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Primary ciliary dyskinesia multigene NGS diagnostic testing in Cyprus

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Feb 09, 2021 version files 45.28 KB

Abstract

The dataset describes the genetic diagnosis in the national PCD cohort of Cyprus, an island with a high disease prevalence. Targeted next-generation sequencing (NGS) of 39 known PCD genes was carried out in samples from 48 patients of Greek-Cypriot and other ancestries. Molecular diagnosis was achived in 74% of the unrelated families tested (68% of Greek-Cypriot and 90% of non-Greek-Cypriot origin respectively). A total of 24 different mutations in 11 genes, 12 of which are novel were identified. These were categorized as nonsense (n= 9), splice-site (7), frameshift (n= 4), and missense (n= 3) mutations, and small deletions (n= 1). Homozygosity was more common in Greek-Cypriot than non-Greek-Cypriot patients (88% vs 46.2%, p =0.016). Four mutations (DNAH11:c.5095-2A>G, CFAP300:c.95_103delGCCGGCTCC, TTC25:c.716G>A, RSPH9: c.670+2T>C,) were found in 74% of the diagnosed Greek-Cypriot families, usually appearing in homozygosity and regional clusters. Patients with RSPH9 mutations demonstrated higher nasal nitric oxide production (57nL/min Vs 15 nL/min, p <0.001), higher FEV1 (-0.89 vs -2.37, p=0.018) and FVC (-1.00 vs -2.16, p=0.029) z-scores than the rest of the cohort. Targeted multigene-panel NGS diagnosis is an efficient single test for early diagnosis of PCD, providing insight to disease genetic epidemiology in isolated populations and improved patient stratification.