Identification of rare genetic variants in Italian patients with dementia by targeted gene sequencing.

Abstract:

:Genetics is intricately involved in the etiology of neurodegenerative dementias. The incidence of monogenic dementia among all neurodegenerative forms is unknown due to the lack of systematic studies and of patient/clinician access to extensive diagnostic procedures. In this study, we conducted targeted sequencing in 246 clinically heterogeneous patients, mainly with early-onset and/or familial neurodegenerative dementia, using a custom-designed next-generation sequencing panel covering 27 genes known to harbor mutations that can cause different types of dementia, in addition to the detection of C9orf72 repeat expansions. Forty-nine patients (19.9%) carried known pathogenic or novel, likely pathogenic, variants, involving both common (presenilin 1, presenilin 2, C9orf72, and granulin) and rare (optineurin, serpin family I member 1 and protein kinase cyclic adenosine monophosphate (cAMP)-dependent type I regulatory subunit beta) dementia-associated genes. Our results support the use of an extended next-generation sequencing panels as a quick, accurate, and cost-effective method for diagnosis in clinical practice. This approach could have a significant impact on the proportion of tested patients, especially among those with an early disease onset.

journal_name

Neurobiol Aging

journal_title

Neurobiology of aging

authors

Bartoletti-Stella A,Baiardi S,Stanzani-Maserati M,Piras S,Caffarra P,Raggi A,Pantieri R,Baldassari S,Caporali L,Abu-Rumeileh S,Linarello S,Liguori R,Parchi P,Capellari S

doi

10.1016/j.neurobiolaging.2018.02.006

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

180.e23-180.e31

eissn

0197-4580

issn

1558-1497

pii

S0197-4580(18)30048-4

journal_volume

66

pub_type

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