|
44 | 44 | "details": "Characterized in eight unrelated families which were used to establish benign (3-44) and pathogenic (118-694) ranges [@pmid:39068203].", |
45 | 45 | "omim": [], |
46 | 46 | "prevalence": null, |
47 | | - "prevalence_details": "Found in individuals of European ancestry [@pmid:38876750].", |
| 47 | + "prevalence_details": "Found in individuals of European, Japanese, and Chinese ancestry [@pmid:38876750; @pmid:34047774].", |
48 | 48 | "stripy": [], |
49 | 49 | "gnomad": [], |
50 | 50 | "genereviews": [], |
|
1511 | 1511 | "typ_age_onset_max": 30.0, |
1512 | 1512 | "novel": "ref", |
1513 | 1513 | "mechanism": "GoF", |
1514 | | - "mechanism_detail": "RNA gain-of-function: RNA gelation leading to misregulation of alternative splicing [@pmid:36169768]. Expanded-repeat RNA sequesters the muscleblind-like (MBNL) family of RNA-binding proteins as part of the disruption of pre-mRNA processing, contributing to cardiac phenotypes [@pmid:39932794].", |
| 1514 | + "mechanism_detail": "RNA gain-of-function: RNA gelation leading to misregulation of alternative splicing [@pmid:36169768]. Expanded-repeat RNA sequesters the muscleblind-like (MBNL) family of RNA-binding proteins as part of the disruption of pre-mRNA processing, contributing to cardiac phenotypes [@pmid:39932794]. Loss of MBNL proteins has been linked to mis-splicing of Autism spectrum-risk genes such as SCN2A, ANK2, and SHANK2, possibly leading to Autism-related traits [@pmid:40259070]", |
1515 | 1515 | "source": [], |
1516 | 1516 | "details": "Overview of disease locus through 2024, including largest pathogenic allele of 4,000, described in Rimoldi et al review [@pmid:39643839]. Intermediate alleles (35-49) associated with premutation [@genereviews:NBK1165]. 3%-8% of DM1 expansions contain interrupting variant repeats such as CCG and CGG, associated with later onset and milder phenotype; the variant repeat GCGGCA has also been reported [@pmid:32851192; @doi:10.1016/j.mcp.2024.102005]. In another study, interruptions of the CTG repeat with CCG, GGC, CTC or CAG motifs are estimated to occur in 3-11% of DM1 patients [@pmid:35741732]. Expansions within gene ZNF850 may function as DM1 modifiers [@doi:10.1093/hmg/ddae186].", |
1517 | 1517 | "omim": ["160900"], |
|
1529 | 1529 | "webstr_hg38": ["5650727"], |
1530 | 1530 | "webstr_hg19": ["Expansion_DM1/DMPK"], |
1531 | 1531 | "tr_atlas": ["TR156684"], |
1532 | | - "disease_description": "Steinert disease, also known as myotonic dystrophy type 1, is a muscle disease characterized by myotonia and by multiorgan damage that combines various degrees of muscle weakness, arrhythmia and/or cardiac conduction disorders, cataract, endocrine damage, sleep disorders and baldness [@mondo:0008056].", |
| 1532 | + "disease_description": "Steinert disease, also known as myotonic dystrophy type 1, is a muscle disease characterized by myotonia and by multiorgan damage that combines various degrees of muscle weakness, arrhythmia and/or cardiac conduction disorders, cataract, endocrine damage, sleep disorders and baldness [@mondo:0008056]. It has also been linked to Autism and related traits, especially with individuals with earlier onset [@pmid:40259070; @pmid:29361396; @pmid:8810716; @pmid:27695335; @pmid:29871899; @pmid:37209486].", |
1533 | 1533 | "locus_tags": ["somatic_instability", "anticipation", "maternal_expansion", "length_affects_onset", "length_affects_phenotype", "length_affects_severity", "motif_affects_instability", "motif_affects_onset", "motif_affects_phenotype", "motif_affects_severity"], |
1534 | 1534 | "disease_tags": ["myotonic_dystrophy"], |
1535 | 1535 | "references": ["genereviews:NBK1165", "pmid:38454488", "pmid:36169768", "pmid:39932794", "pmid:39643839", "pmid:32851192", "doi:10.1016/j.mcp.2024.102005", "pmid:35741732", "doi:10.1093/hmg/ddae186", "pmid:29100084", "pmid:31159885", "pmid:35483324", "pmid:1310900", "mondo:0008056"], |
|
1644 | 1644 | "details": "Higher repeat size is associated with earlier age of onset [@pmid:39263992]. The 250-300 repeats range is linked to incomplete penetrance and >300 repeats with complete penetrance in some studies and resources [@genereviews:NBK599589; @pmid:37399286; @pmid:39227614]. However, our thresholds are taken from suggestions made by Mohren et al upon evaluation of 169 cases and 802 controls; the authors propose lower thresholds based on pathogenic cases of shorter pure repeats [@pmid:39227614]. Additionally, this study suggests that benign motifs may disrupt the formation of secondary structures in DNA/RNA, leading to reduced pathogenicity. The affect of interruptions on penetrance and onset has been shown in patients, with uninterrupted expansions apparently necessary for disease [@pmid:40007153]. Variation in flanking regions appear to correlate with repeat size [@pmid:39227614; @pmid:38937606]. Intermediate alleles make pose as susceptibility factors or be associated with a phenotypic spectrum (multiple system atrophy) [@pmid:39227614; @pmid:39604554].", |
1645 | 1645 | "omim": ["620174"], |
1646 | 1646 | "prevalence": null, |
1647 | | - "prevalence_details": "Intermediate expansions 1-2% of population, but non-GAA-pure without relation to ataxia [@genereviews:NBK599589]. Found in multiple ethnicities [@pmid:38876750]; diagnosed patients in America, Brazil, Japan, Germany, Spain, Canada, France, Austria and Australia [@genereviews:NBK599589].", |
| 1647 | + "prevalence_details": "Intermediate expansions 1-2% of population, but non-GAA-pure without relation to ataxia [@genereviews:NBK599589]. Found in multiple ethnicities [@pmid:38876750]; diagnosed patients in America, Brazil, Japan, Germany, Spain, Canada, France, Austria, Australia, and Italy [@genereviews:NBK599589; @pmid:38886208; @pmid:37267898].", |
1648 | 1648 | "stripy": ["FGF14"], |
1649 | 1649 | "gnomad": [], |
1650 | 1650 | "genereviews": ["NBK599589"], |
|
2348 | 2348 | "details": "Intermediate alleles (29-39) may either be premutations or associated with reduced penetrance; the longest pathogenic expansion (40+ motifs) to date is 60 repeats [@genereviews:NBK1529]", |
2349 | 2349 | "omim": ["606438"], |
2350 | 2350 | "prevalence": null, |
2351 | | - "prevalence_details": "<1/1,000,000 [@orphanet:98934]. Largely in individuals of African ancestry [@genereviews:NBK1529].", |
| 2351 | + "prevalence_details": "<1/1,000,000 [@orphanet:98934]. Largely in individuals of African ancestry [@genereviews:NBK1529]. JPH3 is a possible founder mutation in individuals of African ancestry [@pmid:40187026].", |
2352 | 2352 | "stripy": ["JPH3"], |
2353 | 2353 | "gnomad": ["JPH3"], |
2354 | 2354 | "genereviews": ["NBK1529"], |
|
4384 | 4384 | "pathogenic_max": 74.0, |
4385 | 4385 | "ref_copies": 21.3, |
4386 | 4386 | "motif_len": 3, |
4387 | | - "age_onset": "Typical: 37- 56; Range: 15 - 60 [@pmid:38035881; @pmid:38973251].", |
4388 | | - "age_onset_min": 15, |
4389 | | - "age_onset_max": 60, |
| 4387 | + "age_onset": "Typical: 37- 56; Range: 12 - 65 [@pmid:39666847; @pmid:38973251].", |
| 4388 | + "age_onset_min": 12, |
| 4389 | + "age_onset_max": 65, |
4390 | 4390 | "typ_age_onset_min": 37.0, |
4391 | 4391 | "typ_age_onset_max": 56.0, |
4392 | 4392 | "novel": "ref", |
|
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