2015
DOI: 10.1016/j.nmd.2015.08.008
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Molecular combing compared to Southern blot for measuring D4Z4 contractions in FSHD

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Cited by 36 publications
(37 citation statements)
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“…Furthermore, our data support the added value of MC compared with SB for the primary diagnosis of the disease but also for the elucidation of complex cases such as rearrangements or unresolved genotypes and the systematic detection of 4qA/qB and 10q alleles. Overall, our results, together with a recent study (Vasale et al., ), show that MC has a lower false‐negative rate compared with SB and thus can be reliably used for molecular diagnosis of FSHD in general but also for the resolution of complex cases in clinical practice, the most undisputable feature in the disease being the clinical phenotype unifying FSHD1, FSHD2, and more complex cases (Figure ).…”
Section: Discussionsupporting
confidence: 74%
“…Furthermore, our data support the added value of MC compared with SB for the primary diagnosis of the disease but also for the elucidation of complex cases such as rearrangements or unresolved genotypes and the systematic detection of 4qA/qB and 10q alleles. Overall, our results, together with a recent study (Vasale et al., ), show that MC has a lower false‐negative rate compared with SB and thus can be reliably used for molecular diagnosis of FSHD in general but also for the resolution of complex cases in clinical practice, the most undisputable feature in the disease being the clinical phenotype unifying FSHD1, FSHD2, and more complex cases (Figure ).…”
Section: Discussionsupporting
confidence: 74%
“…Comparative genomic hybridization (CGH)‐array studies confirmed 18p terminal deletion (de novo, as absent in the asymptomatic parents) encompassing the SMCHD1 gene (arr18p11.32‐p11.21.148.96314.081.888)×1(hg37)) (Figure , Panels 3 and 4). The D4Z4 array on chromosome 4 had either 19 and 20 repeat units (Panel 5), and two 4qA161 haplotypes were confirmed as previously described (Lemmers et al, ; Vasale et al, ). Severe hypomethylation (average CpG‐methylation 9%) of D4Z4 repeats (an epigenetic hallmark of FSHD) by bisulfite sequencing was observed (Figure , Panel 6), supporting the diagnostic hypothesis of inflammatory FSHD2 associated with 18p‐ syndrome (Gaillard et al, ; Hartweck et al, ).…”
Section: Textsupporting
confidence: 61%
“…The genetic diagnosis of FSHD1 is very difficult, because of the special DNA structural features involved in the genetics of this disease: (1) Multiple (11‐100) small (3.3 KB) D4Z4 repeated elements in chromosome region 4q35.2 are present on the normal chromosome, while pathogenic deletions associated with FSHD1 result in many fewer D4Z4 repeats (1‐10) ; (2) the downstream pathogenic 4qA allele must be distinguished from the non‐pathogenic 4qB allele; (3) The D4Z4 repeats are highly homologous and difficult to distinguish from 10q26.3 region . There are two methods of FSHD1 genetic diagnosis currently in use: Southern Blot and molecular combing. Recently, the Bionano optical mapping technique has been used for FSHD1 gene diagnosis .…”
Section: Discussionmentioning
confidence: 99%