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Exploring Non-Coding Sequences in Benign Hereditary Chorea: A New Frontier for Practitioners

Exploring Non-Coding Sequences in Benign Hereditary Chorea: A New Frontier for Practitioners

Introduction

Benign hereditary chorea (BHC) is a rare, autosomal dominant disorder characterized by early-onset, non-progressive involuntary movements. While mutations or deletions in the NKX2-1 gene have been traditionally associated with BHC, recent research has identified a novel disease-causing mechanism involving non-coding sequences. This blog will explore the implications of these findings for practitioners, particularly those involved in therapeutic services for students with special needs.

Understanding the Research

The study titled "Deletion of conserved non-coding sequences downstream from NKX2-1: A novel disease-causing mechanism for benign hereditary chorea" by Liao et al. (2021) provides groundbreaking insights into the genetic underpinnings of BHC. Using whole-genome microarray analysis, the researchers identified a 117 Kb founder deletion in three unrelated BHC families who were negative for NKX2-1 sequence variants. Further analysis revealed that these deletions are part of a complex local genomic rearrangement, highlighting the role of non-coding regulatory elements in the expression of NKX2-1.

Implications for Practitioners

For practitioners, these findings underscore the importance of looking beyond coding sequences when diagnosing and treating genetic disorders. Here are several ways practitioners can enhance their skills and practice based on this research:

Encouraging Further Research

This study opens new avenues for research into the role of non-coding sequences in genetic disorders. Practitioners are encouraged to engage in or support further research in this area to enhance understanding and treatment of BHC and similar conditions. By doing so, they can contribute to the development of more effective therapeutic strategies and improve the quality of life for individuals with genetic disorders.

Conclusion

The discovery of non-coding sequences as a novel mechanism for BHC challenges traditional approaches to genetic disorders and highlights the need for a broader perspective in genetic testing and therapy. Practitioners who embrace these findings and incorporate them into their practice will be better equipped to provide comprehensive care to their students.

To read the original research paper, please follow this link: Deletion of conserved non-coding sequences downstream from NKX2-1: A novel disease-causing mechanism for benign hereditary chorea.


Citation: Liao, J., Coffman, K. A., Locker, J., Padiath, Q. S., Nmezi, B., Filipink, R. A., Hu, J., Sathanoori, M., Madan-Khetarpal, S., McGuire, M., Schreiber, A., Moran, R., Friedman, N., Hoffner, L., Rajkovic, A., Yatsenko, S. A., & Surti, U. (2021). Deletion of conserved non-coding sequences downstream from NKX2-1: A novel disease-causing mechanism for benign hereditary chorea. Molecular Genetics & Genomic Medicine, 9(4), e1647. https://doi.org/10.1002/mgg3.1647
Marnee Brick, President, TinyEYE Therapy Services

Author's Note: Marnee Brick, TinyEYE President, and her team collaborate to create our blogs. They share their insights and expertise in the field of Speech-Language Pathology, Online Therapy Services and Academic Research.

Connect with Marnee on LinkedIn to stay updated on the latest in Speech-Language Pathology and Online Therapy Services.

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