Analysis of Genotype-Phenotype Correlations in Patients With Degenerative Dementia Through the Whole Exome Sequencing.

Frontiers in aging neuroscience(2021)

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摘要
Sporadic dementias generally occur in older age and are highly polygenic, which indicates some patients transmitted in a poly-genes hereditary fashion. Our study aimed to analyze the correlations of genetic features with clinical symptoms in patients with degenerative dementia. We recruited a group of 84 dementia patients and conducted the whole exome sequencing (WES). The data were analyzed focusing on 153 dementia-related causing and susceptible genes. According to the American College of Medical Genetics and Genomics (ACMG) standards and guidelines, we identified four reported pathogenic variants, namely, c.A344G, c.G2149A, c.G1165A, and c.G742A, one reported likely pathogenic variant, namely, c.G100A, one novel pathogenic variants, c.C671A, and three novel likely pathogenic variants, namely, c.C4690T, c.3135delC, and c.2897-2A > G. 21 variants with uncertain significance in , , , , , , , , , , , and , were also detected in patients with Alzheimer's disease (AD) and frontotemporal dementia (FTD). The new variants in dementia-related genes indicated heterogeneity in pathogenesis and phenotype of degenerative dementia. WES could serve as an efficient diagnostic tool for detecting intractable dementia.
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关键词
Alzheimer’s disease,dementia,frontotemporal lobe degeneration,next-generation sequencing,whole exome sequencing (WES)
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