Long-read targeted sequencing uncovers clinicopathological associations for C9orf72-linked diseases.
Long-read targeted sequencing uncovers clinicopathological associations for C9orf72-linked diseases.
复制标题
DOI:
10.1093/brain/awab006
复制
发表时间:
2021-05-07
期刊:
影响因子:
--
通讯作者:
van Blitterswijk M
中科院分区:
文献类型:
--
作者:
DeJesus-Hernandez M;Aleff RA;Jackson JL;Finch NA;Baker MC;Gendron TF;Murray ME;McLaughlin IJ;Harting JR;Graff-Radford NR;Oskarsson B;Knopman DS;Josephs KA;Boeve BF;Petersen RC;Fryer JD;Petrucelli L;Dickson DW;Rademakers R;Ebbert MTW;Wieben ED;van Blitterswijk M
To examine the length of a hexanucleotide expansion in C9orf72, which represents the most frequent genetic cause of frontotemporal lobar degeneration and motor neuron disease, we employed a targeted amplification-free long-read sequencing technology: No-Amp sequencing. In our cross-sectional study, we assessed cerebellar tissue from 28 well-characterized C9orf72 expansion carriers. We obtained 3507 on-target circular consensus sequencing reads, of which 814 bridged the C9orf72 repeat expansion (23%). Importantly, we observed a significant correlation between expansion sizes obtained using No-Amp sequencing and Southern blotting (P = 5.0 × 10−4). Interestingly, we also detected a significant survival advantage for individuals with smaller expansions (P = 0.004). Additionally, we uncovered that smaller expansions were significantly associated with higher levels of C9orf72 transcripts containing intron 1b (P = 0.003), poly(GP) proteins (P = 1.3 × 10− 5), and poly(GA) proteins (P = 0.005). Thorough examination of the composition of the expansion revealed that its GC content was extremely high (median: 100%) and that it was mainly composed of GGGGCC repeats (median: 96%), suggesting that expanded C9orf72 repeats are quite pure. Taken together, our findings demonstrate that No-Amp sequencing is a powerful tool that enables the discovery of relevant clinicopathological associations, highlighting the important role played by the cerebellar size of the expanded repeat in C9orf72-linked diseases. DeJesus-Hernandez et al. employ an innovative long-read sequencing method to examine the length of the expanded C9orf72 repeat that represents the most common genetic cause of frontotemporal dementia and amyotrophic lateral sclerosis. Smaller expansion size confers a survival benefit for patients.