ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2026
TP-PCR combined with long-read sequencing for screening of fragile X syndrome carriers.
Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundTo accurately screen Fragile X syndrome (FXS) carriers during pregnancy, number of CGG repeats for full mutation (FM), low-proportion mosaicism, the presence of AGG interruptions, and microdeletions were identified.
methodsLong-read sequencing (LRS) was developed and evaluated premutation (PM) by comparing to triplet repeat-primed PCR (TP-PCR). In the follow-up, pregnancy outcomes in carrying FMR1 expanded alleles and the screening of their newborn offspring were inquired.
resultsThe results showed that LRS could accurately detect CGG repeats in clinical samples (blood and amniotic fluid samples) with premutation (PM). Furthermore, LRS could directly determine that mosaicism in FXS (29/48/77 repeats), offering a mosaicism ratio of 3%. The results of CGG repeats of FMR1 by LRS demonstrated that a history of infertility had PM alleles (29/71 repeats). In addition, LRS demonstrated a 71 bp deletion exon 1 of FMR1 in carrying PM, whereas CGG repeats was lower than 0 via detecting by TP-PCR.
conclusionOur study provides the first evidence of low-proportion mosaicism and microdeletion via LRS method, which may prove to be an option for the additional cases of FXS during pregnancy.
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