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Challenges in the Definitive Diagnosis of Niemann–Pick Type C—Leaky Variants and Alternative Transcripts

dc.contributor.authorEncarnação, Marisa
dc.contributor.authorRibeiro, Isaura
dc.contributor.authorDavid, Hugo
dc.contributor.authorCoutinho, Maria Francisca
dc.contributor.authorQuelhas, Dulce
dc.contributor.authorAlves, Sandra
dc.date.accessioned2024-02-14T10:05:27Z
dc.date.available2024-02-14T10:05:27Z
dc.date.issued2023-10-25
dc.description(This article belongs to the Section Genetic Diagnosis)
dc.description.abstractNiemann-Pick type C (NPC, ORPHA: 646) is a neuro-visceral, psychiatric disease caused predominantly by pathogenic variants in the NPC1 gene or seldom in NPC2. The rarity of the disease, and its wide range of clinical phenotypes and ages of onset, turn the diagnosis into a significant challenge. Other than the detailed clinical history, the typical diagnostic work-up for NPC includes the quantification of pathognomonic metabolites. However, the molecular basis diagnosis is still of utmost importance to fully characterize the disorder. Here, the authors provide an overview of splicing variants in the NPC1 and NPC2 genes and propose a new workflow for NPC diagnosis. Splicing variants cover a significant part of the disease-causing variants in NPC. The authors used cDNA analysis to study the impact of such variants, including the collection of data to classify them as leaky or non-leaky pathogenic variants. However, the presence of naturally occurring spliced transcripts can misdiagnose or mask a pathogenic variant and make the analysis even more difficult. Analysis of the NPC1 cDNA in NPC patients in parallel with controls is vital to assess and detect alternatively spliced forms. Moreover, nonsense-mediated mRNA decay (NMD) analysis plays an essential role in evaluating the naturally occurring transcripts during cDNA analysis and distinguishing them from other pathogenic variants' associated transcripts.pt_PT
dc.description.sponsorshipThis research was funded by national funds through FCT—Fundação para a Ciência e a Tecnologia, I.P., in the scope of the project EXPL/BTM-TEC/1477/2021. This work was also financially supported with funding from FCT/MCTES (UIDB/00211/2020) through national funds.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationGenes (Basel). 2023 Oct 25;14(11):1990. doi: 10.3390/genes14111990. Review
dc.identifier.doi10.3390/genes14111990pt_PT
dc.identifier.issn2073-4425
dc.identifier.urihttp://hdl.handle.net/10400.18/9099
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.relationRNA-Seq based methods to identify novel disease biomarkers in neurodegenerative metabolic diseases
dc.relationCenter for the Study of Animal Science
dc.relation.publisherversionhttps://www.mdpi.com/2073-4425/14/11/1990pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectNPC1 Genept_PT
dc.subjectNiemann–Pick type Cpt_PT
dc.subjectLeaky Variantspt_PT
dc.subjectMolecular Diagnosispt_PT
dc.subjectSplicing Variantspt_PT
dc.subjectNiemann Pick tipo Cpt_PT
dc.subjectDoenças Lisossomais de Sobrecargapt_PT
dc.subjectDoenças Genéticaspt_PT
dc.subjectGenética Humanapt_PT
dc.titleChallenges in the Definitive Diagnosis of Niemann–Pick Type C—Leaky Variants and Alternative Transcriptspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleRNA-Seq based methods to identify novel disease biomarkers in neurodegenerative metabolic diseases
oaire.awardTitleCenter for the Study of Animal Science
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/Concurso de Projetos de Investigação de Caráter Exploratório (PeX) em Todos os Domínios Científicos/EXPL%2FBTM-TEC%2F1477%2F2021/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F00211%2F2020/PT
oaire.citation.issue11pt_PT
oaire.citation.titleGenespt_PT
oaire.citation.volume14pt_PT
oaire.fundingStreamConcurso de Projetos de Investigação de Caráter Exploratório (PeX) em Todos os Domínios Científicos
oaire.fundingStream6817 - DCRRNI ID
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.embargofctAcesso de acordo com política editorial da revista.pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isProjectOfPublication88e7e17f-1ff1-4024-b104-311c6dead773
relation.isProjectOfPublication69b75eb9-6f25-4ad8-98db-6cc7e9bcdcc7
relation.isProjectOfPublication.latestForDiscovery69b75eb9-6f25-4ad8-98db-6cc7e9bcdcc7

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