Expert opinion and caution are imperative for interpretation of next generation sequencing data

Eur J Med Genet. 2016 Oct;59(10):519-21. doi: 10.1016/j.ejmg.2016.08.002. Epub 2016 Aug 12.

Abstract

We comment on the recent publication by Khalifa and Naffa who are reporting a young girl with variants in both WDR45 and POLR3A, which they state contribute to her clinical manifestations. We are arguing in this letter that the clinical, MRI, and genetics findings are not compatible with 4H leukodystrophy and that this patient is not affected by this condition.

Keywords: 4H leukodystrophy; POLR3-related leukodystrophy; POLR3A; Whole exome sequencing.

Publication types

  • Letter

MeSH terms

  • Carrier Proteins / genetics*
  • Expert Testimony*
  • Female
  • Hereditary Central Nervous System Demyelinating Diseases / diagnostic imaging
  • Hereditary Central Nervous System Demyelinating Diseases / genetics*
  • Hereditary Central Nervous System Demyelinating Diseases / physiopathology
  • High-Throughput Nucleotide Sequencing
  • Humans
  • Magnetic Resonance Imaging
  • Mutation
  • RNA Polymerase III / genetics*
  • Sequence Analysis, DNA

Substances

  • Carrier Proteins
  • WDR45 protein, human
  • POLR3A protein, human
  • RNA Polymerase III