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Dystrophin Gene Mutation Location and the Risk of Cognitive Impairment in Duchenne Muscular Dystrophy 英文参考文献.docVIP

Dystrophin Gene Mutation Location and the Risk of Cognitive Impairment in Duchenne Muscular Dystrophy 英文参考文献.doc

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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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