PMID- 16575836 OWN - NLM STAT- MEDLINE DCOM- 20060616 LR - 20161128 IS - 1098-1004 (Electronic) IS - 1059-7794 (Linking) VI - 27 IP - 5 DP - 2006 May TI - Jagged1 (JAG1) mutations in Alagille syndrome: increasing the mutation detection rate. PG - 436-43 AB - Alagille syndrome (AGS) is caused by heterozygous mutations in JAG1, and mutations have been previously reported in about 70% of patients who meet clinical diagnostic criteria. We studied a cohort of 247 clinically well-defined patients, and using an aggressive and sequential screening approach we identified JAG1 mutations in 94% of individuals. Mutations were found in 232 out of 247 patients studied and 83 of the mutations were novel. This increase in the mutation rate was accomplished by combining rigorous clinical phenotyping, with a combination of mutation detection techniques, including fluorescence in situ hybridization (FISH), genomic and cDNA sequencing, and quantitative PCR. This higher rate of mutation identification has implications for clinical practice, facilitating genetic counseling, prenatal diagnosis, and evaluation of living-related liver transplant donors. Our results suggest that more aggressive screening may similarly increase the rate of mutation detection in other dominant and recessive disorders. FAU - Warthen, D M AU - Warthen DM AD - Division of Human Genetics and Molecular Biology, The Children's Hospital of Philadelphia and University of Pennsylvania School of Medicine, 19104, USA. FAU - Moore, E C AU - Moore EC FAU - Kamath, B M AU - Kamath BM FAU - Morrissette, J J D AU - Morrissette JJ FAU - Sanchez-Lara, P A AU - Sanchez-Lara PA FAU - Piccoli, D A AU - Piccoli DA FAU - Krantz, I D AU - Krantz ID FAU - Spinner, N B AU - Spinner NB LA - eng SI - OMIM/118450 SI - OMIM/601920 GR - DK53104/DK/NIDDK NIH HHS/United States GR - U54RR019455/RR/NCRR NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Hum Mutat JT - Human mutation JID - 9215429 RN - 0 (Calcium-Binding Proteins) RN - 0 (Intercellular Signaling Peptides and Proteins) RN - 0 (JAG1 protein, human) RN - 0 (Jagged-1 Protein) RN - 0 (Membrane Proteins) RN - 0 (Serrate-Jagged Proteins) SB - IM EIN - Hum Mutat. 2013 Feb;34(2):408. Sanchez, P [corrected to Sanchez-Lara, P A] CIN - Hepatology. 2007 Aug;46(2):598-9. PMID: 17661408 MH - Alagille Syndrome/diagnosis/*genetics MH - Calcium-Binding Proteins/*genetics MH - Cohort Studies MH - DNA Mutational Analysis MH - Genetic Testing MH - Humans MH - In Situ Hybridization, Fluorescence MH - Intercellular Signaling Peptides and Proteins MH - Jagged-1 Protein MH - Membrane Proteins/*genetics MH - *Mutation MH - Polymorphism, Genetic MH - Serrate-Jagged Proteins EDAT- 2006/04/01 09:00 MHDA- 2006/06/17 09:00 CRDT- 2006/04/01 09:00 PHST- 2006/04/01 09:00 [pubmed] PHST- 2006/06/17 09:00 [medline] PHST- 2006/04/01 09:00 [entrez] AID - 10.1002/humu.20310 [doi] PST - ppublish SO - Hum Mutat. 2006 May;27(5):436-43. doi: 10.1002/humu.20310.