A Deep Intronic Splice Variant in COL1A1 Causing Osteogenesis Imperfecta Type II

IF 1.7 4区 生物学 Q3 GENETICS & HEREDITY American Journal of Medical Genetics Part A Pub Date : 2024-12-22 DOI:10.1002/ajmg.a.63972
Mackenna E. Schouw, Claudia A. L. Ruivenkamp, Tamara T. Koopmann, Gijs W. E. Santen, Peter G. J. Nikkels, Karin van der Tuin
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Abstract

Osteogenesis imperfecta (OI) is a rare disease, hallmarked by bone fragility, multiple fractures, and deformities, and is commonly caused by pathogenic variants in the genes encoding type I collagen. Type II OI is the most severe form and is lethal in the perinatal period. Here, we report recurrence of perinatal lethal OI in two fetuses due to parental mosaicism for a deep intronic pathogenic variant at c.2451 + 77C > T in intron 35 of COL1A1, which resulted in aberrant splicing and the in-frame addition of 75 nucleotides into the mRNA. These patients highlight the importance of considering deep intronic variants in type 1 collagen genes in patients with high suspicion of OI, which may be missed with conventional genetic analysis.

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COL1A1深层内含子剪接变异导致II型成骨不完全性。
成骨不全症(Osteogenesis imperfecta, OI)是一种罕见的疾病,其特征是骨骼脆弱、多发骨折和畸形,通常是由编码I型胶原蛋白基因的致病性变异引起的。II型成骨不全是最严重的形式,在围产期是致命的。在这里,我们报道了两个胎儿围产期致死性OI的复发,这是由于COL1A1的第35内含子c.2451 + 77C > T处的深内含子致病变异的亲代嵌合,导致异常剪接和在mRNA中添加75个核苷酸。这些患者强调了在高度怀疑成骨不全的患者中考虑1型胶原基因深层内含子变异的重要性,传统的遗传分析可能会遗漏这一点。
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来源期刊
CiteScore
3.50
自引率
5.00%
发文量
432
审稿时长
2-4 weeks
期刊介绍: The American Journal of Medical Genetics - Part A (AJMG) gives you continuous coverage of all biological and medical aspects of genetic disorders and birth defects, as well as in-depth documentation of phenotype analysis within the current context of genotype/phenotype correlations. In addition to Part A , AJMG also publishes two other parts: Part B: Neuropsychiatric Genetics , covering experimental and clinical investigations of the genetic mechanisms underlying neurologic and psychiatric disorders. Part C: Seminars in Medical Genetics , guest-edited collections of thematic reviews of topical interest to the readership of AJMG .
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