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A deep intronic variant is a common cause of OTC deficiency in individuals with previously negative genetic testing

Title: A deep intronic variant is a common cause of OTC deficiency in individuals with previously negative genetic testing
Authors: Runjun D. Kumar; Lindsay C. Burrage; Jan Bartos; Saima Ali; Eric Schmitt; Sandesh C.S. Nagamani; Cynthia LeMons
Source: Molecular Genetics and Metabolism Reports, Vol 26, Iss , Pp 100706- (2021)
Publisher Information: Elsevier
Publication Year: 2021
Collection: Directory of Open Access Journals: DOAJ Articles
Subject Terms: Urea cycle disorder; Genetic testing; Intronic variant; Ornithine transcarbamylase deficiency; OTC c.540+265G>A; Medicine (General); R5-920; Biology (General); QH301-705.5
Description: Pathogenic variants in non-coding regions of genes encoding enzymes or transporters of the urea cycle can lead to urea cycle disorders (UCDs). However, not all commercially available testing platforms interrogate these regions. Here, we used a gene panel based on massively parallel sequencing (MPS) in 10 individuals with clinical or pedigree-based evidence of a proximal UCD but without a molecular confirmation of the diagnosis. We identified causal variant(s) in 5 of 10 individuals, including in 3 of 7 individuals in whom prior molecular testing was unrevealing. We show that a deep-intronic pathogenic variant in OTC, c.540+265G>A, is an important cause of ornithine transcarbamylase (OTC) deficiency.
Document Type: article in journal/newspaper
Language: English
Relation: http://www.sciencedirect.com/science/article/pii/S221442692030152X; https://doaj.org/toc/2214-4269; https://doaj.org/article/b0d253dea5db4d75ab6cef3563b339b2
DOI: 10.1016/j.ymgmr.2020.100706
Availability: https://doi.org/10.1016/j.ymgmr.2020.100706; https://doaj.org/article/b0d253dea5db4d75ab6cef3563b339b2
Accession Number: edsbas.BCFD7CF2
Database: BASE