Pathogenicity of the LDLR c.97C>T (p.Gln33Ter) Mutation in Familial Hypercholesterolemia.

IF 1.6 4区 医学 Q4 GENETICS & HEREDITY Molecular Genetics & Genomic Medicine Pub Date : 2024-11-01 DOI:10.1002/mgg3.70030
Kaihan Wang, Tingting Hu, Mengmeng Tai, Yan Shen, Shaoyi Lin, Yongjuan Guo, Xiaomin Chen
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Abstract

Background: Familial hypercholesterolemia (FH) is a hereditary disease caused mainly by mutations in the gene encoding the low-density lipoprotein receptor (LDLR). This study aimed to confirm the pathogenicity of the LDLR c.97C>T (p.Gln33Ter) mutation through in vitro functional validation and determine whether this nonsense mutation induces nonsense-mediated mRNA decay (NMD).

Methods: The proband and his family were included in accordance with Chinese Expert Consensus on FH screening. The disease-causing mutations were fund using whole-exome sequencing and were confirmed using bidirectional Sanger sequencing. The pathogenicity of the mutation was predicted using in silico analysis. The LDLR c.97C>T (p.Gln33Ter) mutation was generated using site-directed mutagenesis and expressed in HEK293T cells lacking endogenous LDLR expression. The effects of this alteration on LDLR expression and LDL uptake were assessed using flow cytometry, quantitative polymerase chain analysis, western blotting, and confocal laser scanning microscopy.

Results: The mutation that causes FH in this family was LDLR c.97C>T (p.Gln33Ter), and family members with this mutation exhibited elevated levels of low-density lipoprotein cholesterol (LDL-C). The cell experiment results showed that this mutation prevented the synthesis of LDLR protein and caused the cells to lose their LDL uptake ability.

Conclusion: LDLR c.97C>T (p.Gln33Ter) is a pathogenic FH mutation. However, this nonsense mutation did not induce NMD.

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家族性高胆固醇血症中 LDLR c.97C>T (p.Gln33Ter) 突变的致病性。
背景:家族性高胆固醇血症(FH)是一种主要由低密度脂蛋白受体(LDLR)编码基因突变引起的遗传性疾病。本研究旨在通过体外功能验证确认 LDLR c.97C>T (p.Gln33Ter) 突变的致病性,并确定这种无义突变是否会诱导无义介导的 mRNA 衰变(NMD):方法:根据《中国FH筛查专家共识》,将该患者及其家族纳入筛查范围。通过全外显子组测序获得了致病突变基因,并通过双向 Sanger 测序得到了证实。突变的致病性是通过硅学分析预测的。LDLR c.97C>T (p.Gln33Ter) 突变是通过定点突变产生的,并在缺乏内源性 LDLR 表达的 HEK293T 细胞中表达。使用流式细胞术、定量聚合酶链分析、Western 印迹和共聚焦激光扫描显微镜评估了这种突变对 LDLR 表达和 LDL 摄取的影响:该家族中导致FH的基因突变是LDLR c.97C>T(p.Gln33Ter),该基因突变的家族成员表现出低密度脂蛋白胆固醇(LDL-C)水平升高。细胞实验结果表明,该突变阻止了 LDLR 蛋白的合成,导致细胞失去摄取低密度脂蛋白的能力:结论:LDLR c.97C>T (p.Gln33Ter) 是一种致病性 FH 突变。结论:LDLR c.97C>T(p.Gln33Ter)是一种致病性 FH 基因突变,但这种无义突变不会诱导 NMD。
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Molecular Genetics & Genomic Medicine
Molecular Genetics & Genomic Medicine Biochemistry, Genetics and Molecular Biology-Genetics
CiteScore
4.20
自引率
0.00%
发文量
241
审稿时长
14 weeks
期刊介绍: Molecular Genetics & Genomic Medicine is a peer-reviewed journal for rapid dissemination of quality research related to the dynamically developing areas of human, molecular and medical genetics. The journal publishes original research articles covering findings in phenotypic, molecular, biological, and genomic aspects of genomic variation, inherited disorders and birth defects. The broad publishing spectrum of Molecular Genetics & Genomic Medicine includes rare and common disorders from diagnosis to treatment. Examples of appropriate articles include reports of novel disease genes, functional studies of genetic variants, in-depth genotype-phenotype studies, genomic analysis of inherited disorders, molecular diagnostic methods, medical bioinformatics, ethical, legal, and social implications (ELSI), and approaches to clinical diagnosis. Molecular Genetics & Genomic Medicine provides a scientific home for next generation sequencing studies of rare and common disorders, which will make research in this fascinating area easily and rapidly accessible to the scientific community. This will serve as the basis for translating next generation sequencing studies into individualized diagnostics and therapeutics, for day-to-day medical care. Molecular Genetics & Genomic Medicine publishes original research articles, reviews, and research methods papers, along with invited editorials and commentaries. Original research papers must report well-conducted research with conclusions supported by the data presented.
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