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HERO ID
7388725
Reference Type
Journal Article
Title
EMQN best practice guidelines for genetic testing in dystrophinopathies
Author(s)
Fratter, C; Dalgleish, R; Allen, SK; Santos, R; Abbs, S; Tuffery-Giraud, S; Ferlini, A
Year
2020
Is Peer Reviewed?
Yes
Journal
European Journal of Human Genetics
ISSN:
1018-4813
EISSN:
1476-5438
Volume
28
Issue
9
Page Numbers
1141-1159
Language
English
PMID
32424326
DOI
10.1038/s41431-020-0643-7
Web of Science Id
WOS:000533845300004
Abstract
Dystrophinopathies are X-linked diseases, including Duchenne muscular dystrophy and Becker muscular dystrophy, due to DMD gene variants. In recent years, the application of new genetic technologies and the availability of new personalised drugs have influenced diagnostic genetic testing for dystrophinopathies. Therefore, these European best practice guidelines for genetic testing in dystrophinopathies have been produced to update previous guidelines published in 2010.These guidelines summarise current recommended technologies and methodologies for analysis of the DMD gene, including testing for deletions and duplications of one or more exons, small variant detection and RNA analysis. Genetic testing strategies for diagnosis, carrier testing and prenatal diagnosis (including non-invasive prenatal diagnosis) are then outlined. Guidelines for sequence variant annotation and interpretation are provided, followed by recommendations for reporting results of all categories of testing. Finally, atypical findings (such as non-contiguous deletions and dual DMD variants), implications for personalised medicine and clinical trials and incidental findings (identification of DMD gene variants in patients where a clinical diagnosis of dystrophinopathy has not been considered or suspected) are discussed.
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