Dystrophin Gene Mutation Location and the Risk of Cognitive Impairment in Duchenne Muscular Dystrophy 英文参考文献.docVIP
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Dystrophin Gene Mutation Location and the Risk of Cognitive Impairment in Duchenne Muscular Dystrophy 英文参考文献
DystrophinGeneMutationLocationandtheRiskof
CognitiveImpairmentinDuchenneMuscularDystrophy
PeterJ.Taylor1,2.,GrantA.Betts2.,SarahMaroulis1,ChristianGilissen3,RobynL.Pedersen2,DavidR.
Mowat2,4,HeatherM.Johnston2,MichaelF.Buckley1,3*
1Molecular and Cytogenetics Unit, Department of Haematology and Genetics, Prince of Wales Hospital, Randwick, Sydney, New South Wales, Australia, 2Sydney
Neuromuscular Centre, Sydney Children’s Hospital, Randwick, Sydney, New South Wales, Australia, 3Department of Human Genetics, Radboud University Nijmegen
MedicalCentre,Nijmegen,TheNetherlands,4TheSchoolofWomen’sandChildren’sHealth,UniversityofNewSouthWales,Sydney,NewSouthWales,Australia
Abstract
Background: A significant component of the variation in cognitive disability that is observed in Duchenne muscular
dystrophy (DMD) is known to be under genetic regulation. In this study we report correlations between standardised
measuresofintelligenceandmutationalclass,mutationsize,mutationlocationandtheinvolvementofdystrophinisoforms.
MethodsandResults:SixtytwomalesubjectswererecruitedaspartofastudyofthecognitivespectruminboyswithDMD
conductedattheSydneyChildren’sHospital(SCH).All62childrenreceivedneuropsychologicaltestingfromasingleclinical
psychologist and had a defined dystrophin gene (DMD) mutation; including DMD gene deletions, duplications and DNA
pointmutations.FullScaleIntelligenceQuotients(FSIQ)inunrelatedsubjectswiththesamemutationwerefoundtobe
highlycorrelated(r=0.83,p=0.0008),incontrasttoresultsinpreviouspublications.In58cases(94%)itwaspossibleto
definitively assign a mutation as affecting one or more dystrophin isoforms. A strong association between the risk of
cognitive disability and the involvement of groups of DMD isoforms was found. In particular, improvements in the
correlation of FSIQ with mutation location were identified when a new classification system for mutations affecting the
Dp140isoformwasimplemented.
Significance:ThesedatarepresentoneofthelargeststudiesofFSIQandm
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