Whole-exome sequencing of Finnish patients with vascular cognitive impairment

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http://hdl.handle.net/10138/333907

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Mönkäre , S , Kuuluvainen , L , Kun-Rodrigues , C , Carmona , S , Schleutker , J , Bras , J , Pöyhönen , M , Guerreiro , R & Myllykangas , L 2021 , ' Whole-exome sequencing of Finnish patients with vascular cognitive impairment ' , European Journal of Human Genetics , vol. 29 , no. 4 , pp. 663-671 . https://doi.org/10.1038/s41431-020-00775-9

Title: Whole-exome sequencing of Finnish patients with vascular cognitive impairment
Author: Mönkäre, Saana; Kuuluvainen, Liina; Kun-Rodrigues, Celia; Carmona, Susana; Schleutker, Johanna; Bras, Jose; Pöyhönen, Minna; Guerreiro, Rita; Myllykangas, Liisa
Contributor: University of Helsinki, HUSLAB
University of Helsinki, HUSLAB
University of Helsinki, Department of Medical and Clinical Genetics
University of Helsinki, HUSLAB
Date: 2021-04
Language: eng
Number of pages: 9
Belongs to series: European Journal of Human Genetics
ISSN: 1018-4813
URI: http://hdl.handle.net/10138/333907
Abstract: Cerebral small vessel disease (CSVD) is the most important cause of vascular cognitive impairment (VCI). Most CSVD cases are sporadic but familial monogenic forms of the disorder have also been described. Despite the variants identified, many CSVD cases remain unexplained genetically. We used whole-exome sequencing in an attempt to identify novel gene variants underlying CSVD. A cohort of 35 Finnish patients with suspected CSVD was analyzed. Patients were screened negative for the most common variants affecting function in NOTCH3 in Finland (p.Arg133Cys and p.Arg182Cys). Whole-exome sequencing was performed to search for a genetic cause of CSVD. Our study resulted in the detection of possibly pathogenic variants or variants of unknown significance in genes known to associate with CSVD in six patients, accounting for 17% of cases. Those genes included NOTCH3, HTRA1, COL4A1, and COL4A2. We also identified variants with predicted pathogenic effect in genes associated with other neurological or stroke-related conditions in seven patients, accounting for 20% of cases. This study supports pathogenic roles of variants in COL4A1, COL4A2, and HTRA1 in CSVD and VCI. Our results also suggest that vascular pathogenic mechanisms are linked to neurodegenerative conditions and provide novel insights into the molecular basis of VCI.
Subject: FRONTOTEMPORAL LOBAR DEGENERATION
EHLERS-DANLOS-SYNDROME
HTRA1 MUTATIONS
GENE
VARIANTS
DEMENTIA
STROKE
ASSOCIATION
MECHANISMS
PEPTIDE
1182 Biochemistry, cell and molecular biology
1184 Genetics, developmental biology, physiology
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