{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:27:28Z","timestamp":1761514048638,"version":"3.37.3"},"reference-count":10,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,7,31]],"date-time":"2017-07-31T00:00:00Z","timestamp":1501459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003390","name":"Fritz Thyssen Stiftung","doi-asserted-by":"publisher","award":["AZ 10.15.2.040MN"],"award-info":[{"award-number":["AZ 10.15.2.040MN"]}],"id":[{"id":"10.13039\/501100003390","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Molec Gen &amp; Gen Med"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Johanson\u2010Blizzard syndrome (<jats:styled-content style=\"fixed-case\">JBS<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\">MIM<\/jats:styled-content>#243800) is a very rare autosomal recessive disorder characterized by exocrine pancreatic insufficiency, nasal wing hypoplasia, hypodontia, and other abnormalities.<jats:styled-content style=\"fixed-case\">JBS<\/jats:styled-content>is caused by mutations of the<jats:italic><jats:styled-content style=\"fixed-case\">UBR<\/jats:styled-content>1<\/jats:italic>gene (<jats:styled-content style=\"fixed-case\">MIM<\/jats:styled-content>*605981), encoding a ubiquitin ligase of the N\u2010end rule pathway.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Molecular findings in a total of 65 unrelated patients with a clinical diagnosis of<jats:styled-content style=\"fixed-case\">JBS<\/jats:styled-content>who were previously screened for<jats:styled-content style=\"fixed-case\">UBR<\/jats:styled-content>1 mutations by Sanger sequencing were reviewed and cases lacking a disease\u2010causing<jats:styled-content style=\"fixed-case\">UBR<\/jats:styled-content>1 mutation on either one or both alleles were included in this study. In order to discover mutations that are not detectable by Sanger sequencing, we designed a probe set for multiplex ligation\u2010dependent probe amplification (<jats:styled-content style=\"fixed-case\">MLPA<\/jats:styled-content>) analysis of the<jats:italic><jats:styled-content style=\"fixed-case\">UBR<\/jats:styled-content>1<\/jats:italic>gene and analyzed the copy number status of all 47<jats:italic><jats:styled-content style=\"fixed-case\">UBR<\/jats:styled-content>1<\/jats:italic>exons.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Our previous studies using Sanger sequencing could detect mutations in 93.1% of 130 disease\u2010associated<jats:italic><jats:styled-content style=\"fixed-case\">UBR<\/jats:styled-content>1<\/jats:italic>alleles. Six patients with a highly suggestive clinical diagnosis of<jats:styled-content style=\"fixed-case\">JBS<\/jats:styled-content>and unsolved genotype were included in this study.<jats:styled-content style=\"fixed-case\">MLPA<\/jats:styled-content>analysis detected six alleles harboring exon deletions\/duplications, thereby raising the mutation detection rate in the entire cohort to 97.7% (127\/130 alleles).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We conclude that single or multi\u2010exon deletions or duplications account for a substantial proportion of<jats:styled-content style=\"fixed-case\">JBS<\/jats:styled-content>\u2010associated<jats:italic><jats:styled-content style=\"fixed-case\">UBR<\/jats:styled-content>1<\/jats:italic>mutations.<\/jats:p><\/jats:sec>","DOI":"10.1002\/mgg3.319","type":"journal-article","created":{"date-parts":[[2017,8,1]],"date-time":"2017-08-01T04:02:49Z","timestamp":1501560169000},"page":"774-780","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Expanding the mutational spectrum in Johanson\u2010Blizzard syndrome: identification of whole exon deletions and duplications in the<i><scp>UBR<\/scp>1<\/i>gene by multiplex ligation\u2010dependent probe amplification analysis"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2269-1063","authenticated-orcid":false,"given":"Maja","family":"Sukalo","sequence":"first","affiliation":[{"name":"Institute of Human Genetics University Hospital Magdeburg Magdeburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eva","family":"Sch\u00e4flein","sequence":"additional","affiliation":[{"name":"Institute of Human Genetics University of Erlangen\u2010Nuremberg Erlangen Germany"},{"name":"Department of Psychosomatic Medicine and Psychotherapy University Hospital Rechts der Isar, Technische Universit\u00e4t M\u00fcnchen Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ina","family":"Schanze","sequence":"additional","affiliation":[{"name":"Institute of Human Genetics University Hospital Magdeburg Magdeburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David B.","family":"Everman","sequence":"additional","affiliation":[{"name":"Greenwood Genetic Center Greenwood South Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nima","family":"Rezaei","sequence":"additional","affiliation":[{"name":"Research Center for Immunodeficiencies Children's Medical Center Tehran University of Medical Sciences Tehran Iran"},{"name":"Network of Immunity in Infection, Malignancy and Autoimmunity (NIIMA) Universal Scientific Education and Research Network (USERN) Sheffield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jes\u00fas","family":"Argente","sequence":"additional","affiliation":[{"name":"Departments of Endocrinology and Pediatrics and Instituto de Investigaci\u00f3n La Princesa Hospital Infantil Universitario Ni\u00f1o Jes\u00fas Madrid Spain"},{"name":"Department of Pediatrics Universidad Aut\u00f3noma de Madrid Madrid Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red Fisiopatolog\u00eda de la Obesidad y Nutrici\u00f3n (CIBEROBN) Instituto de Salud Carlos III Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabel","family":"Lorda\u2010Sanchez","sequence":"additional","affiliation":[{"name":"Department of Genetics IIS\u2010Fundaci\u00f3n Jim\u00e9nez D\u00edaz UAM CIBERER Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charu","family":"Deshpande","sequence":"additional","affiliation":[{"name":"Clinical Genetics Guy's Hospital London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsutomu","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Akita University Graduate School of Medicine Akita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Kleger","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine I University Medical Center Ulm Ulm Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Zenker","sequence":"additional","affiliation":[{"name":"Institute of Human Genetics University Hospital Magdeburg Magdeburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,7,31]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(71)80194-4"},{"volume-title":"GeneReviews\u00ae [Internet]","author":"Pagon R. 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