Dependable and Efficient Clinical Molecular Diagnosis of Chinese RP Patient with Targeted Exon Sequencing

PLoS One. 2015 Oct 23;10(10):e0140684. doi: 10.1371/journal.pone.0140684. eCollection 2015.

Abstract

Retinitis pigmentosa (RP) is the most common inherited retinal disease. It is a clinically and genetically heterogeneous disorder, which is why it is particularly challenging to diagnose. The aim of this study was to establish a targeted next-generation sequencing (NGS) approach for the comprehensive, rapid, and cost-effective clinical molecular diagnosis of RP. A specific hereditary eye disease enrichment panel (HEDEP) based on exome capture technology was used to collect the protein coding regions of 371 targeted hereditary eye disease genes, followed by high-throughput sequencing on the Illumina HiSeq2000 platform. From a cohort of 34 Chinese RP families, 13 families were successfully diagnosed; thus, the method achieves a diagnostic rate of approximately 40%. Of 16 pathogenic mutations identified, 11 were novel. Our study demonstrates that targeted capture sequencing offers a rapid and effective method for the molecular diagnosis of RP, which helps to provide a more accurate clinical diagnosis and paves the way for genetic counseling, family planning, and future gene-targeted treatment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Asian People / genetics
  • Base Sequence
  • China
  • Cohort Studies
  • Consanguinity
  • Exons / genetics*
  • Family Health
  • Female
  • Genetic Predisposition to Disease / ethnology
  • Genetic Predisposition to Disease / genetics
  • Humans
  • Male
  • Middle Aged
  • Molecular Diagnostic Techniques / methods*
  • Mutation
  • Pedigree
  • Reproducibility of Results
  • Retinitis Pigmentosa / diagnosis
  • Retinitis Pigmentosa / ethnology
  • Retinitis Pigmentosa / genetics*
  • Sensitivity and Specificity
  • Sequence Analysis, DNA / methods*
  • Young Adult

Grants and funding

This study was supported by the National Natural Science Foundation of China (http://www.nsfc.gov.cn/ grant number: 81170877 & 81470666 LY); The clinical Key Project of Peking University Third Hospital (BYSY2014004 LY); The Seeding Grant for Medicine and Life Sciences of Peking University (2014-MB-20 LY); and a Peking University grant for translational research (ZM). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.