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Notable Carrier Risks for Individuals Having Two Copies of SMN1 in Spinal Muscular Atrophy Families with 2-copy Alleles: Estimation Based on Chinese Meta-analysis Data

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Journal of Genetic Counseling

Abstract

Spinal muscular atrophy is an autosomal recessive neuromuscular disease mainly caused by homozygous deletion of SMN1. The 2-copy SMN1 allele may present in the families of SMA patients with homozygous deletion of SMN1, one of whose parents has two SMN1 copies. In such families, individuals having two SMN1 copies still have a chance to be “2 + 0” carriers. In this study, the risks for the parents, fetuses and other siblings having two SMN1 copies to be “2 + 0” carriers were estimated based on Chinese meta-analysis data and turned out to be rather striking. Our findings would help to optimize genetic counseling regarding spinal muscular atrophy.

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References

References marked with an asterisk indicate studies included in the meta-analysis

  • Alías, L., Barcelo, M. J., Bernal, S., Martínez-Hernández, R., Also-Rallo, E., Vázquez, C., et al. (2014). Improving detection and genetic counseling in carriers of spinal muscular atrophy with two copies of the SMN1 gene. Clinical Genetics, 85, 470–475.

    Article  PubMed  Google Scholar 

  • Burghes, A. H. M. (1997). When is a deletion not a deletion: when it is converted. American Journal of Human Genetics, 61, 9–15.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Burglen, L., Lefebvre, S., Clermont, O., Burlet, P., Viollet, L., Cruaud, C., et al. (1996). Structure and organization of the human survival motor neurone (SMN) gene. Genomics, 32, 479–482.

    Article  CAS  PubMed  Google Scholar 

  • *Cao, D., Ren, M., Lin, C., Cui, W., Ma, H., Wu, Y., et al. (2009). Gene diagnosis for spinal muscular atrophy and its application study. Zhonghua Yi Xue Yi Chuan Xue Za Zhi, 26, 306–309.

    CAS  PubMed  Google Scholar 

  • *Cao, Y., Qu, Y., Song, F., Bai, J., Jin, Y., Wang, H., et al. (2013). ection of homozygous deletions in spinal muscular atrophy with genomic DNA sequencing. Zhonghua Yi Xue Yi Chuan Xue Za Zhi, 30, 410–414.

  • *Chan, V., Yip, B., Yam, I., Au, P., Lin, C., Wong, V., et al. (2004). Carrier incidence for spinal muscular atrophy in southern Chinese. Journal of Neurology, 251, 1089–1093.

    Article  CAS  PubMed  Google Scholar 

  • *Chen, W. (2004). Study on the gene diagnosis and the genotype-phenotype correlation of spinal muscular atrophy. (Master’s thesis). Retrieved from CNKI database.

  • *Chen, K., Wang, Y., Rennert, H., Joshi, I., Mills, J. K., Leonard, D. G., et al. (1999). Duplications and de novo deletions of the SMNt gene demonstrated by fluorescence-based carrier testing for spinal muscular atrophy. American Journal of Medical Genetics, 85, 463–469.

    Article  CAS  PubMed  Google Scholar 

  • *Chen, W., Wu, Z., Wang, N., Lin, M., & Mu-rong, S. (2005). Quantitative studies on SMN1 gene and carrier testing of spinal muscular atrophy. Zhonghua Yi Xue Yi Chuan Xue Za Zhi, 22, 599–602.

    CAS  Google Scholar 

  • *Chen, T., Tzeng, C., Wang, C., Wu, S., Chang, J., Yang, S., et al. (2011). Identification of bidirectional gene conversion between SMN1 and SMN2 by simultaneous analysis of SMN dosage and hybrid genes in a Chinese population. Journal of Neurological Sciences, 308, 83–87.

    Article  CAS  Google Scholar 

  • *Chen, H., Meng, Y., Shu, J., & Song, L. (2012a). Genetic diagnosis of spinal muscular atrophy using MLPA. Tian Jin Yi Yao, 40, 1095–1098.

    CAS  Google Scholar 

  • *Chen, Y., He, J., Zhang, Q., Lin, X., Wang, N., & Chen, W. (2012b). Studies on the prenatal diagnosis of spinal muscular atrophy by multiplex ligation-dependent probe amplification. Zhongguo Xian Dai Shen Jing Ji Bing Za Zhi, 12, 294–299.

    CAS  Google Scholar 

  • *Ding, Y., Yu, Y., Ye, X., & Wang, Y. (2012). Application of multiplex ligation-dependent probe amplification in molecular diagnosis of spinal muscular atrophy. Lin Chuang Er Ke Za Zhi, 30, 1001–1005.

    CAS  Google Scholar 

  • *Fang, P., Li, L., Zeng, J., Zhou, W., Wu, W., Zhong, Y., et al. (2015). Molecular characterization and copy number of SMN1, SMN2 and NAIP in Chinese patients with spinal muscular atrophy and unrelated healthy controls. BMC Musculoskeletal Disorders, 16, 11.

    Article  PubMed  PubMed Central  Google Scholar 

  • *Gong, B., Zhang, L., Hou, Y., Hu, H., Li, H., Tan, M., et al. (2013). Carrier screening for spinal muscular atrophy in 4719 pregnant women in Shanghai region. Zhonghua Yi Xue Yi Chuan Xue Za Zhi, 30, 670–672.

    CAS  PubMed  Google Scholar 

  • *Gu, Y. (2010). Combined application of MLPA and DNA/cDNA sequencing for the genetic diagnosis of DMD/SMA patients and high-risk fetuses. (Master’s thesis). Retrieved from CNKI database.

  • *He, J. (2013). Molecular analysis of genes in 5q13 region in patients with spinal muscular atrophy. (Master’s thesis). Retrieved from CNKI database.

  • Hendrickson, B. C., Donohoe, C., Akmaev, V. R., Sugarman, E. A., Labrousse, P., Boguslavskiy, L., et al. (2009). Differences in SMN1 allele frequencies among ethnic groups within North America. Journal of Medical Genetics, 46, 641–644.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • *Hu, X. (2010). The application of MLPA in gene diagnosis of single gene disorders DMD/BMD and SMA. (Master’s thesis). Retrieved from CNKI database.

  • *Jiang, Y., Peng, G., Wu, Q., & Zhou, Y. (2014). Clinical application of real-time PCR for the detection of genetic mutations underlying spinal muscular atrophy. Zhonghua Yi Xue Yi Chuan Xue Za Zhi, 31, 180–184.

    CAS  PubMed  Google Scholar 

  • Lefebvre, S., Bürglen, L., Reboullet, S., Clermont, O., Burlet, P., Viollet, L., et al. (1995). Identification and characterization of a spinal muscular atrophy-determining gene. Cell, 80, 155–165.

    Article  CAS  PubMed  Google Scholar 

  • *Li, X. (2011). Quantitative analysis of SMN1 gene and carrier testing of spinal muscular atrophy. (Master’s thesis). Retrieved from CNKI database.

  • *Long, M., Song, F., Qu, Y., Meng, Y., Wang, H., Jin, Y., et al. (2008). Quantitative analysis of SMN1 and SMN2 genes based on DHPLC: a reliable method for detection of non-homozygous patients with spinal muscular atrophy. Zhonghua Yi Xue Za Zhi, 88, 1259–1263.

    CAS  PubMed  Google Scholar 

  • *Lu, L. (2005). The studies on the detection and expression of SMN gene of spinal muscular atrophy. (Master’s thesis). Retrieved from CNKI database.

  • *Lu, L., Ma, H., Jiang, J., Wang, T., & Hu, B. (2007). Application of real-time PCR analysis of the SMN1 gene in the carrier testing of spinal muscular atrophy. Zhongguo Dang Dai Er Ke Za Zhi, 9, 458–460.

    Google Scholar 

  • *Luo, F., Wu, W., Wang, H., Geng, Q., Deng, X., & Xie, J. (2013). Genetic diagnosis of spinal muscular atrophy using multiplex ligation-dependent probe amplification technology. Zhongguo You Sheng Yu Yi Chuan Za Zhi, 21, 14–16.

    Google Scholar 

  • McAndrew, P. E., Parsons, D. W., Simard, L. R., Rochette, C., Ray, P., Mendell, J. R., et al. (1997). Identification of proximal spinal muscular atrophy carriers and patients by analysis of SMNt and SMNc gene copy number. American Journal of Human Genetics, 60, 1411–1422.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ogino, S., Wilson, R. B., & Gold, B. (2004). New insights on the evolution of the SMN1 and SMN2 region: simulation and meta-analysis for allele and haplotype frequency calculations. European Journal of Human Genetics, 12, 1015–1023.

    Article  CAS  PubMed  Google Scholar 

  • Pearn, J. (1980). Classification of spinal muscular atrophies. Lancet, 1, 919–922.

    Article  CAS  PubMed  Google Scholar 

  • Prior, T. W., Nagan, N., Sugarman, E. A., Batish, S. D., & Braastad, C. (2011). Technical standards and guidelines for spinal muscular atrophy testing. Genetics in Medicine, 13, 686–694.

    Article  PubMed  Google Scholar 

  • *Qu, X., Xiao, B., Ji, X., Jiang, W., Yang, Z., & Tao, J. (2013). A pilot study on spinal muscular atrophy carrier screening in Shanghai region using real-time PCR. Zhonghua Yi Xue Yi Chuan Xue Za Zhi, 30, 1–4.

    PubMed  Google Scholar 

  • *Song, F., Qu, Y., Zou, L., Wang, L., Long, M., Wang, X., et al. (2008). Molecular analysis of survival motor neuron gene in 338 suspicious children patients with spinal muscular atrophy. Zhonghua Er Ke Za Zhi, 46, 919–923.

    PubMed  Google Scholar 

  • *Su, Y. N., Hung, C. C., Lin, S. Y., Chen, F. Y., Chern, J. P. S., Tsai, C., et al. (2011). Carrier screening for spinal muscular atrophy (SMA) in 107,611 pregnant women during the period 2005–2009: a prospective population-based cohort study. PLoS ONE, 6, e17067.

  • *Tsai, C. H., Jong, Y. J., Hu, C. J., Chen, C. M., Shih, M. C., Chang, C. P., et al. (2001). Molecular analysis of SMNNAIP and P44 genes of SMA patients and their families. Journal of the Neurological Sciences, 190, 35–40.

  • *Wang, J., An, Y., Zhou, S., Wang, Y., & Liu, R. (2013). Copy number variation of SMN1 and SMN2 genes in spinal muscular atrophy and analysis of its clinical significance. Zhongguo Xun Zheng Er Ke Za Zhi, 8, 216–219.

    CAS  Google Scholar 

  • Wirth, B., Schmidt, T., Hahnen, E., Rudnik-Schöneborn, S., Krawczak, M., Müller-Myhsok, B., et al. (1997). De novo rearrangements found in 2% of index patients with spinal muscular atrophy: mutational mechanisms, parental origin, mutation rate, and implications for genetic counseling. American Journal of Human Genetics, 61, 1102–1111.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wirth, B., Herz, M., Wetter, A., Moskau, S., Hahnen, E., Rudnik-Schoneborn, S., et al. (1999). Quantitative analysis of survival motor neuron copies: identification of subtle SMN1 mutations in patients with spinal muscular atrophy, genotype–phenotype correlation, and implications for genetic counseling. American Journal of Human Genetics, 64, 1340–1356.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • *Wu, Y., Wu, D., Yin, G., Zhai, Y., Du, H., Zhai, Q., et al. (2008). Gene diagnosis of spinal muscular atrophy using MLPA and PCR-RFLP. Zhongguo Ji Hua Sheng Yu Xue Za Zhi, 155, 535–539.

    Google Scholar 

  • *Xiao, X., Cai, L., Wang, R., Zhou, H., Li, J., & Xie, J. (2009). The application of DHPLC in the gene diagnosis of the childhood type spinal muscular atrophy and in the gene screening of SMA carriers. Jiang Xi Yi Xue Yuan Xue Bao, 49, 99–102.

    CAS  Google Scholar 

  • *Yao, R., Yu, Y., Geng, J., Zheng, Z., Wang, J., Shen, Y., et al. (2013). Application of MLPA technology in molecular diagnosis of three inherited diseases. Zhonghua Jian Yan Yi Xue Za Zhi, 36, 136–141.

    CAS  Google Scholar 

  • *Zeng, J., Ke, L., Zeng, X., Cai, M., Tu, X., & Lan, F. (2008). Molecular diagnosis of spinal muscular atrophy by multiplex ligation-dependent probe amplification. Zhonghua Yi Xue Za Zhi, 88, 3262–3264.

    CAS  PubMed  Google Scholar 

  • *Zeng, J., Lin, Y., Yan, A., Ke, L., Zhu, Z., & Lan, F. H. (2011). Establishment of a molecular diagnostic system for spinal muscular atrophy. Journal of Molecular Diagnosis, 13, 41–47.

    Article  CAS  Google Scholar 

  • *Zeng, G., Zheng, H., Cheng, J., Chen, R., Lin, H., Yang, J., et al. (2014). Analysis and carrier screening for copy numbers of SMN and NAIP in children with spinal muscular atrophy. Zhonghua Yi Xue Yi Chuan Xue Za Zhi, 31, 152–155.

    CAS  PubMed  Google Scholar 

  • *Zhang, S., Wu, S., & Li, H. (2013). Clinical features of spinal muscular atrophy type II: 53 cases report. Zhongguo Kang Fu Li Lun Yu Shi Jian, 19, 586–588.

    Google Scholar 

  • *Zhang, X., Wang, L., Yu, Y., & Fu, Q. (2015). Comparison of three methods for the genetic diagnosis of spinal muscular atrophy. Zhonghua Jian Yan Yi Xue Za Zhi, 38, 16–20.

    CAS  Google Scholar 

  • *Zhu, H., Hu, Y., Li, J., Yang, Y., & Wu, X. (2010a). Studies on the molecular diagnosis and prenatal diagnosis of the spinal muscular atrophy carriers by multiplex ligation-dependent probe. Zhonghua Yi Xue Yi Chuan Xue Za Zhi, 27, 38–41.

    PubMed  Google Scholar 

  • *Zhu, S., Xiong, F., Chen, Y., Yan, T., Zeng, J., Li, L., et al. (2010b). Molecular characterization of SMN copy number derived from carrier screening and from core families with SMA in a Chinese population. European Journal of Human Genetics, 18, 978–984.

    Article  CAS  Google Scholar 

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Acknowledgments

We thank Professor Xiangmin Xu and Jianjiu Chen for helpful discussions.

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Correspondence to Desheng Liang or Lingqian Wu.

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This work was funded by the Ministry of Science and Technology of the People’s Republic of China (Grant No. 2014FY110700).

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This article does not contain any studies with human participants or animals performed by any of the authors.

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This article is a meta-analysis and does not contain any studies with human participants. Therefore, an informed consent was not necessary.

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Wei, X., Tan, H., Yang, P. et al. Notable Carrier Risks for Individuals Having Two Copies of SMN1 in Spinal Muscular Atrophy Families with 2-copy Alleles: Estimation Based on Chinese Meta-analysis Data. J Genet Counsel 26, 72–78 (2017). https://doi.org/10.1007/s10897-016-9980-7

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  • DOI: https://doi.org/10.1007/s10897-016-9980-7

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