Detection of SQSTM1/P392L post-zygotic mutations in Paget’s disease of bone
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  • 作者:Sabrina Guay-Bélanger ; Sylvain Picard ; Edith Gagnon ; Jean Morissette…
  • 刊名:Human Genetics
  • 出版年:2015
  • 出版时间:January 2015
  • 年:2015
  • 卷:134
  • 期:1
  • 页码:53-65
  • 全文大小:782 KB
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  • 作者单位:Sabrina Guay-Bélanger (1) (2)
    Sylvain Picard (3)
    Edith Gagnon (1)
    Jean Morissette (1)
    Ethel S. Siris (4)
    Philippe Orcel (5)
    Jacques P. Brown (1) (2) (6)
    La?titia Michou (1) (2) (6)

    1. CHU de Québec Research Centre, Rhumatologie-R4774, CHU de Québec, 2705 boulevard Laurier, Québec, QC, G1V 4G2, Canada
    2. Division of Rheumatology, Department of Medicine, Université Laval, Québec, QC, Canada
    3. Department of Pathology, CHU de Québec, Québec, QC, Canada
    4. Columbia University Medical Centre, New York, NY, USA
    5. P?le appareil locomoteur, service de rhumatologie B, h?pital Lariboisière AP-HP, Paris, France
    6. Department of Rheumatology, CHU de Québec, Québec, QC, Canada
  • 刊物类别:Biomedical and Life Sciences
  • 刊物主题:Biomedicine
    Human Genetics
    Molecular Medicine
    Internal Medicine
    Metabolic Diseases
  • 出版者:Springer Berlin / Heidelberg
  • ISSN:1432-1203
文摘
Paget’s disease of bone (PDB) is transmitted, in one-third of cases, in an autosomal dominant mode of inheritance with incomplete penetrance. The SQSTM1/P392L germinal mutation is the most common mutation associated with PDB. Given the focal nature of PDB, one team of investigators showed that SQSTM1/P392L somatic mutations could occur in pagetic bone lesions in the absence of germinal mutations detectable in the peripheral blood. The objectives of this study were to develop a reliable method to detect SQSTM1/P392L post-zygotic mutations, by optimizing a polymerase chain reaction (PCR)-clamping method reported to be effective in detecting post-zygotic mutations in peripheral blood from patients with fibrous dysplasia; and to evaluate the frequency of this post-zygotic mutation in PDB patients. We used a locked nucleic acid (LNA) specifically designed for the SQSTM1/P392L mutation, which blocks the wild-type allele amplification during the PCR. DNA from 376 pagetic patients and 297 controls, all without any SQSTM1/P392L germinal mutation, was analyzed. We found that 4.8?% of PDB patients and 1.4?% of controls were carriers of this post-zygotic mutation [p?=?0.013, OR 3.68 (1.23; 11.00)]. PDB patient carriers of a post-zygotic mutation had a lower number of affected bones and Renier’s index than patients carrying a germinal mutation, suggesting a lower disease extension. We also demonstrated that this post-zygotic mutation was restricted to the monocytic lineage. These results confirmed that LNA PCR clamping is effective for the detection of SQSTM1/P392L post-zygotic mutations, which may occur in patients with PDB.

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