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Mutation spectrum of six genes in Chinese phenylketonuria patients obtained through next-generation sequencing.
[phenylketonuria]
The
identification
of
gene
variants
plays
an
important
role
in
the
diagnosis
of
genetic
diseases
.
To
develop
a
rapid
method
for
the
diagnosis
of
phenylketonuria
(
PKU
)
and
tetrahydrobiopterin
(
BH
4
)
deficiency
,
we
designed
a
multiplex
,
PCR-based
primer
panel
to
amplify
all
the
exons
and
flanking
regions
(
50
bp
average
)
of
six
PKU
-associated
genes
(
PAH
,
PTS
,
GCH
1
,
QDPR
,
PCBD
1
and
GFRP
)
.
The
Ion
Torrent
Personal
Genome
Machine
(
PGM
)
System
was
used
to
detect
mutations
in
all
the
exons
of
these
six
genes
.
We
tested
93
DNA
samples
from
blood
specimens
from
35
patients
and
their
parents
(
32
families
)
and
26
healthy
adults
.
Using
strict
bioinformatic
criteria
,
this
sequencing
data
provided
,
on
average
,
99
.
14
%
coverage
of
the
39
exons
at
more
than
70
-
fold
mean
depth
of
coverage
.
We
found
23
previously
documented
variants
in
the
PAH
gene
and
six
novel
mutations
in
the
PAH
and
PTS
genes
.
A
detailed
analysis
of
the
mutation
spectrum
of
these
patients
is
described
in
this
study
.
These
results
were
confirmed
by
Sanger
sequencing
.
In
conclusion
,
benchtop
next
-generation
sequencing
technology
can
be
used
to
detect
mutations
in
monogenic
diseases
and
can
detect
both
point
mutations
and
indels
with
high
sensitivity
,
fidelity
and
throughput
at
a
lower
cost
than
conventional
methods
in
clinical
applications
.
Diseases
Validation
Diseases presenting
"detailed analysis of the mutation spectrum of these patients"
symptom
phenylketonuria
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