RT Journal Article SR Electronic T1 A Multistage Sequencing Strategy Pinpoints Many Novel and Candidate Disease Alleles for Orphan Disease Emery-Dreifuss Muscular Dystrophy and Supports Gene Misregulation as its Pathomechanism JF bioRxiv FD Cold Spring Harbor Laboratory SP 705780 DO 10.1101/705780 A1 Peter Meinke A1 Alastair R. W. Kerr A1 Rafal Czapiewski A1 Jose I. de las Heras A1 Elizabeth Harris A1 Heike Kölbel A1 Francesco Muntoni A1 Ulrike Schara A1 Volker Straub A1 Benedikt Schoser A1 Manfred Wehnert A1 Eric C. Schirmer YR 2019 UL http://biorxiv.org/content/early/2019/07/17/705780.abstract AB Limitations of genome-wide approaches for genetically-heterogenous orphan diseases led us to develop a new approach to identify novel Emery-Dreifuss muscular dystrophy (EDMD) candidate genes. We generated a primer library to genes: (I) linked to EDMD, (II) mutated in related muscular dystrophies, (III) highlighted from limited exome sequencing, (IV) encoding muscle-specific nuclear membrane proteins. Sequencing 56 unlinked EDMD patients yielded confirmed or strong candidate alleles from all categories, accounting for most remaining unlinked patients. Known functions of newly-linked genes argue the EDMD pathomechanism is from altered gene regulation and mechanotransduction through connectivity of candidates from the nuclear envelope to the plasma membrane.