Genomic complexity and clinical significance of the RCCX locus

Nearly identical, repetitive elements in the genome contribute to the variability in genetic inheritance patterns, particularly in regions like the RCCX locus, where such repeats can lead to structural variations. In addition, during the formation of gametes as a result of meiosis, variants of loci...

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Main Authors: Vladimir V. Shiryagin, Andrey A. Devyatkin, Oleg D. Fateev, Ekaterina S. Petriaikina, Viktor P. Bogdanov, Zoia G. Antysheva, Pavel Yu Volchkov, Sergey M. Yudin, Mary Woroncow, Veronika I. Skvortsova
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Language:English
Published: PeerJ Inc. 2024-11-01
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Online Access:https://peerj.com/articles/18243.pdf
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author Vladimir V. Shiryagin
Andrey A. Devyatkin
Oleg D. Fateev
Ekaterina S. Petriaikina
Viktor P. Bogdanov
Zoia G. Antysheva
Pavel Yu Volchkov
Sergey M. Yudin
Mary Woroncow
Veronika I. Skvortsova
author_facet Vladimir V. Shiryagin
Andrey A. Devyatkin
Oleg D. Fateev
Ekaterina S. Petriaikina
Viktor P. Bogdanov
Zoia G. Antysheva
Pavel Yu Volchkov
Sergey M. Yudin
Mary Woroncow
Veronika I. Skvortsova
author_sort Vladimir V. Shiryagin
collection DOAJ
description Nearly identical, repetitive elements in the genome contribute to the variability in genetic inheritance patterns, particularly in regions like the RCCX locus, where such repeats can lead to structural variations. In addition, during the formation of gametes as a result of meiosis, variants of loci with repetitive elements that do not code for the required proteins may occur. As a result, an individual with certain genetic rearrangements in this region may have an increased risk of developing a congenital disorder, particularly in cases where the non-functional allele is inherited dominantly. At the same time, there is still no routine or generally recognized diagnostic method to determine the sequence of the repetitive fragments. The functionally important RCCX locus consists of such repetitive fragments. The available knowledge about the genomic variants of the RCCX locus is fragmented, as there is no standardized method to determine its structure. It should be noted that in some structural variants of the RCCX locus, the sequence of protein-coding genes is disrupted, leading to the development of diseases such as congenital adrenal hyperplasia (CAH). Although genetic testing is generally accepted as a gold standard for CAH diagnosis, there are a myriad of strategies on which exact methods to use and in which order. The reason for this inconsistency lies in the complexity of the RCCX locus and the fact that each patient or carrier may have a highly individualized mutation or combination thereof. In this review, we have discussed all known methods that can be used to study the structure of the RCCX locus. As a result, optimal approaches are proposed for the diagnosis of the most common disease caused by lesions in the RCCX–CAH due to CYP21A2 deficiency.
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spelling doaj-art-def71c42885148e0bddfa3b335ec718d2025-08-20T02:12:34ZengPeerJ Inc.PeerJ2167-83592024-11-0112e1824310.7717/peerj.18243Genomic complexity and clinical significance of the RCCX locusVladimir V. Shiryagin0Andrey A. Devyatkin1Oleg D. Fateev2Ekaterina S. Petriaikina3Viktor P. Bogdanov4Zoia G. Antysheva5Pavel Yu Volchkov6Sergey M. Yudin7Mary Woroncow8Veronika I. Skvortsova9Federal State Budgetary Institution “Centre for Strategic Planning and Management of Biomedical Health Risks” of the Federal Medical Biological Agency (Centre for Strategic Planning of FMBA of Russia), Moscow, RussiaFederal Research Center for Innovator and Emerging Biomedical and Pharmaceutical Technologies, Moscow, RussiaFederal State Budgetary Institution “Centre for Strategic Planning and Management of Biomedical Health Risks” of the Federal Medical Biological Agency (Centre for Strategic Planning of FMBA of Russia), Moscow, RussiaFederal State Budgetary Institution “Centre for Strategic Planning and Management of Biomedical Health Risks” of the Federal Medical Biological Agency (Centre for Strategic Planning of FMBA of Russia), Moscow, RussiaFederal Research Center for Innovator and Emerging Biomedical and Pharmaceutical Technologies, Moscow, RussiaFederal Research Center for Innovator and Emerging Biomedical and Pharmaceutical Technologies, Moscow, RussiaFederal Research Center for Innovator and Emerging Biomedical and Pharmaceutical Technologies, Moscow, RussiaFederal State Budgetary Institution “Centre for Strategic Planning and Management of Biomedical Health Risks” of the Federal Medical Biological Agency (Centre for Strategic Planning of FMBA of Russia), Moscow, RussiaDepartment of Fundamental Medicine, Lomonosov Moscow State University, Moscow, RussiaThe Federal Medical Biological Agency (FMBA of Russia), Moscow, RussiaNearly identical, repetitive elements in the genome contribute to the variability in genetic inheritance patterns, particularly in regions like the RCCX locus, where such repeats can lead to structural variations. In addition, during the formation of gametes as a result of meiosis, variants of loci with repetitive elements that do not code for the required proteins may occur. As a result, an individual with certain genetic rearrangements in this region may have an increased risk of developing a congenital disorder, particularly in cases where the non-functional allele is inherited dominantly. At the same time, there is still no routine or generally recognized diagnostic method to determine the sequence of the repetitive fragments. The functionally important RCCX locus consists of such repetitive fragments. The available knowledge about the genomic variants of the RCCX locus is fragmented, as there is no standardized method to determine its structure. It should be noted that in some structural variants of the RCCX locus, the sequence of protein-coding genes is disrupted, leading to the development of diseases such as congenital adrenal hyperplasia (CAH). Although genetic testing is generally accepted as a gold standard for CAH diagnosis, there are a myriad of strategies on which exact methods to use and in which order. The reason for this inconsistency lies in the complexity of the RCCX locus and the fact that each patient or carrier may have a highly individualized mutation or combination thereof. In this review, we have discussed all known methods that can be used to study the structure of the RCCX locus. As a result, optimal approaches are proposed for the diagnosis of the most common disease caused by lesions in the RCCX–CAH due to CYP21A2 deficiency.https://peerj.com/articles/18243.pdfWhole genome sequencingHydroxylase-21CYP21A1PCYP21A2CAHRCCX
spellingShingle Vladimir V. Shiryagin
Andrey A. Devyatkin
Oleg D. Fateev
Ekaterina S. Petriaikina
Viktor P. Bogdanov
Zoia G. Antysheva
Pavel Yu Volchkov
Sergey M. Yudin
Mary Woroncow
Veronika I. Skvortsova
Genomic complexity and clinical significance of the RCCX locus
PeerJ
Whole genome sequencing
Hydroxylase-21
CYP21A1P
CYP21A2
CAH
RCCX
title Genomic complexity and clinical significance of the RCCX locus
title_full Genomic complexity and clinical significance of the RCCX locus
title_fullStr Genomic complexity and clinical significance of the RCCX locus
title_full_unstemmed Genomic complexity and clinical significance of the RCCX locus
title_short Genomic complexity and clinical significance of the RCCX locus
title_sort genomic complexity and clinical significance of the rccx locus
topic Whole genome sequencing
Hydroxylase-21
CYP21A1P
CYP21A2
CAH
RCCX
url https://peerj.com/articles/18243.pdf
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