Mutational spectrum of Duchenne muscular dystrophy in Spain: Study of 284 cases

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Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Vieitez, I
  • Gallano, P
  • Gonzalez-Quereda, L
  • Borrego, S
  • Marcos, I
  • Prior, C
  • Molano, J
  • Trujillo-Tiebas, MJ
  • Gallego-Merlo, J
  • Garcia-Barcina, M
  • Fenollar, M
  • Navarro, C

Grupos

Abstract

Introduction: Duchenne muscular dystrophy (DMD) is a severe x-linked recessive neuromuscular disease that affects one in 3500 live-born males. The total absence of dystrophin observed in DMD patients is generally caused by mutations that disrupt the reading frame of the DMD gene, and about 80% of cases harbour deletions or duplications of one or more exons. Methods: We reviewed 284 cases of males with a genetic diagnosis of DMD between 2007 and 2014. These patients were selected from 8 Spanish reference hospitals representing most areas of Spain. Multiplex PCR, MLPA, and sequencing were performed to identify mutations. Results: Most of these DMD patients present large deletions (46.1%) or large duplications (19.7%) in the dystrophin gene. The remaining 34.2% correspond to point mutations, and half of these correspond to nonsense mutations. In this study we identified 23 new mutations in DMD: 7 large deletions and 16 point mutations. Conclusions: The algorithm for genetic diagnosis applied by the participating centres is the most appropriate for genotyping patients with DMD. The genetic specificity of different therapies currently being developed emphasises the importance of identifying the mutation appearing in each patient; 38.7% of the cases in this series are eligible to participate in current clinical trials. (C) 2016 Sociedad Espanola de Neurologia. Published by Elsevier Espana, S.L.U.

Datos de la publicación

ISSN/ISSNe:
0213-4853, 1578-1968

NEUROLOGIA  ELSEVIER DOYMA SL

Tipo:
Article
Páginas:
377-385
PubMed:
26968818
Factor de Impacto:
0,534 SCImago
Cuartil:
Q2 SCImago

Citas Recibidas en Web of Science: 25

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Keywords

  • Duchenne muscular dystrophy; Mutational analysis; Multiplex ligation-dependent probe amplification; Sequencing; Genetic diagnosis

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