Skip to main content
Top
Published in: Neurological Sciences 9/2020

01-09-2020 | Spinal Muscular Atrophy | Original Article

SMN1 gene copy number analysis for spinal muscular atrophy (SMA) in a Turkish cohort by CODE-SEQ technology, an integrated solution for detection of SMN1 and SMN2 copy numbers and the “2+0” genotype

Authors: Ahmet Cevdet Ceylan, Haktan Bağış Erdem, İbrahim Şahin, Meenal Agarwal

Published in: Neurological Sciences | Issue 9/2020

Login to get access

Abstract

Introduction

Spinal muscular atrophy (SMA) is one of the common autosomal recessive disorders with global heterozygous carrier frequency of 1:50. Due to high carrier frequency, significant morbidity associated with the infantile onset disease and prohibitive cost of recently approved therapy, American College of Medical Genetics and Genomics (ACMG) recommends population based screening for SMA carrier status in eligible individuals in the reproductive age group. CODE-SEQ is a novel proprietary next generation sequencing (NGS) based assay, which is capable of detecting homozygous as well as heterozygous SMN1 exon 7 deletions. Along with the copy number estimation, this assay is capable of detecting single nucleotide polymorphisms (SNPs) associated with silent SMA carrier status or “2+0” genotype.

Methods

We have validated a proprietary CODE-SEQ technology in a blinded cohort of 80 clinically well characterized samples from Turkish population for the detection of SMA carriers as well as affected cases. The results were correlated with gold standard MLPA assay.

Results

The copy numbers in exon 7 of SMN1 gene matched with MLPA results in all 80 samples giving 100% correlation. The assay accurately detected the presence/ absence of SNPs associated with “2+0” genotype in the reference samples. None of the tested clinical samples had these SNPs.

Conclusion

The results of this study support the notion that CODE-SEQ will be extremely useful in detecting SMA genotypes in large-scale population-based screening studies.
Appendix
Available only for authorised users
Literature
2.
go back to reference Oskoui M, Levy G, Garland CJ, Gray JM, O'Hagen J, De Vivo DC, Kaufmann P (2007) The changing natural history of spinal muscular atrophy type 1. Neurology. 69:1931–1936PubMedCrossRef Oskoui M, Levy G, Garland CJ, Gray JM, O'Hagen J, De Vivo DC, Kaufmann P (2007) The changing natural history of spinal muscular atrophy type 1. Neurology. 69:1931–1936PubMedCrossRef
3.
go back to reference Prior TW, Nagan N, Sugarman EA, Batish SD, Braastad C (2011 Jul) Technical standards and guidelines for spinal muscular atrophy testing. Genet Med. 13(7):686–694PubMedCrossRef Prior TW, Nagan N, Sugarman EA, Batish SD, Braastad C (2011 Jul) Technical standards and guidelines for spinal muscular atrophy testing. Genet Med. 13(7):686–694PubMedCrossRef
4.
5.
go back to reference Aartsma-Rus A (2017 Apr) FDA approval of nusinersen for spinal muscular atrophy makes 2016 the year of splice modulating oligonucleotides. Nucleic Acid Ther 27(2):67–69PubMedCrossRef Aartsma-Rus A (2017 Apr) FDA approval of nusinersen for spinal muscular atrophy makes 2016 the year of splice modulating oligonucleotides. Nucleic Acid Ther 27(2):67–69PubMedCrossRef
7.
go back to reference Muralidharan K, Wilson RB, Ogino S, Nagan N, Curtis C, Schrijver I (2011) Population carrier screening for spinal muscular atrophy a position statement of the association for molecular pathology. J Mol Diagn. 13(1):3–6PubMedPubMedCentralCrossRef Muralidharan K, Wilson RB, Ogino S, Nagan N, Curtis C, Schrijver I (2011) Population carrier screening for spinal muscular atrophy a position statement of the association for molecular pathology. J Mol Diagn. 13(1):3–6PubMedPubMedCentralCrossRef
8.
go back to reference Gitlin JM, Fischbeck K, Crawford TO, Cwik V, Fleischman A, Gonye K, Heine D, Hobby K, Kaufmann P, Keiles S, MacKenzie A, Musci T, Prior T, Lloyd-Puryear M, Sugarman EA, Terry SF, Urv T, Wang C, Watson M, Yaron Y, Frosst P, Howell RR (2010 Oct) Carrier testing for spinal muscular atrophy. Genet Med. 12(10):621–622PubMedPubMedCentralCrossRef Gitlin JM, Fischbeck K, Crawford TO, Cwik V, Fleischman A, Gonye K, Heine D, Hobby K, Kaufmann P, Keiles S, MacKenzie A, Musci T, Prior T, Lloyd-Puryear M, Sugarman EA, Terry SF, Urv T, Wang C, Watson M, Yaron Y, Frosst P, Howell RR (2010 Oct) Carrier testing for spinal muscular atrophy. Genet Med. 12(10):621–622PubMedPubMedCentralCrossRef
9.
go back to reference Wirth B (2000) An update of the mutation spectrum of the survival motor neuron gene (SMN1) in autosomal recessive spinal muscular atrophy (SMA). Hum Mutat 15(3):228–237PubMedCrossRef Wirth B (2000) An update of the mutation spectrum of the survival motor neuron gene (SMN1) in autosomal recessive spinal muscular atrophy (SMA). Hum Mutat 15(3):228–237PubMedCrossRef
10.
go back to reference Luo M, Liu L, Peter I, Zhu J, Scott SA, Zhao G, Eversley C, Kornreich R, Desnick RJ, Edelmann L (2014 Feb) An Ashkenazi Jewish SMN1 haplotype specific to duplication alleles improves pan-ethnic carrier screening for spinal muscular atrophy. Genet Med. 16(2):149–156PubMedCrossRef Luo M, Liu L, Peter I, Zhu J, Scott SA, Zhao G, Eversley C, Kornreich R, Desnick RJ, Edelmann L (2014 Feb) An Ashkenazi Jewish SMN1 haplotype specific to duplication alleles improves pan-ethnic carrier screening for spinal muscular atrophy. Genet Med. 16(2):149–156PubMedCrossRef
11.
go back to reference Alías L, Bernal S, Calucho M, Martínez E, March F, Gallano P, Fuentes-Prior P, Abuli A, Serra-Juhe C, Tizzano EF (2018 Oct) Utility of two SMN1 variants to improve spinal muscular atrophy carrier diagnosis and genetic counselling. Eur J Hum Genet 26(10):1554–1557PubMedPubMedCentralCrossRef Alías L, Bernal S, Calucho M, Martínez E, March F, Gallano P, Fuentes-Prior P, Abuli A, Serra-Juhe C, Tizzano EF (2018 Oct) Utility of two SMN1 variants to improve spinal muscular atrophy carrier diagnosis and genetic counselling. Eur J Hum Genet 26(10):1554–1557PubMedPubMedCentralCrossRef
12.
go back to reference Serra-Juhe C, Tizzano EF (2019 May) Perspectives in genetic counseling for spinal muscular atrophy in the new therapeutic era: early pre-symptomatic intervention and test in minors. Eur J Hum Genet 3 Serra-Juhe C, Tizzano EF (2019 May) Perspectives in genetic counseling for spinal muscular atrophy in the new therapeutic era: early pre-symptomatic intervention and test in minors. Eur J Hum Genet 3
13.
go back to reference Lee TM, Kim SW, Lee KS, Jin HS, Koo SK, Jo I, Kang S, Jung SC (2004 Dec) Quantitative analysis of SMN1 gene and estimation of SMN1 deletion carrier frequency in Korean population based on real-time PCR. J Korean Med Sci 19(6):870–873PubMedPubMedCentralCrossRef Lee TM, Kim SW, Lee KS, Jin HS, Koo SK, Jo I, Kang S, Jung SC (2004 Dec) Quantitative analysis of SMN1 gene and estimation of SMN1 deletion carrier frequency in Korean population based on real-time PCR. J Korean Med Sci 19(6):870–873PubMedPubMedCentralCrossRef
14.
go back to reference Schouten JP, McElgunn CJ, Waaijer R, Zwijnenburg D, Diepvens F, Pals G (2002 Jun 15) Relative quantification of 40 nucleic acid sequences by multiplex ligation-dependent probe amplification. Nucleic Acids Res 30(12):e57PubMedPubMedCentralCrossRef Schouten JP, McElgunn CJ, Waaijer R, Zwijnenburg D, Diepvens F, Pals G (2002 Jun 15) Relative quantification of 40 nucleic acid sequences by multiplex ligation-dependent probe amplification. Nucleic Acids Res 30(12):e57PubMedPubMedCentralCrossRef
15.
go back to reference Stuppia L, Antonucci I, Palka G, Gatta V Use of the MLPA assay in the molecular diagnosis of gene copy number alterations in human genetic diseases. Int J Mol Sci 13(3):3245–3276 Stuppia L, Antonucci I, Palka G, Gatta V Use of the MLPA assay in the molecular diagnosis of gene copy number alterations in human genetic diseases. Int J Mol Sci 13(3):3245–3276
16.
go back to reference Feng Y, Ge X, Meng L, Scull J, Li J, Tian X, Zhang T, Jin W, Cheng H, Wang X, Tokita M, Liu P, Mei H, Wang Y, Li F, Schmitt ES, Zhang WV, Muzny D, Wen S, Chen Z, Yang Y, Beaudet AL, Liu X, Eng CM, Xia F, Wong LJ, Zhang J (2017 Aug) The next generation of population-based spinal muscular atrophy carrier screening: comprehensive pan-ethnic SMN1 copy-number and sequence variant analysis by massively parallel sequencing. Genet Med. 19(8):936–944PubMedCrossRef Feng Y, Ge X, Meng L, Scull J, Li J, Tian X, Zhang T, Jin W, Cheng H, Wang X, Tokita M, Liu P, Mei H, Wang Y, Li F, Schmitt ES, Zhang WV, Muzny D, Wen S, Chen Z, Yang Y, Beaudet AL, Liu X, Eng CM, Xia F, Wong LJ, Zhang J (2017 Aug) The next generation of population-based spinal muscular atrophy carrier screening: comprehensive pan-ethnic SMN1 copy-number and sequence variant analysis by massively parallel sequencing. Genet Med. 19(8):936–944PubMedCrossRef
17.
go back to reference Larson JL, Silver AJ, Chan D, Borroto C, Spurrier B, Silver LM. Validation of a high resolution NGS method for detecting spinal muscular atrophy carriers among phase 3 participants in the 1000 Genomes Project. BMC Med Genet. 2015;16:100. Published 2015 Oct 29 Larson JL, Silver AJ, Chan D, Borroto C, Spurrier B, Silver LM. Validation of a high resolution NGS method for detecting spinal muscular atrophy carriers among phase 3 participants in the 1000 Genomes Project. BMC Med Genet. 2015;16:100. Published 2015 Oct 29
18.
go back to reference Hasanzad M, Azad M, Kahrizi K, Saffar BS, Nafisi S, Keyhanidoust Z, Azimian M, Refah AA, Also E, Urtizberea JA, Tizzano EF, Najmabadi H (2010 Jan) Carrier frequency of SMA by quantitative analysis of the SMN1 deletion in the Iranian population. Eur J Neurol 17(1):160–162PubMedCrossRef Hasanzad M, Azad M, Kahrizi K, Saffar BS, Nafisi S, Keyhanidoust Z, Azimian M, Refah AA, Also E, Urtizberea JA, Tizzano EF, Najmabadi H (2010 Jan) Carrier frequency of SMA by quantitative analysis of the SMN1 deletion in the Iranian population. Eur J Neurol 17(1):160–162PubMedCrossRef
19.
go back to reference Vidal-Folch N, Gavrilov D, Raymond K, Rinaldo P, Tortorelli S, Matern D, Oglesbee D (2018 Dec) Multiplex droplet digital PCR method applicable to newborn screening, carrier status, and assessment of spinal muscular atrophy. Clin Chem 64(12):1753–1761PubMedCrossRef Vidal-Folch N, Gavrilov D, Raymond K, Rinaldo P, Tortorelli S, Matern D, Oglesbee D (2018 Dec) Multiplex droplet digital PCR method applicable to newborn screening, carrier status, and assessment of spinal muscular atrophy. Clin Chem 64(12):1753–1761PubMedCrossRef
21.
go back to reference Kerkhof J, Schenkel LC, Reilly J, McRobbie S, Aref-Eshghi E, Stuart A, Rupar CA, Adams P, Hegele RA, Lin H, Rodenhiser D, Knoll J, Ainsworth PJ, Sadikovic B (2017 Nov) Clinical validation of copy number variant detection from targeted next-generation sequencing panels. J Mol Diagn. 19(6):905–920PubMedCrossRef Kerkhof J, Schenkel LC, Reilly J, McRobbie S, Aref-Eshghi E, Stuart A, Rupar CA, Adams P, Hegele RA, Lin H, Rodenhiser D, Knoll J, Ainsworth PJ, Sadikovic B (2017 Nov) Clinical validation of copy number variant detection from targeted next-generation sequencing panels. J Mol Diagn. 19(6):905–920PubMedCrossRef
22.
go back to reference Zhao M, Wang Q, Wang Q, Jia P, Zhao Z. Computational tools for copy number variation (CNV) detection using next-generation sequencing data: features and perspectives. BMC Bioinformatics. 2013;14 Suppl 11:S1 Zhao M, Wang Q, Wang Q, Jia P, Zhao Z. Computational tools for copy number variation (CNV) detection using next-generation sequencing data: features and perspectives. BMC Bioinformatics. 2013;14 Suppl 11:S1
23.
go back to reference Yao R, Yu T, Qing Y, Wang J, Shen Y (2019) Evaluation of copy number variant detection from panel-based next-generation sequencing data. Mol Genet Genomic Med 7(1):e00513PubMedCrossRef Yao R, Yu T, Qing Y, Wang J, Shen Y (2019) Evaluation of copy number variant detection from panel-based next-generation sequencing data. Mol Genet Genomic Med 7(1):e00513PubMedCrossRef
24.
go back to reference Zhang L, Bai W, Yuan N, Du Z (2019 May 28) Comprehensively benchmarking applications for detecting copy number variation. PLoS Comput Biol 15(5):e1007069PubMedPubMedCentralCrossRef Zhang L, Bai W, Yuan N, Du Z (2019 May 28) Comprehensively benchmarking applications for detecting copy number variation. PLoS Comput Biol 15(5):e1007069PubMedPubMedCentralCrossRef
25.
go back to reference Ellingford JM, Campbell C, Barton S, Bhaskar S, Gupta S, Taylor RL, Sergouniotis PI, Horn B, Lamb JA, Michaelides M, Webster AR, Newman WG, Panda B, Ramsden SC, Black GC (2017 Jun) Validation of copy number variation analysis for next-generation sequencing diagnostics. Eur J Hum Genet 25(6):719–724PubMedPubMedCentralCrossRef Ellingford JM, Campbell C, Barton S, Bhaskar S, Gupta S, Taylor RL, Sergouniotis PI, Horn B, Lamb JA, Michaelides M, Webster AR, Newman WG, Panda B, Ramsden SC, Black GC (2017 Jun) Validation of copy number variation analysis for next-generation sequencing diagnostics. Eur J Hum Genet 25(6):719–724PubMedPubMedCentralCrossRef
27.
go back to reference Larson JL, Silver AJ, Chan D, Borroto C, Spurrier B, Silver LM (2015 Oct 29) Validation of a high resolution NGS method for detecting spinal muscular atrophy carriers among phase 3 participants in the 1000 Genomes Project. BMC Med Genet 16:100PubMedPubMedCentralCrossRef Larson JL, Silver AJ, Chan D, Borroto C, Spurrier B, Silver LM (2015 Oct 29) Validation of a high resolution NGS method for detecting spinal muscular atrophy carriers among phase 3 participants in the 1000 Genomes Project. BMC Med Genet 16:100PubMedPubMedCentralCrossRef
28.
go back to reference Benard-Slagter A, Zondervan I, de Groot K, Ghazavi F, Sarhadi V, Van Vlierberghe P, De Moerloose B, Schwab C, Vettenranta K, Harrison CJ, Knuutila S, Schouten J, Lammens T, Savola S (2017 Sep) Digital multiplex ligation-dependent probe amplification for detection of key copy number alterations in T- and B-cell lymphoblastic leukemia. J Mol Diagn 19(5):659–672PubMedCrossRef Benard-Slagter A, Zondervan I, de Groot K, Ghazavi F, Sarhadi V, Van Vlierberghe P, De Moerloose B, Schwab C, Vettenranta K, Harrison CJ, Knuutila S, Schouten J, Lammens T, Savola S (2017 Sep) Digital multiplex ligation-dependent probe amplification for detection of key copy number alterations in T- and B-cell lymphoblastic leukemia. J Mol Diagn 19(5):659–672PubMedCrossRef
Metadata
Title
SMN1 gene copy number analysis for spinal muscular atrophy (SMA) in a Turkish cohort by CODE-SEQ technology, an integrated solution for detection of SMN1 and SMN2 copy numbers and the “2+0” genotype
Authors
Ahmet Cevdet Ceylan
Haktan Bağış Erdem
İbrahim Şahin
Meenal Agarwal
Publication date
01-09-2020
Publisher
Springer International Publishing
Published in
Neurological Sciences / Issue 9/2020
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-020-04365-x

Other articles of this Issue 9/2020

Neurological Sciences 9/2020 Go to the issue