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Tumor Necrosis Factor Receptor SF10A (TNFRSF10A) SNPs Correlate With Corticosteroid Response in Duchenne Muscular Dystrophy
Univ Ferrara, Dept Med Sci, Unit Med Genet, Ferrara, Italy.;Paediat Hosp Bambino Gesu, UOC Lab Med Genet, IRCCS, Rome, Italy..
KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Protein Science, Systems Biology.
KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Protein Science, Systems Biology.ORCID iD: 0000-0001-6990-1905
Univ Ferrara, Dept Med Sci, Unit Med Genet, Ferrara, Italy.;UCL, Dubowitz Neuromuscular Ctr, Inst Child Hlth, London, England.;Great Ormond St Hosp Sick Children, London, England..
Number of Authors: 342020 (English)In: Frontiers in Genetics, E-ISSN 1664-8021, Vol. 11, article id 605Article in journal (Refereed) Published
Abstract [en]

Background Duchenne muscular dystrophy (DMD) is a rare and severe X-linked muscular dystrophy in which the standard of care with variable outcome, also due to different drug response, is chronic off-label treatment with corticosteroids (CS). In order to search for SNP biomarkers for corticosteroid responsiveness, we genotyped variants across 205 DMD-related genes in patients with differential response to steroid treatment. Methods and Findings We enrolled a total of 228 DMD patients with identified dystrophin mutations, 78 of these patients have been under corticosteroid treatment for at least 5 years. DMD patients were defined as high responders (HR) if they had maintained the ability to walk after 15 years of age and low responders (LR) for those who had lost ambulation before the age of 10 despite corticosteroid therapy. Based on interactome mapping, we prioritized 205 genes and sequenced them in 21 DMD patients (discovery cohort or DiC = 21). We identified 43 SNPs that discriminate between HR and LR. Discriminant Analysis of Principal Components (DAPC) prioritized 2 response-associated SNPs in theTNFRSF10Agene. Validation of this genotype was done in two additional larger cohorts composed of 46 DMD patients on corticosteroid therapy (validation cohorts or VaC1), and 150 non ambulant DMD patients and never treated with corticosteroids (VaC2). SNP analysis in all validation cohorts (N= 207) showed that the CT haplotype is significantly associated with HR DMDs confirming the discovery results. Conclusion We have shown that TNFRSF10A CT haplotype correlates with corticosteroid response in DMD patients and propose it as an exploratory CS response biomarker.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2020. Vol. 11, article id 605
Keywords [en]
biomarker, corticosteroid (betamethasone), receptor, TNFR, Duchenne
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Pediatrics
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URN: urn:nbn:se:kth:diva-279222DOI: 10.3389/fgene.2020.00605ISI: 000553972100001PubMedID: 32719714Scopus ID: 2-s2.0-85088450709OAI: oai:DiVA.org:kth-279222DiVA, id: diva2:1458797
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QC 20200818

Available from: 2020-08-18 Created: 2020-08-18 Last updated: 2024-03-18Bibliographically approved

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Strandberg, KristinAl-Khalili Szigyarto, Cristina

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