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Development and application of a next-generation-sequencing (NGS) approach to detect known and novel gene defects underlying retinal diseases
Audo I., Bujakowska K., Léveillard T., Mohand-Saïd S., Lancelot M.-E., Germain A., Antonio A., Michiels C., Saraiva J.-P., Letexier M. et al
Orphanet Journal of Rare Diseases 7, 1 (2012) 8 - http://www.hal.inserm.fr/inserm-00697616
 (22277662) 
Development and application of a next-generation-sequencing (NGS) approach to detect known and novel gene defects underlying retinal diseases
Isabelle Audo () 1, 2, 3, Kinga Bujakowska3, Thierry Léveillard3, Saddek Mohand-Saïd1, 3, Marie-Elise Lancelot3, Aurore Germain3, Aline Antonio1, 3, Christelle Michiels3, Jean-Paul Saraiva4, Mélanie Letexier4, José-Alain Sahel1, 3, 5, 6, Shomi Bhattacharya2, 3, 7, Christina Zeitz () 3
1 :  Centre Hospitalier National d'Ophtalmologie des Quinze-Vingts
INSERM-DHOS CIC 503
Paris, F-75012, France
France
2 :  UCL-Institute of Ophthalmology
Faculty of Brain Sciences of University College London (UCL)
London
Royaume-Uni
3 :  Institut de la vision
INSERM : U968 – Université Pierre et Marie Curie [UPMC] - Paris VI – CNRS : UMR7210
France
4 :  IntegraGen SA
Genopole CAMPUS 1 bat G8
FR-91030 EVRY France
France
5 :  Fondation Ophtalmologique Adolphe de Rothschild
Centre Médical
29 Rue Manin 75019 Paris 19 - Buttes-Chaumont Paris
France
6 :  Académie des sciences
Institut de France
France
7 :  Department of Celular Therapy and Regenerative Medicine
Andalusian Molecular Biology and Regenerative Medicine Centre (CABIMER)
Isla de Cartuja, Seville
Espagne
Background
Inherited retinal disorders are clinically and genetically heterogeneous with more than 150 gene defects accounting for the diversity of disease phenotypes. So far, mutation detection was mainly performed by APEX technology and direct Sanger sequencing of known genes. However, these methods are time consuming, expensive and unable to provide a result if the patient carries a new gene mutation. In addition, multiplicity of phenotypes associated with the same gene defect may be overlooked.
Methods
To overcome these challenges, we designed an exon sequencing array to target 254 known and candidate genes using Agilent capture. Subsequently, 20 DNA samples from 17 different families, including four patients with known mutations were sequenced using Illumina Genome Analyzer IIx next-generation-sequencing (NGS) platform. Different filtering approaches were applied to identify the genetic defect. The most likely disease causing variants were analyzed by Sanger sequencing. Co-segregation and sequencing analysis of control samples validated the pathogenicity of the observed variants.
Results
The phenotype of the patients included retinitis pigmentosa, congenital stationary night blindness, Best disease, early-onset cone dystrophy and Stargardt disease. In three of four control samples with known genotypes NGS detected the expected mutations. Three known and five novel mutations were identified in NR2E3, PRPF3, EYS, PRPF8, CRB1, TRPM1 and CACNA1F. One of the control samples with a known genotype belongs to a family with two clinical phenotypes (Best and CSNB), where a novel mutation was identified for CSNB. In six families the disease associated mutations were not found, indicating that novel gene defects remain to be identified.
Conclusions
In summary, this unbiased and time-efficient NGS approach allowed mutation detection in 75% of control cases and in 57% of test cases. Furthermore, it has the possibility of associating known gene defects with novel phenotypes and mode of inheritance.
Sciences du Vivant/Génétique
Anglais

Articles dans des revues avec comité de lecture
10.1186/1750-1172-7-8
Orphanet Journal of Rare Diseases
Publisher BioMed Central
ISSN 1750-1172 
internationale
2012
7
1
8

NGS – retinal disorders – diagnostic tool
The project was financially supported by GIS-maladies rares (CZ), Foundation Voir et Entendre and BQR, Foundation Fighting Blindness (IA, FFB Grant # CD-CL- 0808-0466-CHNO and the CIC503 recognized as an FFB center, FFB Grant # C-CMM-0907-0428-INSERM04), Ville de Paris and region Ile de France.
Référence du projet Agence Nationale de la Recherche (ANR, SSB)
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