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Homozygous variant in DRC3 (LRRC48) gene causes asthenozoospermia and male infertility DRC3(LRRC48)基因的同卵变异导致无精子症和男性不育。
IF 2.6 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2024-05-20 DOI: 10.1038/s10038-024-01253-6
Jiao Qin, Jinyu Wang, Jianhai Chen, Jinyan Xu, Shanling Liu, Dong Deng, Fuping Li
Human infertility affects 10–15% of couples. Asthenozoospermia accounts for 18% of men with infertility and is a common male infertility phenotype. The nexin-dynein regulatory complex (N-DRC) is a large protein complex in the sperm flagellum that connects adjacent doublets of microtubules. Defects in the N-DRC can disrupt cilia/flagellum movement, resulting in primary ciliary dyskinesia and male infertility. Using whole-exome sequencing, we identified a pathological homozygous variant of the dynein regulatory complex subunit 3 (DRC3) gene, which expresses leucine-rich repeat-containing protein 48, a component of the N-DRC, in a patient with asthenozoospermia. The variant ENST00000313838.12: c.644dup (p. Glu216GlyfsTer36) causes premature translational arrest of DRC3, resulting in a dysfunctional DRC3 protein. The patient’s semen count, color, and pH were normal according to the reference values of the World Health Organization guidelines; however, sperm motility and progressive motility were reduced. DRC3 protein was not detected in the patient’s sperm and the ultrastructure of the patient’s sperm flagella was destroyed. More importantly, the DRC3 variant reduced its interaction with other components of the N-DRC, including dynein regulatory complex subunits 1, 2, 4, 5, 7, and 8. Our data not only revealed the essential biological functions of DRC3 in sperm flagellum movement and structure but also provided a new basis for the clinical genetic diagnosis of male infertility.
人类不育症影响着 10-15% 的夫妇。无精症占男性不育症的 18%,是一种常见的男性不育症表型。nexin-dynein调节复合物(N-DRC)是精子鞭毛中的一种大型蛋白质复合物,它将相邻的双微管连接起来。N-DRC缺陷会破坏纤毛/鞭毛运动,导致原发性纤毛运动障碍和男性不育。通过全外显子组测序,我们在一名患有无精子症的患者体内鉴定出了表达富亮氨酸重复含蛋白 48(N-DRC 的一个组成成分)的肌球蛋白调节复合体亚基 3(DRC3)基因的病理同源变体。变异ENST00000313838.12:c.644dup (p. Glu216GlyfsTer36)导致DRC3过早转译停滞,导致DRC3蛋白功能失调。根据世界卫生组织指南的参考值,患者的精液数量、颜色和 pH 值均正常,但精子活力和进行性运动能力下降。患者精子中未检测到 DRC3 蛋白,精子鞭毛的超微结构被破坏。更重要的是,DRC3变体减少了与N-DRC其他成分的相互作用,包括动力蛋白调节复合体亚基1、2、4、5、7和8。我们的数据不仅揭示了DRC3在精子鞭毛运动和结构中的重要生物学功能,还为男性不育症的临床基因诊断提供了新的依据。
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引用次数: 0
FBXO11 variants are associated with intellectual disability and variable clinical manifestation in Chinese affected individuals FBXO11变体与中国患者的智力残疾和不同临床表现有关。
IF 2.6 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2024-05-13 DOI: 10.1038/s10038-024-01255-4
Xin Pan, Li Liu, Xu Zhang, Xianglan Tang, Guanhua Qian, Hao Qiu, Shuhong Lin, Hong Yao, Xiaojing Dong, Bo Tan
F-box protein 11 (FBXO11) is a member of F-Box protein family, which has recently been proved to be associated with intellectual developmental disorder with dysmorphic facies and behavioral abnormalities (IDDFBA, OMIM: 618089). In this study, 12 intellectual disability individuals from 5 Chinese ID families were collected, and whole exome sequencing (WES), sanger sequencing, and RNA sequencing (RNA-seq) were conducted. Almost all the affected individuals presented with mild to severe intellectual disability (12/12), global developmental delay (10/12), speech and language development delay (8/12) associated with a range of alternate features including increased body weight (7/12), short stature (6/12), seizures (3/12), reduced visual acuity (4/12), hypotonia (1/12), and auditory hallucinations and hallucinations (1/12). Distinguishingly, malformation was not observed in all the affected individuals. WES analysis showed 5 novel FBXO11 variants, which include an inframe deletion variant, a missense variant, two frameshift variants, and a partial deletion of FBXO11 (exon 22–23). RNA-seq indicated that exon 22–23 deletion of FBXO11 results in a new mRNA structure. Conservation and protein structure prediction demonstrated deleterious effect of these variants. The DEGs analysis revealed 148 differentially expressed genes shared among 6 affected individuals, which were mainly associated with genes of muscle and immune system. Our research is the first report of FBXO11-associated IDDFBA in Chinese individuals, which expands the genetic and clinical spectrum of this newly identified NDD/ID syndrome.
F-盒蛋白11(FBXO11)是F-盒蛋白家族的成员之一,最近被证实与伴有畸形面容和行为异常的智力发育障碍(IDFBA,OMIM:618089)有关。本研究收集了来自5个中国ID家族的12名智力障碍患者,并进行了全外显子组测序(WES)、桑格测序(sanger sequencing)和RNA测序(RNA-seq)。几乎所有受试者都表现为轻度至重度智力障碍(12/12)、全面发育迟缓(10/12)、言语和语言发育迟缓(8/12),并伴有一系列交替特征,包括体重增加(7/12)、身材矮小(6/12)、癫痫发作(3/12)、视力减退(4/12)、肌张力低下(1/12)、幻听和幻觉(1/12)。值得注意的是,并非所有患者都出现了畸形。WES分析显示了5个新的FBXO11变异,包括一个框架内缺失变异、一个错义变异、两个框架移位变异和FBXO11(22-23外显子)的部分缺失。RNA-seq表明,FBXO11外显子22-23的缺失会导致一种新的mRNA结构。保守性和蛋白质结构预测显示了这些变异的有害影响。DEGs 分析显示,6 个受影响个体共有 148 个差异表达基因,这些基因主要与肌肉和免疫系统基因相关。我们的研究首次报道了中国人中与FBXO11相关的IDDFBA,拓展了这一新发现的NDD/ID综合征的遗传和临床谱系。
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引用次数: 0
A novel pathogenic mitochondrial DNA variant m.4344T>C in tRNAGln causes developmental delay tRNAGln 中的一种新型致病线粒体 DNA 变异 m.4344T>C 会导致发育迟缓。
IF 2.6 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2024-05-10 DOI: 10.1038/s10038-024-01254-5
Xiaojie Yin, Qiyu Dong, Shuanglong Fan, Lina Yang, Hao Li, Yijun Jin, Mahlatsi Refiloe Laurentinah, Xiandan Chen, Aliaksei Sysa, Hezhi Fang, Jianxin Lyu, Yongguo Yu, Ya Wang
Mitochondrial diseases are a group of genetic diseases caused by mutations in mitochondrial DNA and nuclear DNA. However, the genetic spectrum of this disease is not yet complete. In this study, we identified a novel variant m.4344T>C in mitochondrial tRNAGln from a patient with developmental delay. The mutant loads of m.4344T>C were 95% and 89% in the patient’s blood and oral epithelial cells, respectively. Multialignment analysis showed high evolutionary conservation of this nucleotide. TrRosettaRNA predicted that m.4344T>C variant would introduce an additional hydrogen bond and alter the conformation of the T-loop. The transmitochondrial cybrid-based study demonstrated that m.4344T>C variant impaired the steady-state level of mitochondrial tRNAGln and decreased the contents of mitochondrial OXPHOS complexes I, III, and IV, resulting in defective mitochondrial respiration, elevated mitochondrial ROS production, reduced mitochondrial membrane potential and decreased mitochondrial ATP levels. Altogether, this is the first report in patient carrying the m.4344T>C variant. Our data uncover the pathogenesis of the m.4344T>C variant and expand the genetic mutation spectrum of mitochondrial diseases, thus contributing to the clinical diagnosis of mitochondrial tRNAGln gene variants-associated mitochondrial diseases.
线粒体疾病是由线粒体 DNA 和核 DNA 变异引起的一组遗传疾病。然而,这种疾病的基因谱尚不完整。在这项研究中,我们从一名发育迟缓患者身上发现了线粒体 tRNAGln 的新型变异体 m.4344T>C。在患者的血液和口腔上皮细胞中,m.4344T>C 的突变载量分别为 95% 和 89%。多重排列分析表明该核苷酸具有高度的进化保守性。TrRosettaRNA 预测,m.4344T>C 变体将引入一个额外的氢键,并改变 T 环的构象。基于线粒体细胞杂交的研究表明,m.4344T>C 变体损害了线粒体 tRNAGln 的稳态水平,降低了线粒体 OXPHOS 复合物 I、III 和 IV 的含量,导致线粒体呼吸缺陷、线粒体 ROS 生成增加、线粒体膜电位降低和线粒体 ATP 水平下降。总之,这是首次报道携带 m.4344T>C 变异基因的患者。我们的数据揭示了 m.4344T>C 变体的发病机理,扩大了线粒体疾病的基因突变谱,从而有助于线粒体 tRNAGln 基因变体相关线粒体疾病的临床诊断。
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引用次数: 0
Fundamentals for predicting transcriptional regulations from DNA sequence patterns 从 DNA 序列模式预测转录调控的基本原理。
IF 2.6 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2024-05-10 DOI: 10.1038/s10038-024-01256-3
Masaru Koido, Kohei Tomizuka, Chikashi Terao
Cell-type-specific regulatory elements, cataloged through extensive experiments and bioinformatics in large-scale consortiums, have enabled enrichment analyses of genetic associations that primarily utilize positional information of the regulatory elements. These analyses have identified cell types and pathways genetically associated with human complex traits. However, our understanding of detailed allelic effects on these elements’ activities and on-off states remains incomplete, hampering the interpretation of human genetic study results. This review introduces machine learning methods to learn sequence-dependent transcriptional regulation mechanisms from DNA sequences for predicting such allelic effects (not associations). We provide a concise history of machine-learning-based approaches, the requirements, and the key computational processes, focusing on primers in machine learning. Convolution and self-attention, pivotal in modern deep-learning models, are explained through geometrical interpretations using dot products. This facilitates understanding of the concept and why these have been used for machine learning for DNA sequences. These will inspire further research in this genetics and genomics field.
通过大规模联盟的广泛实验和生物信息学编目,细胞类型特异性调控元件得以主要利用调控元件的位置信息对遗传关联进行富集分析。这些分析确定了与人类复杂性状相关的细胞类型和遗传途径。然而,我们对等位基因对这些元件的活动和通断状态的详细影响的了解仍然不全面,这妨碍了对人类基因研究结果的解释。本综述介绍了从 DNA 序列中学习序列依赖性转录调控机制的机器学习方法,以预测此类等位基因效应(非关联)。我们简明扼要地介绍了基于机器学习的方法的历史、要求和关键计算过程,重点介绍了机器学习的引子。卷积和自注意是现代深度学习模型的关键,我们通过点积的几何解释对其进行了说明。这有助于理解这一概念,以及为什么这些概念被用于 DNA 序列的机器学习。这些都将激励人们在这一遗传学和基因组学领域开展进一步的研究。
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引用次数: 0
Exploring the relationship between admixture and genetic susceptibility to attention deficit hyperactivity disorder in two Latin American cohorts 在两个拉丁美洲队列中探索外来混血与注意力缺陷多动障碍遗传易感性之间的关系。
IF 2.6 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2024-05-07 DOI: 10.1038/s10038-024-01246-5
Nicolás Garzón Rodríguez, Ignacio Briceño-Balcázar, Humberto Nicolini, José Jaime Martínez-Magaña, Alma D. Genis-Mendoza, Julio C. Flores-Lázaro, Jorge A. Villatoro Velázquez, Marycarmen Bustos Gamiño, Maria Elena Medina-Mora, Maria Fernanda Quiroz-Padilla
Contemporary research on the genomics of Attention Deficit Hyperactivity Disorder (ADHD) often underrepresents admixed populations of diverse genomic ancestries, such as Latin Americans. This study explores the relationship between admixture and genetic associations for ADHD in Colombian and Mexican cohorts. Some 546 participants in two groups, ADHD and Control, were genotyped with Infinium PsychArray®. Global ancestry levels were estimated using overall admixture proportions and principal component analysis, while local ancestry was determined using a method to estimate ancestral components along the genome. Genome-wide association analysis (GWAS) was conducted to identify significant associations. Differences between Colombia and Mexico were evaluated using appropriate statistical tests. 354 Single-nucleotide polymorphisms (SNPs) and Single-nucleotide variants (SNVs) related to some genes and intergenic regions exhibited suggestive significance (p-value < 5*10e−5) in the GWAS. None of the variants revealed genome-wide significance (p-value < 5*10e−8). The study identified a significant relationship between risk SNPs and the European component of admixture, notably observed in the LOC105379109 gene. Despite differences in risk association loci, such as FOXP2, our findings suggest a possible homogeneity in genetic variation’s impact on ADHD between Colombian and Mexican populations. Current reference datasets for ADHD predominantly consist of samples with high European ancestry, underscoring the need for further research to enhance the representation of reference populations and improve the identification of ADHD risk traits in Latin Americans.
当代有关注意力缺陷多动障碍(ADHD)基因组学的研究往往对具有不同基因组血统的混血人群(如拉丁美洲人)的代表性不足。本研究探讨了哥伦比亚和墨西哥队列中的混血与多动症遗传关联之间的关系。研究人员使用 Infinium PsychArray® 对 ADHD 和对照组两组约 546 名参与者进行了基因分型。使用总体混杂比例和主成分分析估算了全球祖先水平,而使用沿基因组估算祖先成分的方法确定了本地祖先。进行了全基因组关联分析(GWAS),以确定显著的关联。哥伦比亚和墨西哥之间的差异通过适当的统计检验进行了评估。与某些基因和基因间区域相关的 354 个单核苷酸多态性(SNPs)和单核苷酸变异(SNVs)显示出提示性意义(p-value
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引用次数: 0
Prevalence of FSH-R Asn680Ser and Ala307Thr receptor polymorphism and their correlation with ART outcomes among infertile Indian-Asian women-a prospective cohort study 印度-亚洲不孕妇女中 FSH-R Asn680Ser 和 Ala307Thr 受体多态性的发生率及其与抗逆转录病毒疗法结果的相关性--一项前瞻性队列研究。
IF 2.6 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2024-04-25 DOI: 10.1038/s10038-024-01251-8
Reeta Mahey, Monika Rajput, Rima Dada, Mani Kalaivani, Monica Gupta, Rohitha Cheluvaraju, Neena Malhotra, Monika Saini, Ashok Bhatt, Manoj Kumar, Neeta Singh, Neerja Bhatla
The present prospective cohort study evaluated the prevalence of FSH-R receptor Asn680Ser and Ala307Thr among infertile Indian women and the correlation of these polymorphisms with ART outcomes. Total 804 infertile and 209 fertile controls were enrolled for FSH-R analysis. Correlation of different genotypes with ovarian reserve markers, IVF parameters, and cumulative live birth rates (CLBR) was done among women undergoing IVF. In fertile controls, at 680 position GG (Ser/Ser) was the most common genotype; but among infertile women, all the genotypes were equally distributed. There was no significant difference in ovarian response parameters, oocyte yield, and CLBR among the three genotype groups. Empty follicle syndrome (EFS) was highest in women with AA or AG type at both positions. On categorisation of unexpected poor responders according to POSEIDON stratification; GG genotype at both positions had the lowest risk ratio of low-oocyte yield in ART cycles, but these differences were not statistically significant. This is the largest study from Indian ethnicity showing GG (Ser/Ser) genotype is most common among fertile women. The effect of FSH-R genotypes is very marginal on IVF parameters and is not reflected in CLBR. More prospective data may be required on the correlation of these genotypes with genuine EFS, thus stratifying the next cycles with self or donor oocytes. Routine genetic testing of FSH-R polymorphism should not be done except in a research setting. As both 680 and 307 positions are in linkage disequilibrium, only 680 position analysis may be done in a research setting.
本前瞻性队列研究评估了印度不孕妇女中FSH-R受体Asn680Ser和Ala307Thr的患病率以及这些多态性与抗逆转录病毒疗法结果的相关性。共有 804 名不孕妇女和 209 名已育对照妇女接受了 FSH-R 分析。在接受体外受精的妇女中,不同基因型与卵巢储备标志物、体外受精参数和累积活产率(CLBR)之间存在相关性。在可育对照组中,680 位 GG(Ser/Ser)是最常见的基因型;但在不育妇女中,所有基因型的分布均等。三个基因型组的卵巢反应参数、卵母细胞产量和CLBR没有明显差异。空卵泡综合征(EFS)在两个位置均为AA或AG型的妇女中发病率最高。根据 POSEIDON 分层法对意外反应差者进行分类,两个位置均为 GG 基因型的妇女在 ART 周期中出现低卵母细胞产量的风险比最低,但这些差异在统计学上并不显著。这是印度人种中规模最大的一项研究,结果表明 GG(Ser/Ser)基因型在育龄妇女中最为常见。FSH-R基因型对试管婴儿参数的影响很小,在CLBR中也没有反映出来。可能需要更多关于这些基因型与真正 EFS 的相关性的前瞻性数据,从而对使用自体或供体卵母细胞的下一个周期进行分层。除非在研究环境中,否则不应进行 FSH-R 多态性的常规基因检测。由于 680 位和 307 位都存在连锁不平衡,因此在研究环境中只能对 680 位进行分析。
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引用次数: 0
Mediation role of DNA methylation in association between handgrip strength and cognitive function in monozygotic twins DNA甲基化在单卵双胎手握力和认知功能之间的关联中的中介作用
IF 2.6 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2024-04-23 DOI: 10.1038/s10038-024-01247-4
Jin Liu, Weijing Wang, Jia Luo, Haiping Duan, Chunsheng Xu, Xiaocao Tian, Shumin Chen, Lin Ge, Dongfeng Zhang
Handgrip strength is a crucial indicator to monitor the change of cognitive function over time, but its mechanism still needs to be further explored. We sampled 59 monozygotic twin pairs to explore the potential mediating effect of DNA methylation (DNAm) on the association between handgrip strength and cognitive function. The initial step was the implementation of an epigenome-wide association analysis (EWAS) in the study participants, with the aim of identifying DNAm variations that are associated with handgrip strength. Following that, we conducted an assessment of the mediated effect of DNAm by the use of mediation analysis. In order to do an ontology enrichment study for CpGs, the GREAT program was used. There was a significant positive association between handgrip strength and cognitive function (β = 0.194, P < 0.001). The association between handgrip strength and DNAm of 124 CpGs was found to be statistically significant at a significance level of P < 1 × 10−4. Fifteen differentially methylated regions (DMRs) related to handgrip strength were found in genes such as SNTG2, KLB, CDH11, and PANX2. Of the 124 CpGs, 4 within KRBA1, and TRAK1 mediated the association between handgrip strength and cognitive function: each 1 kg increase in handgrip strength was associated with a potential decrease of 0.050 points in cognitive function scores, mediated by modifications in DNAm. The parallel mediating effect of these 4 CpGs was −0.081. The presence of DNAm variation associated with handgrip strength may play a mediated role in the association between handgrip strength and cognitive function.
手握力是监测认知功能随时间变化的一个重要指标,但其机制仍有待进一步探索。我们抽取了59对单卵双生子,探讨DNA甲基化(DNAm)对手握力量和认知功能之间关联的潜在中介效应。第一步是对研究参与者进行全表观基因组关联分析(EWAS),目的是确定与手握力相关的DNAm变异。随后,我们利用中介分析对DNAm的中介效应进行了评估。为了对 CpGs 进行本体富集研究,我们使用了 GREAT 程序。手握力与认知功能之间存在明显的正相关(β = 0.194,P < 0.001)。手握力与 124 个 CpGs 的 DNAm 之间的关系在统计学上具有显著性,显著性水平为 P < 1 × 10-4。在 SNTG2、KLB、CDH11 和 PANX2 等基因中发现了 15 个与手握力有关的差异甲基化区域(DMRs)。在这124个CpGs中,KRBA1和TRAK1中的4个CpGs介导了手握力与认知功能之间的关联:手握力每增加1公斤,认知功能评分就可能下降0.050分,而这是由DNAm的改变介导的。这 4 个 CpGs 的平行中介效应为-0.081。与握力相关的DNAm变异可能在握力与认知功能之间的关联中起中介作用。
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引用次数: 0
Exploring inheritance, and clinical penetrance of distal Xq28 duplication syndrome: insights from 47 new unpublished cases 探索远端Xq28重复综合征的遗传和临床渗透性:从47个未发表的新病例中获得的启示
IF 2.6 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2024-04-18 DOI: 10.1038/s10038-024-01252-7
Michal Levy, Eyal Elron, Mordechai Shohat, Shira Lifshitz, Sarit Kahana, Hagit Shani, Anat Grossman, Shirly Amar, Ginat Narkis, Lena Sagi-Dain, Lina Basel-Salmon, Idit Maya
Distal Xq28 duplication, or int22h1/int22h2-mediated Xq28 duplication syndrome, leads to cognitive impairment, neurobehavioral issues, and facial dysmorphisms. Existing literature has limited information on clinical traits and penetrance. We identified cases of distal Xq28 duplication (chrX: 154,126,575–154,709,680, GRCh37/hg19) through a review of clinical records and microarray reports from five centers, encompassing both postnatal and prenatal cases, with no prior family knowledge of the duplication. Our search found 47 cases across 26 families, with duplications ranging from 208 to 935 Kb. In total, 8 out of 26 index cases featured a 200–300 kb partial duplication, mainly from Armenian/Caucasian Jewish backgrounds. Most prenatal cases showed no major fetal ultrasound malformations. Of cases with known inheritance mode (15 out of 26), maternal inheritance was more common (80%). The study identified seven male carriers of the duplication from six unrelated families, indicating partial penetrance in males. Our study provides key insights into distal Xq28 duplication. Most prenatal tests showed no major fetal ultrasound issues. Maternal inheritance was common, with unaffected mothers. In the postnatal group, a balanced gender distribution was observed. Among male family members, two fathers had ADHD, one was healthy, and one brother had mild symptoms, indicating partial penetrance in males.
背景远端 Xq28 重复或 int22h1/int22h2- 介导的 Xq28 重复综合征会导致认知障碍、神经行为问题和面部畸形。方法我们通过查阅五个中心的临床记录和微阵列报告,发现了远端 Xq28 重复(chrX:154,126,575-154,709,680,GRCh37/hg19)病例,其中包括产后和产前病例,且患者家族事先并不知晓该重复。在 26 个索引病例中,共有 8 个病例有 200-300 kb 的部分重复,主要来自亚美尼亚/高加索犹太人背景。大多数产前病例未发现胎儿超声畸形。在已知遗传模式的病例中(26 例中有 15 例),母系遗传更为常见(80%)。该研究从 6 个无血缘关系的家庭中发现了 7 名男性重复携带者,表明男性有部分渗透性。大多数产前检查显示胎儿超声检查无重大问题。母体遗传很常见,母亲未受影响。在产后组中,性别分布均衡。在男性家庭成员中,两位父亲患有多动症,一位父亲身体健康,一位兄弟有轻微症状,这表明多动症在男性中具有部分渗透性。
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引用次数: 0
Role of TOE1 variants at the nuclear localization motif in pontocerebellar hypoplasia 7 小脑发育不全7(pontocellar hypoplasia 7)中核定位基序的TOE1变体的作用
IF 2.6 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2024-04-11 DOI: 10.1038/s10038-024-01244-7
Yukiko Kuroda, Takuya Naruto, Yu Tsuyusaki, Ayumi Kato, Noriko Aida, Kenji Kurosawa
Biallelic TOE1 variants can cause pontocerebellar hypoplasia type 7 (PCH7), a condition characterized by pontocerebellar hypoplasia with genital abnormality. TOE1 is a 3’-exonuclese for 3’-end maturation in small nuclear RNA. TOE1 pathogenic variants have been reported at the DEDD catalytic domain and zinc finger motif. Here, we describe a PCH7 patient with novel compound heterozygous TOE1 variants and a detailed clinical course. The patient was a 3-year-old female and showed developmental delay without cerebellar ataxic behavior. Head MRI revealed delayed myelination without pontocerebellar hypoplasia at 9 months of age. Progressive pontocerebellar atrophy was prominent at follow-up MRI. Cerebral abnormalities are characteristic features of PCH7 before pontocerebellar atrophy is observed. One variant, p.Arg331*, was located at the nuclear localization motif (NLM) and partially escaped from nonsense-mediated decay. This variant affected nuclear localization in mutant expressing cells, thus, the TOE1 variant at NLM leads to TOE1 dysfunction associated with nuclear mis-localization.
双侧TOE1变体可导致小脑桥小脑发育不全7型(PCH7),这是一种以小脑桥小脑发育不全并伴有生殖器异常为特征的疾病。TOE1 是小核 RNA 3'- 端成熟的 3'- 外显子。据报道,TOE1 的致病变体位于 DEDD 催化结构域和锌指结构域。在此,我们描述了一名患有新型复合杂合TOE1变异的PCH7患者的详细临床病程。患者是一名 3 岁女性,表现为发育迟缓,无小脑共济失调行为。9个月大时,头部核磁共振成像显示髓鞘化延迟,但无小脑桥脑发育不全。在随访的磁共振成像中,进行性桥小脑萎缩非常明显。在观察到桥小脑萎缩之前,大脑异常是 PCH7 的特征性特征。其中一个变体(p.Arg331*)位于核定位基序(NLM),部分摆脱了无义介导的衰变。因此,位于 NLM 的 TOE1 变体会导致与核错误定位相关的 TOE1 功能障碍。
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引用次数: 0
Long-term course of a case with a novel homozygous kyphoscoliosis peptidase variant 一个患有新型同卵脊柱后凸肽酶变异的病例的长期病理过程
IF 2.6 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2024-04-08 DOI: 10.1038/s10038-024-01250-9
Yohei Misumi, Taro Yamashita, Aki Kuratomi, Yoshitaka Murakami, Atsushi Fujita, Naomichi Matsumoto, Mitsuharu Ueda
We herein report a case with a novel homozygous variant in the kyphoscoliosis peptidase (KY) gene. A 58-year-old Japanese female was referred to our hospital with a gait disturbance that gradually worsened after the age of 50. She had bilateral equinus foot deformity since early childhood. Neurological examination revealed moderate weakness of the neck, trunk, femoral, and brachial muscles, mild respiratory failure, and areflexia. Whole-exome sequencing revealed a novel homozygous frameshift variant of the KY gene, NM_178554.6:c.824del p.(Glu275Glyfs*53). Our case demonstrated that KY-associated neuromuscular disease can present with extremely slow progressive muscle weakness and respiratory failure over a long natural course.
我们在此报告一例新型脊柱侧弯肽酶(KY)基因同源变异病例。一名 58 岁的日本女性因步态障碍转诊至我院,50 岁后步态障碍逐渐加重。她自幼患有双侧马蹄内翻足畸形。神经系统检查发现,她的颈部、躯干、股部和肱部肌肉中度无力,轻度呼吸衰竭和肢体瘫痪。全外显子组测序显示,KY基因存在一个新的同基因框移变异,即NM_178554.6:c.824del p.(Glu275Glyfs*53)。我们的病例表明,KY相关神经肌肉疾病可在漫长的自然病程中表现为极其缓慢的进行性肌无力和呼吸衰竭。
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引用次数: 0
期刊
Journal of Human Genetics
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