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Published in: Orphanet Journal of Rare Diseases 1/2011

Open Access 01-12-2011 | Research

Complete exon sequencing of all known Usher syndrome genes greatly improves molecular diagnosis

Authors: Crystel Bonnet, M'hamed Grati, Sandrine Marlin, Jacqueline Levilliers, Jean-Pierre Hardelin, Marine Parodi, Magali Niasme-Grare, Diana Zelenika, Marc Délépine, Delphine Feldmann, Laurence Jonard, Aziz El-Amraoui, Dominique Weil, Bruno Delobel, Christophe Vincent, Hélène Dollfus, Marie-Madeleine Eliot, Albert David, Catherine Calais, Jacqueline Vigneron, Bettina Montaut-Verient, Dominique Bonneau, Jacques Dubin, Christel Thauvin, Alain Duvillard, Christine Francannet, Thierry Mom, Didier Lacombe, Françoise Duriez, Valérie Drouin-Garraud, Marie-Françoise Thuillier-Obstoy, Sabine Sigaudy, Anne-Marie Frances, Patrick Collignon, Georges Challe, Rémy Couderc, Mark Lathrop, José-Alain Sahel, Jean Weissenbach, Christine Petit, Françoise Denoyelle

Published in: Orphanet Journal of Rare Diseases | Issue 1/2011

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Abstract

Background

Usher syndrome (USH) combines sensorineural deafness with blindness. It is inherited in an autosomal recessive mode. Early diagnosis is critical for adapted educational and patient management choices, and for genetic counseling. To date, nine causative genes have been identified for the three clinical subtypes (USH1, USH2 and USH3). Current diagnostic strategies make use of a genotyping microarray that is based on the previously reported mutations. The purpose of this study was to design a more accurate molecular diagnosis tool.

Methods

We sequenced the 366 coding exons and flanking regions of the nine known USH genes, in 54 USH patients (27 USH1, 21 USH2 and 6 USH3).

Results

Biallelic mutations were detected in 39 patients (72%) and monoallelic mutations in an additional 10 patients (18.5%). In addition to biallelic mutations in one of the USH genes, presumably pathogenic mutations in another USH gene were detected in seven patients (13%), and another patient carried monoallelic mutations in three different USH genes. Notably, none of the USH3 patients carried detectable mutations in the only known USH3 gene, whereas they all carried mutations in USH2 genes. Most importantly, the currently used microarray would have detected only 30 of the 81 different mutations that we found, of which 39 (48%) were novel.

Conclusions

Based on these results, complete exon sequencing of the currently known USH genes stands as a definite improvement for molecular diagnosis of this disease, which is of utmost importance in the perspective of gene therapy.
Appendix
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Metadata
Title
Complete exon sequencing of all known Usher syndrome genes greatly improves molecular diagnosis
Authors
Crystel Bonnet
M'hamed Grati
Sandrine Marlin
Jacqueline Levilliers
Jean-Pierre Hardelin
Marine Parodi
Magali Niasme-Grare
Diana Zelenika
Marc Délépine
Delphine Feldmann
Laurence Jonard
Aziz El-Amraoui
Dominique Weil
Bruno Delobel
Christophe Vincent
Hélène Dollfus
Marie-Madeleine Eliot
Albert David
Catherine Calais
Jacqueline Vigneron
Bettina Montaut-Verient
Dominique Bonneau
Jacques Dubin
Christel Thauvin
Alain Duvillard
Christine Francannet
Thierry Mom
Didier Lacombe
Françoise Duriez
Valérie Drouin-Garraud
Marie-Françoise Thuillier-Obstoy
Sabine Sigaudy
Anne-Marie Frances
Patrick Collignon
Georges Challe
Rémy Couderc
Mark Lathrop
José-Alain Sahel
Jean Weissenbach
Christine Petit
Françoise Denoyelle
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Orphanet Journal of Rare Diseases / Issue 1/2011
Electronic ISSN: 1750-1172
DOI
https://doi.org/10.1186/1750-1172-6-21

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