2021
DOI: 10.1111/cge.14031
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Facioscapulohumeral muscular dystrophy—Reproductive counseling, pregnancy, and delivery in a complex multigenetic disease

Abstract: Reproductive counseling in facioscapulohumeral muscular dystrophy (FSHD) can be challenging due to the complexity of its underlying genetic mechanisms and due to incomplete penetrance of the disease. Full understanding of the genetic causes and potential inheritance patterns of both distinct FSHD types is essential: FSHD1 is an autosomal dominantly inherited repeat disorder, whereas FSHD2 is a digenic disorder. This has become even more relevant now that prenatal diagnosis and preimplantation genetic diagnosis… Show more

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Cited by 9 publications
(3 citation statements)
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“…Direct next generation sequencing is not appropriate for detecting large repeat array because of its short-read nature. Southern blot is a traditional method to diagnose FSHD1 by measuring the length of D4Z4 array and estimating the number of repeats, although it is process-complicated, labor- and time-intensive ( Deidda et al, 1996 ; Ehrlich et al, 2006 ; Vincenten et al, 2022 ). Third generation sequencing is qualified for molecular diagnosis of FSHD1 in advantage of its ultra-long read ( Morioka et al, 2016 ; Mitsuhashi et al, 2017 ), however, it requires high molecular weight DNA.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Direct next generation sequencing is not appropriate for detecting large repeat array because of its short-read nature. Southern blot is a traditional method to diagnose FSHD1 by measuring the length of D4Z4 array and estimating the number of repeats, although it is process-complicated, labor- and time-intensive ( Deidda et al, 1996 ; Ehrlich et al, 2006 ; Vincenten et al, 2022 ). Third generation sequencing is qualified for molecular diagnosis of FSHD1 in advantage of its ultra-long read ( Morioka et al, 2016 ; Mitsuhashi et al, 2017 ), however, it requires high molecular weight DNA.…”
Section: Discussionmentioning
confidence: 99%
“…A method, combination Bionano optical mapping (BOM) and karyomapping, has been proved to greatly improve the efficiency of invasive prenatal testing for FSHD1 ( Zheng et al, 2020 ). However, there is a small risk of miscarriage and infection still cannot be absolutely avoided ( Salomon et al, 2019 ; Vincenten et al, 2022 ). The application of cell-free fetal (cffDNA) analysis of maternal plasma in noninvasive prenatal diagnosis (NIPD) can avoid the risk of miscarriage and infection caused by chorionic villus biopsy and amniocentesis.…”
Section: Introductionmentioning
confidence: 99%
“…A discussion of these and other issues with a gynecologist at a preconception clinic should be considered. This is discussed in a recent review by Vincenten et al 47 …”
Section: Prenatal Testing and Pre‐implantation Genetic Testingmentioning
confidence: 95%