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Analysis of a Chinese pedigree with Zellweger syndrome reveals a novel PEX1 mutation by next-generation sequencing.
[zellweger syndrome]
Autosomal
recessive
Zellweger
spectrum
disorder
(
ZSD
)
,
the
main
subgroup
of
the
peroxisome
biogenesis
disorders
(
PBDs
)
,
can
be
caused
by
mutations
in
any
of
the
13
PEX
genes
.
Zellweger
syndrome
(
ZS
)
is
the
most
common
and
severe
phenotype
in
the
heterogeneous
ZSD
.
For
the
large
number
genes
involved
,
it
is
difficult
to
make
a
precise
genetic
diagnosis
by
traditional
methods
at
a
time
.
A
combination
of
enrichment
of
targeted
genes
and
next
-generation
sequencing
(
NGS
)
would
result
in
both
high
efficiency
and
low
cost
for
targeted
sequencing
of
genes
of
interest
.
To
identify
potential
mutations
in
a
Chinese
family
associated
with
Zellweger
syndrome
,
1930
kb
of
all
the
targeted
region
of
PEX
genes
were
captured
and
sequenced
using
NGS
.
We
also
performed
Sanger
sequencing
to
validate
the
NGS
results
.
Here
,
we
reported
a
Chinese
patient
diagnosed
as
a
severe
classic
type
of
PBD
based
on
a
clinical
investigation
.
We
then
performed
microarray-based
NGS
to
detect
the
variants
in
PEX
genes
of
the
whole
family
.
One
reported
heterozygosis
mutation
(
c
.
782
_
783
delAA
)
was
identified
in
the
patient
's
father
and
one
novel
heterozygosis
missense
mutation
(
c
.
475
G
>
C
)
was
found
in
the
patient
's
mother
,
the
patient
inherited
both
mutations
.
The
results
proved
that
the
application
of
target
sequence
capture
using
chip
and
high
-throughput
NGS
is
a
valuable
tool
for
the
molecular
diagnosis
of
peroxisome
biogenesis
disorders
.
The
accuracy
,
high
-throughput
and
speed
of
the
method
make
it
suitable
for
clinical
application
.
Diseases
Validation
Diseases presenting
"severe classic type"
symptom
zellweger syndrome
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