PMID- 26505324 OWN - NLM STAT- MEDLINE DCOM- 20160921 LR - 20220310 IS - 1945-0257 (Electronic) IS - 1945-0257 (Linking) VI - 19 IP - 12 DP - 2015 Dec TI - Development and Validation of a New Molecular Diagnostic Assay for Detection of Myotonic Dystrophy Type 2. PG - 703-9 LID - 10.1089/gtmb.2015.0135 [doi] AB - BACKGROUND: Myotonic dystrophy (DM) is the most common adult form of muscular dystrophy, characterized by autosomal dominant progressive myopathy, myotonia, and multiorgan involvement. Myotonic dystrophy type 2 (DM2) is caused by a [CCTG] expansion in the ZNF9/CNBP gene. The aim of this work was the validation of the new molecular diagnostic test Myotonic Dystrophy type 2 kit-FL. RESULTS: A cohort of 126 individuals was analyzed. The results show that 126/126 patients were correctly identified using the new molecular assay. In particular, 74 were DM2 positive, 39 were DM2/DM1 negative and 13 DM2 negative/DM1 positive. Approximately 9.5% (7/74) of the DM2-positive samples had a single sizeable expansion and 85% (63/74) showed multiple bands or smears. Comparative fluorescence in situ hybridization (FISH) analyses, on muscle biopsies, revealed that the sensitivity and specificity were very high (>99%). Equivalent analytical performances were obtained using different DNA extraction methods. Among affected individuals 87.5% (28/32) had electrical myotonia, 69% (22/32) proximal weakness, 41% (13/32) cataracts, and about 37.5% (12/32) cardiac conduction defects. FISH analysis and clinical data were used to support the genetic analysis. FAU - Valaperta, Rea AU - Valaperta R AD - 1 Research Laboratories-Molecular Biology, IRCCS Policlinico San Donato , Milan, Italy . AD - 2 Service of Laboratory Medicine, IRCCS Policlinico San Donato , Milan, Italy . FAU - Lombardi, Fortunata AU - Lombardi F AD - 1 Research Laboratories-Molecular Biology, IRCCS Policlinico San Donato , Milan, Italy . AD - 2 Service of Laboratory Medicine, IRCCS Policlinico San Donato , Milan, Italy . FAU - Cardani, Rosanna AU - Cardani R AD - 3 Laboratory of Muscle Histopathology and Molecular Biology, IRCCS Policlinico San Donato , Milan, Italy . FAU - Fossati, Barbara AU - Fossati B AD - 4 Department of Biomedical Sciences for Health, University of Milan , IRCCS-Policlinico San Donato, Milan, Italy . FAU - Brigonzi, Elisa AU - Brigonzi E AD - 4 Department of Biomedical Sciences for Health, University of Milan , IRCCS-Policlinico San Donato, Milan, Italy . FAU - Merli, Ilaria AU - Merli I AD - 4 Department of Biomedical Sciences for Health, University of Milan , IRCCS-Policlinico San Donato, Milan, Italy . FAU - Sansone, Valeria AU - Sansone V AD - 5 Neurorehabilitation Unit, University of Milan , NEMO Clinical Center (NeuroMuscular Omnicomprehensive), Fondazione Serena, Milan, Italy . FAU - Merletti, Giulia AU - Merletti G AD - 1 Research Laboratories-Molecular Biology, IRCCS Policlinico San Donato , Milan, Italy . FAU - Spina, Edoardo AU - Spina E AD - 1 Research Laboratories-Molecular Biology, IRCCS Policlinico San Donato , Milan, Italy . FAU - Meola, Giovanni AU - Meola G AD - 3 Laboratory of Muscle Histopathology and Molecular Biology, IRCCS Policlinico San Donato , Milan, Italy . AD - 4 Department of Biomedical Sciences for Health, University of Milan , IRCCS-Policlinico San Donato, Milan, Italy . FAU - Costa, Elena AU - Costa E AD - 1 Research Laboratories-Molecular Biology, IRCCS Policlinico San Donato , Milan, Italy . AD - 2 Service of Laboratory Medicine, IRCCS Policlinico San Donato , Milan, Italy . LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Validation Study DEP - 20151027 PL - United States TA - Genet Test Mol Biomarkers JT - Genetic testing and molecular biomarkers JID - 101494210 RN - 0 (CNBP protein, human) RN - 0 (RNA-Binding Proteins) RN - 0 (Reagent Kits, Diagnostic) SB - IM MH - Adult MH - Aged MH - Cohort Studies MH - *DNA Repeat Expansion MH - Female MH - Humans MH - Male MH - Middle Aged MH - Myotonic Dystrophy/*diagnosis/*genetics/pathology MH - Predictive Value of Tests MH - RNA-Binding Proteins/*genetics MH - *Reagent Kits, Diagnostic EDAT- 2015/10/28 06:00 MHDA- 2016/09/23 06:00 CRDT- 2015/10/28 06:00 PHST- 2015/10/28 06:00 [entrez] PHST- 2015/10/28 06:00 [pubmed] PHST- 2016/09/23 06:00 [medline] AID - 10.1089/gtmb.2015.0135 [doi] PST - ppublish SO - Genet Test Mol Biomarkers. 2015 Dec;19(12):703-9. doi: 10.1089/gtmb.2015.0135. Epub 2015 Oct 27.