390/ijms25147793

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