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Multiplex Ligation Probe Amplification and Sanger Sequencing: Light and Shade in the Diagnosis of Lysosomal Storage Disorders

Title: Multiplex Ligation Probe Amplification and Sanger Sequencing: Light and Shade in the Diagnosis of Lysosomal Storage Disorders
Authors: Vinci M; Zizzo C; Moschetti M; Giacomarra M; Anania M; Duro G; Di Chiara T; Russo M; Messina E; Colomba P; Duro G.
Contributors: Vinci, M.; Zizzo, C.; Moschetti, M.; Giacomarra, M.; Anania, M.; Duro, G.; Di Chiara, T.; Russo, M.; Messina, E.; Colomba, P.
Publication Year: 2025
Collection: IRIS Università degli Studi di Palermo
Subject Terms: MLPA; lysosomal storage disease; Fabry disease; Gaucher disease; Pompe disease
Description: Background: Multiplex Ligation Probe Amplification (MLPA) is a widely used technique for the diagnosis of lysosomal storage diseases (LSDs). It analyses over 40 DNA sequences in a single reaction, identifying copy number variations and large deletions/insertions in genes. The diagnostic process in LSDs starts with analysis of the missing or reduced enzyme, followed by genetic investigation and, if possible, a search for accumulated substrates. However, while genetic analysis using Sanger sequencing is excellent at detecting small genetic variations such as single-nucleotide variants (SNVs) AcademicEditor: Felipe Javier Chaves-Martinez Received: 3March2025 Revised: 10April2025 Accepted: 11April2025 Published: 16 April2025 Citation: Vinci, M.; Zizzo, C.; Moschetti, M.; Giacomarra, M.; Anania, M.;Duro,G.;DiChiara,T.; Russo, M.;Messina,E.; Colomba,P.; et al. Multiplex Ligation Probe AmplificationandSangerSequencing: Light andShadeintheDiagnosisof LysosomalStorageDisorders. Biomedicines 2025, 13, 973. https://doi.org/10.3390/ biomedicines13040973 Copyright: ©2025bytheauthors. Licensee MDPI,Basel,Switzerland. This article is an open access article distributed under the termsand conditions of the Creative Commons Attribution (CC BY)license (https://creativecommons.org/ licenses/by/4.0/). and small insertions or deletions, it cannot detect large deletions or insertions. Methods: In the present study, a total of 800 patients with clinical suspicion of Fabry, Gaucher, or Pompe diseases were investigated. An enzyme assay was carried out on each patient, followed by genetic analysis using PCR, Sanger sequencing, and MLPA. Results: Nine patients with deficient or absent enzyme activity had Sanger sequencing results that could not confirm the molecular genetic diagnosis because either no mutation (Fabry) or only one mutation (Gaucher and Pompe) was identified. Subsequent analysis by MLPA identified two males with a hemizygous deletion and two females with a heterozygous deletion for FD. For PD, one female and two males had a ...
Document Type: article in journal/newspaper
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/40299551; info:eu-repo/semantics/altIdentifier/wos/WOS:001477280700001; numberofpages:17; journal:BIOMEDICINES; https://hdl.handle.net/10447/690144
DOI: 10.3390/biomedicines13040973
Availability: https://hdl.handle.net/10447/690144; https://doi.org/10.3390/biomedicines13040973
Rights: info:eu-repo/semantics/openAccess
Accession Number: edsbas.65D2208C
Database: BASE