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A new integrated genetic and transcriptomic approach for investigating DUX4 and DUX4C
Zhaohui Zhuang1, Mahoko Takahashi Ueda1, Kensuke Yamaguchi2
1Department of Genomic Function and Diversity, Medical Research Laboratory, Institute of Integrated Research, Institute of Science Tokyo, Tokyo, Japan.
Journal of Human Genetics
|January 16, 2026
Summary
Accurate genetic analysis of the double homeobox 4 gene (DUX4) and DUX4C was achieved using long-read sequencing. This enabled the discovery of DUX4 expression in breast tumors and FSHD, and DUX4C expression in breast tumors.
Area of Science:
- Genomics
- Molecular Biology
- Human Genetics
Background:
- The double homeobox 4 gene (DUX4) and its paralogue DUX4C are located in chromosome 4's subtelomeric region.
- These genes are linked to facioscapulohumeral muscular dystrophy (FSHD) and various cancers.
- High sequence similarity and numerous paralogues complicate accurate genotyping and expression analysis with short-read sequencing.
Purpose of the Study:
- To clarify the genetic architecture and disease associations of DUX4 and DUX4C.
- To develop advanced genomic resources for studying these genes.
- To enable precise expression profiling and haplotype analysis.
Main Methods:
- Identification of two distinct DUX4C haplotypes (DUX4C-4qα and DUX4C-4qβ).
- Generation of a comprehensive reference genome (D4Ref-T2T) using long-read sequencing, integrating DUX4 and DUX4C haplotypes.
- Characterization of full-length DUX4C mRNA isoforms and creation of a transcriptome reference.
Main Results:
- Strong linkage disequilibrium observed between DUX4C and DUX4 haplotypes (r² = 0.86).
- DUX4 expression detected in both breast tumor and FSHD tissues.
- DUX4C expression was specific to breast tumors, linked to pathways of leukocyte differentiation and cell migration.
Conclusions:
- The developed D4Ref-T2T reference genome and transcriptome resources facilitate accurate DUX4 and DUX4C analysis.
- DUX4 and DUX4C exhibit distinct expression patterns in disease contexts.
- DUX4C expression in tumors suggests a role in immune cell processes and tumor progression.
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