Table 2.

Molecular Genetic Testing Used in Hereditary Neuralgic Amyotrophy

Gene 1Proportion of HNA Attributed to Mutation of GeneMethodPathogenic Variants Detected 2Variant Detection Frequency by Method 3
SEPTIN9 ~55% 4Sequence analysis 5Sequence variantsSee footnote 6.
Deletion/duplication analysis 7(Multi)exon or whole-gene duplication 8See footnote 9.
Unknown~45%Unknown
1.

See Table A. Genes and Databases for chromosome locus and protein.

2.

See Molecular Genetics for information on allelic variants.

3.

The ability of the test method used to detect a variant that is present in the indicated gene

4.

The proportion may be higher or lower depending on country or region of origin [van Alfen 2011].

5.

Sequence analysis detects variants that are benign, likely benign, of uncertain significance, likely pathogenic, or pathogenic. Pathogenic variants may include small intragenic deletions/insertions and missense, nonsense, and splice site variants; typically, exon or whole-gene deletions/duplications are not detected. For issues to consider in interpretation of sequence analysis results, click here.

6.

In families with HNA linked to SEPTIN9, sequence analysis identified a sequence variant in 8/42 families [Hannibal et al 2009], a roughly 20% pathogenic variant detection rate.

7.

Testing that identifies exon or whole-gene deletions/duplications not readily detectable by sequence analysis of the coding and flanking intronic regions of genomic DNA. Methods used may include quantitative PCR, long-range PCR, multiplex ligation-dependent probe amplification (MLPA), and chromosomal microarray (CMA) that includes this gene/chromosome segment.

8.

Both a founder duplication and nonrecurrent duplications (with unique breakpoints) have been reported [Landsverk et al 2009, Collie et al 2010]. See Molecular Genetics.

9.

In families with HNA linked to SEPTIN9, CMA identified the founder haplotype duplication in 12/55 families [Landsverk et al 2009] and a tandem duplication in 6/55 families [Collie et al 2010], a roughly 33% variant detection rate.

From: Hereditary Neuralgic Amyotrophy – RETIRED CHAPTER, FOR HISTORICAL REFERENCE ONLY

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