期刊
MOLECULAR BRAIN
卷 4, 期 -, 页码 -出版社
BIOMED CENTRAL LTD
DOI: 10.1186/1756-6606-4-24
关键词
Multiple system atrophy; copy number variation; phenotypically discordant monozygotic twins; (Src homology 2 domain containing)-transforming protein 2; subtelomere; ataxia; parkinsonism; disease-susceptibility gene
资金
- Japanese Ministry of Education, Culture, Sports, Science and Technology
- Research Committee for Ataxic Diseases, Japanese Ministry of Health, Labour and Welfare
- Matching Program for Innovations in Future Drug Discovery and Medical Care of Japan
- Global COE Program of the Japan Society for the Promotion of Science [F03]
- Grants-in-Aid for Scientific Research [21591067] Funding Source: KAKEN
Background: Multiple system atrophy (MSA) is a sporadic disease. Its pathogenesis may involve multiple genetic and nongenetic factors, but its etiology remains largely unknown. We hypothesized that the genome of a patient with MSA would demonstrate copy number variations (CNVs) in the genes or genomic regions of interest. To identify genomic alterations increasing the risk for MSA, we examined a pair of monozygotic (MZ) twins discordant for the MSA phenotype and 32 patients with MSA. Results: By whole-genome CNV analysis using a combination of CNV beadchip and comparative genomic hybridization (CGH)-based CNV microarrays followed by region-targeting, high-density, custom-made oligonucleotide tiling microarray analysis, we identified disease-specific copy number loss of the (Src homology 2 domain containing)-transforming protein 2 (SHC2) gene in the distal 350-kb subtelomeric region of 19p13.3 in the affected MZ twin and 10 of the 31 patients with MSA but not in 2 independent control populations (p = 1.04 x 10(-8), odds ratio = 89.8, Pearson's chi-square test). Conclusions: Copy number loss of SHC2 strongly indicates a causal link to MSA. CNV analysis of phenotypically discordant MZ twins is a powerful tool for identifying disease-predisposing loci. Our results would enable the identification of novel diagnostic measure, therapeutic targets and better understanding of the etiology of MSA.
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