NGS-Based Diagnosis of Treatable Neurogenetic Disorders in Adults: Opportunities and Challenges
| Autor: | Thierry Kuntzer, Jean-Marc Good, Mayte Castro Jiménez, Christel Tran, David Benninger, Isis Atallah, Andrea Superti-Furga |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
Pediatrics medicine.medical_specialty Movement disorders Deficiency syndrome medicine.medical_treatment Case Report QH426-470 Cerebrotendinous Xanthomatosis 03 medical and health sciences Epilepsy 0302 clinical medicine Adrenal insufficiency Spastic Genetics Medicine X-linked adrenoleukodystrophy next-generation sequencing (NGS) neurogenetic disorders treatable diseases Genetics (clinical) ATP Binding Cassette Transporter Subfamily D Member 1/genetics Adrenoleukodystrophy/diagnosis Adrenoleukodystrophy/genetics Adult Carbohydrate Metabolism Inborn Errors/diagnosis Carbohydrate Metabolism Inborn Errors/genetics Cholestanetriol 26-Monooxygenase/genetics Female Genetic Testing/methods Glucose Transporter Type 1/genetics High-Throughput Nucleotide Sequencing/methods Humans Male Middle Aged Monosaccharide Transport Proteins/deficiency Monosaccharide Transport Proteins/genetics Sequence Analysis DNA/methods Xanthomatosis Cerebrotendinous/diagnosis Xanthomatosis Cerebrotendinous/genetics cerebrotendinous xanthomatosis glucose transporter type 1 deficiency syndrome business.industry medicine.disease 030104 developmental biology Adrenoleukodystrophy medicine.symptom business 030217 neurology & neurosurgery Ketogenic diet |
| Zdroj: | Genes, Vol 12, Iss 695, p 695 (2021) Genes, vol. 12, no. 5, pp. 695 Genes |
| ISSN: | 2073-4425 |
| Popis: | The identification of neurological disorders by next-generation sequencing (NGS)-based gene panels has helped clinicians understand the underlying physiopathology, resulting in personalized treatment for some rare diseases. While the phenotype of distinct neurogenetic disorders is generally well-known in childhood, in adulthood, the phenotype can be unspecific and make the standard diagnostic approach more complex. Here we present three unrelated adults with various neurological manifestations who were successfully diagnosed using NGS, allowing for the initiation of potentially life-changing treatments. A 63-year-old woman with progressive cognitive decline, pyramidal signs, and bilateral cataract was treated by chenodeoxycholic acid following the diagnosis of cerebrotendinous xanthomatosis due to a homozygous variant in CYP27A1. A 32-year-old man with adult-onset spastic paraplegia, in whom a variant in ABCD1 confirmed an X-linked adrenoleukodystrophy, was treated with corticoids for adrenal insufficiency. The third patient, a 28-year-old woman with early-onset developmental delay, epilepsy, and movement disorders was treated with a ketogenic diet following the identification of a variant in SLC2A1, confirming a glucose transporter type 1 deficiency syndrome. This case study illustrates the challenges in the timely diagnosis of medically actionable neurogenetic conditions, but also the considerable potential for improving patient health through modern sequencing technologies. |
| Databáze: | OpenAIRE |
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