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Analysis of the CYP21A2 gene pathogenic variants in CAH patients from Surgut using next-generation sequencing (NGS) 利用新一代测序技术(NGS)分析苏尔古特 CAH 患者的 CYP21A2 基因致病变体
IF 1.3 Q4 GENETICS & HEREDITY Pub Date : 2024-03-12 DOI: 10.1186/s43042-024-00502-9
Natalia Osinovskaya, Elena Vashukova, Olga Tarasenko, Maria Danilova, Olga Glavnova, Iskender Sultanov, Maxim Donnikov, Yulia Nasykhova, Andrey Glotov
21-hydroxylase deficiency is present in 90–95% of cases of congenital adrenal hyperplasia (CAH). Eleven major pathogenic variants account for 93% of all identified variants in the CYP21A2 gene in various clinical forms of the disease. Each population has its own range of significant pathogenic variants. We aimed to study the frequency of pathogenic variants in the CYP21A2 gene using NGS technology and real-time PCR in Surgut patients with different clinical forms of CAH. NGS was performed on 70 patients with salt-wasting and non-classical clinical forms of 21-hydroxylase deficiency, verified by direct Sanger sequencing and PCR–RFLP analysis. Eleven different pathogenic variants were found in 68.57% (48/70) of patients. Among 92.86% (13/14) of patients with salt-wasting CAH, variants were found to be homozygous, with CYP21A2 gene deletion as the most frequent mutation (46.4% or 13/28 alleles). In the group with non-classical CAH, pathogenic variants were identified only in 60.71% (34/56) of patients. V282L was discovered to be the most common variant in heterozygous carriers (45.45%, 15/33). NGS method identified 2 variants that were not determined by the standard method for major mutations detection: p.C170* and p.W22X, accounting for 3% of all known pathogenic variants. Our data make it possible to clarify the specific spectrum of CYP21A2 gene pathogenic variants in CAH patients from Surgut. The NGS method allows for the identification of rare pathogenic variants (3%) in the CYP21A2 gene that are not included in the conventional PCR–RFLP analysis.
在先天性肾上腺皮质增生症(CAH)的病例中,90%-95%存在 21-羟化酶缺乏症。在该病的各种临床形式中,CYP21A2 基因的 11 个主要致病变体占所有已发现变体的 93%。每个人群都有自己的重要致病变体。我们的目的是利用 NGS 技术和实时 PCR 研究不同临床形式 CAH 的 Surgut 患者中 CYP21A2 基因致病变异的频率。我们对 70 名患有盐耗竭和非典型临床形式 21- 羟化酶缺乏症的患者进行了 NGS,并通过直接 Sanger 测序和 PCR-RFLP 分析进行了验证。在 68.57%(48/70)的患者中发现了 11 种不同的致病变体。在92.86%(13/14)的盐耗竭型CAH患者中,变体均为同基因变异,其中CYP21A2基因缺失是最常见的变异(46.4%或13/28个等位基因)。在非典型 CAH 组中,仅在 60.71%(34/56)的患者中发现了致病变体。在杂合子携带者中,V282L 是最常见的变异(45.45%,15/33)。NGS 方法发现了 2 个主要变异检测标准方法无法确定的变异:p.C170* 和 p.W22X,占所有已知致病变异的 3%。我们的数据有助于明确苏尔古特 CAH 患者中 CYP21A2 基因致病变异的具体范围。NGS 方法可以鉴定出 CYP21A2 基因中罕见的致病变异(3%),而这些变异并不包括在传统的 PCR-RFLP 分析中。
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引用次数: 0
Technologies of gene editing and related clinical trials for the treatment of genetic and acquired diseases: a systematic review 治疗遗传性和获得性疾病的基因编辑技术及相关临床试验:系统综述
IF 1.3 Q4 GENETICS & HEREDITY Pub Date : 2024-03-07 DOI: 10.1186/s43042-024-00501-w
Wessam Sharaf-Eldin
Gene editing can produce irreversible permanent changes to the genetic material at predetermined sequences, avoiding random integration, which is the major drawback of classical gene therapy. The technology has invaded all approaches of genetic engineering and biotechnology with versatile applications in agriculture, industry, and medicine. The present review displays the different approaches and mechanisms of gene editing. Special emphasis has been given to the technology therapeutic applications where all registered clinical trials have been addressed. The Islamic ethical concerns of gene editing have also been highlighted. The great advantages of gene editing technology, coupled with the splendid efforts of scientists to develop systems with superior efficacy and safety would provide an effective avenue for treating a wide range of human diseases in the near future.
基因编辑可以在预定序列上对遗传物质产生不可逆的永久性改变,避免了传统基因疗法的主要缺点--随机整合。该技术已侵入基因工程和生物技术的所有方法,在农业、工业和医学领域有着广泛的应用。本综述介绍了基因编辑的不同方法和机制。其中特别强调了该技术在治疗方面的应用,并对所有已注册的临床试验进行了讨论。此外,还强调了基因编辑的伊斯兰伦理问题。基因编辑技术的巨大优势,加上科学家们为开发具有卓越疗效和安全性的系统所付出的巨大努力,将在不久的将来为治疗各种人类疾病提供有效途径。
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引用次数: 0
Consanguinity, complex diseases and congenital disabilities in the Souss population (Southern Morocco): a cross-sectional survey Souss 人口(摩洛哥南部)的近亲关系、复杂疾病和先天残疾:横断面调查
IF 1.3 Q4 GENETICS & HEREDITY Pub Date : 2024-03-05 DOI: 10.1186/s43042-024-00490-w
Noura Dahbi, Abderrazak El khair, Khadija Cheffi, Lamiaa Habibeddine, Jalal Talbi, Abderraouf Hilali, Hicham El ossmani
Several studies showed that the perpetuation of consanguinity increases homozygosity and homogenizes the population's gene pool. This allows the expression of recessive deleterious mutations and increases the prevalence of genetic disorders and birth defects. Despite the reported negative health effects, consanguinity is still practiced in Morocco. This study aimed to evaluate the prevalence and socio-demographic determinants of consanguinity in the Souss region and to assess the association of this type of union with congenital disabilities and complex diseases. To meet this aim, a survey based on a cross-sectional approach was conducted between January 2019 and January 2020 among 520 randomly selected participants in the Souss region. The findings revealed a high prevalence of consanguinity of 28.46%, with first-cousin unions accounting for 16.15% of all marriages. According to multivariate logistic regression analysis, early age at first marriage, men’s occupation, endogamy, and parental consanguinity were predictive factors for consanguineous unions in the study population. Moreover, the results revealed a significant association between consanguinity and the incidence of physical disabilities (OR = 3.753; [95% CI 1.398–10.074]), mental retardation (OR = 5.219; [95% CI 1.545–17.631]), deafness-mutism (OR = 4.262; [95% CI 1.004–18.089]) and cardiovascular diseases (OR = 2.167; [95% CI 1.036–4.530]). However, no significant association was found between consanguinity and diabetes, cancer, asthma, epilepsy, and psychiatric disorders. Overall, our results suggest a high practice of consanguinity in the Souss population, associated with social, economic, and cultural factors. Consanguineous unions were associated with a high incidence of mental retardation, physical disabilities, deafness-mutism, and cardiovascular diseases. In this population, where marriage between relatives is highly preferred, awareness programs are not sufficient, and genetic studies on consanguinity-related diseases are necessary to provide specific premarital screening and thus increase the efficiency of genetic counseling.
一些研究表明,近亲结婚的延续会增加同源性,并使人口的基因库同质化。这使得隐性有害突变得以表达,增加了遗传疾病和先天缺陷的发病率。尽管有报告称近亲结婚对健康有负面影响,但在摩洛哥仍然存在。本研究旨在评估苏斯地区近亲结婚的普遍程度和社会人口决定因素,并评估这种结合方式与先天残疾和复杂疾病的关联。为实现这一目标,2019 年 1 月至 2020 年 1 月期间,在苏斯地区随机抽取的 520 名参与者中开展了一项基于横断面方法的调查。调查结果显示,近亲结婚率高达 28.46%,嫡亲结合占所有婚姻的 16.15%。根据多变量逻辑回归分析,初婚年龄过早、男性职业、内婚和父母血缘关系是研究人群近亲结婚的预测因素。此外,研究结果表明,近亲结婚与肢体残疾(OR = 3.753; [95% CI 1.398-10.074])、智力迟钝(OR = 5.219; [95% CI 1.545-17.631])、聋哑(OR = 4.262; [95% CI 1.004-18.089])和心血管疾病(OR = 2.167; [95% CI 1.036-4.530])的发病率有显著关联。然而,近亲结婚与糖尿病、癌症、哮喘、癫痫和精神疾病之间并无明显关联。总之,我们的研究结果表明,在苏斯人中,近亲结婚现象非常普遍,这与社会、经济和文化因素有关。近亲结婚与智力低下、肢体残疾、耳聋-畸形和心血管疾病的高发病率有关。在这一人群中,近亲结婚是非常普遍的现象,因此宣传计划还不够充分,有必要对近亲结婚相关疾病进行遗传学研究,以提供专门的婚前筛查,从而提高遗传咨询的效率。
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引用次数: 0
Genotype-biochemical phenotype analysis in newborns with biotinidase deficiency in Southeastern Anatolia 安纳托利亚东南部生物素酶缺乏症新生儿的基因型-生化表型分析
IF 1.3 Q4 GENETICS & HEREDITY Pub Date : 2024-03-05 DOI: 10.1186/s43042-024-00500-x
Murat Karaoglan, Gulper Nacarkahya, Emel Hatun Aytac, Mehmet Keskin
Biotinidase deficiency (BTD) is characterized by a wide range of genetic variants. However, the correlation between these variants and the biochemical phenotypes of BTD is not well-established due to the diversity of the BTD gene, the variable nature of biotinidase, and difficulties in measuring enzyme activity. This study aims to identify BTD gene variants in newborns screened for biotinidase deficiency in Southeastern Anatolia and to examine the correlation between these variants and biochemical phenotypes. BTD variant analysis and biotinidase enzyme (BT) activity measurements were performed on 711 newborns. Enzyme activity was measured using the colorimetric method. Biochemical phenotyping was categorized into three groups based on mean residual enzyme activity: profound (≤ 10%), partial (10.1–30%), and normal (> 30.1%). The pathogenicity of BTD gene variants was determined using BTD databases. The biochemical phenotypes were distributed as follows: a) profound: n = 22 (3%), b) partial: n = 95 (13.3%), and c) normal: n = 594 (83.7%). The mean enzyme activities (%) for these groups were 8.79 ± 1.87, 22.67 ± 4.55, and 97.98 ± 17.45, respectively. The most common alleles and their frequencies were p.D444H (n = 526) (37%), p.R157H (n = 172) (12.1%), and p.C33Ffster*36 (n = 73) (9%). The pathogenicity of the variants was as follows: pathogenic: 481 (33.8%), likely pathogenic: 4 (0.2%), and variant of uncertain significance (VUS): 538 (37.8%). In this large cohort in Southeastern Anatolia, the most common alleles were p.D444H, p.R157H, and p.C33Ffster*36 in BTD variants. The results indicate a low concordance between the biochemical phenotype and genotype in newborns with BTD. This study highlights the inadequacy of predicting the biochemical phenotype based solely on variant pathogenicity in biotinidase deficiency during the neonatal period.
生物素酶缺乏症(BTD)的特点是存在多种基因变异。然而,由于 BTD 基因的多样性、生物素酶的可变性以及酶活性测量的困难,这些变体与 BTD 的生化表型之间的相关性尚未得到很好的证实。本研究旨在确定安纳托利亚东南部地区新生儿生物素酶缺乏症筛查中的 BTD 基因变异,并研究这些变异与生化表型之间的相关性。对 711 名新生儿进行了 BTD 变异分析和生物素酶(BT)活性测量。酶活性采用比色法测量。根据平均残余酶活性将生化表型分为三组:深度(≤10%)、部分(10.1-30%)和正常(>30.1%)。利用 BTD 数据库确定了 BTD 基因变异的致病性。生化表型分布如下:a) 重度:n = 22(3%),b) 部分:n = 95(13.3%),c) 正常:n = 594(83.7%)。这些群体的平均酶活性(%)分别为 8.79 ± 1.87、22.67 ± 4.55 和 97.98 ± 17.45。最常见的等位基因及其频率分别为p.D444H(n = 526)(37%)、p.R157H(n = 172)(12.1%)和p.C33Ffster*36(n = 73)(9%)。变异体的致病性如下:致病性:481 个(33.8%),可能致病性:4 个(0.2%),意义不确定的变异体(VUS):538 个(37.8%):538 (37.8%).在安纳托利亚东南部的这一大型队列中,最常见的等位基因是 BTD 变异中的 p.D444H、p.R157H 和 p.C33Ffster*36。结果表明,BTD 新生儿的生化表型与基因型之间的一致性较低。这项研究突出表明,在新生儿期生物素酶缺乏症患者中,仅根据变体的致病性来预测生化表型是不够的。
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引用次数: 0
Evaluation of expression levels of microRNA processing elements in patients with sudden sensorineural hearing loss 评估突发性感音神经性听力损失患者体内微RNA处理元件的表达水平
IF 1.3 Q4 GENETICS & HEREDITY Pub Date : 2024-03-05 DOI: 10.1186/s43042-024-00496-4
Yalda Jabbari-Moghaddam, Dariush Shanehbandi, Milad Asadi, Saiedeh Razi-Soofiyani, Vahideh Hateftabar
MicroRNAs have a significant role in the function and development of the hearing system. Idiopathic sudden sensorineural hearing loss (SSNHL) is a complicated disorder with no long-established reason. Since microRNAs play imperative roles in every aspect of the neural system, their dysregulation may contribute to the onset of SSNHL. The current study aimed to assess the expression patterns of microRNA processing elements (DROSHA, DICER, and DGCR-8) as the vital factors in microRNA biology that can affect the expression levels of microRNA. This study assessed DROSHA, DICER, and DGCR-8 mRNA expression levels in the peripheral blood mononuclear cells (PBMC) of 50 patients with SSNHL and 50 matched controls. After the isolation of PBMC, total RNA was extracted, and the expression levels of DROSHA, DICER, and DGCR-8 genes were evaluated using quantitative real-time PCR. The results illustrated significant up-regulation of DICER and DGCR-8 genes in SSNHL patients at the mRNA level. Furthermore, despite no significant change in DROSHA level, DICER and DGCR-8 were significantly correlated with SSNHL. However, there was no significant correlation between these gene expressions and the clinicopathological features of patients. This study verified for the first time that the DGCR_8 and DICER mRNA expression levels were significantly up-regulated in patients with SSNHL, proposing that microRNAs and their processing pathways play key roles in the progression and development of SSNHL.
微RNA在听力系统的功能和发育中起着重要作用。特发性突发性感音神经性听力损失(SSNHL)是一种复杂的疾病,长期以来没有明确的发病原因。由于 microRNA 在神经系统的各个方面都起着至关重要的作用,它们的失调可能会导致 SSNHL 的发病。本研究旨在评估 microRNA 处理元件(DROSHA、DICER 和 DGCR-8)的表达模式,它们是 microRNA 生物学中影响 microRNA 表达水平的重要因素。本研究评估了 50 名 SSNHL 患者和 50 名匹配对照者的外周血单核细胞(PBMC)中 DROSHA、DICER 和 DGCR-8 mRNA 的表达水平。分离 PBMC 后,提取总 RNA,使用实时定量 PCR 评估 DROSHA、DICER 和 DGCR-8 基因的表达水平。结果表明,在 SSNHL 患者中,DICER 和 DGCR-8 基因在 mRNA 水平上明显上调。此外,尽管 DROSHA 水平无明显变化,但 DICER 和 DGCR-8 与 SSNHL 有显著相关性。然而,这些基因的表达与患者的临床病理特征并无明显相关性。这项研究首次验证了DGCR_8和DICER mRNA表达水平在SSNHL患者中明显上调,从而提出microRNA及其处理途径在SSNHL的进展和发展中起着关键作用。
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引用次数: 0
cxsAssociation study between single nucleotide polymorphism in thrombospondins THBS1 gene and THBS2 gene and coronary artery disease in Indian population cx印度人群中血栓软蛋白 THBS1 基因和 THBS2 基因的单核苷酸多态性与冠心病的相关性研究
IF 1.3 Q4 GENETICS & HEREDITY Pub Date : 2024-02-29 DOI: 10.1186/s43042-024-00498-2
Ale Eba, Syed Tasleem Raza, Irshad A. Wani, Zeba Siddiqi, Mohammad Abbas, Sanchita Srivastava, Farzana Mahdi
Coronary artery disease (CAD) is a complex medical condition characterized by atherosclerotic plaque accumulation in coronary arteries, leading to narrowed blood vessels and impaired blood flow. Endothelial dysfunction, smooth muscle cell proliferation, and various risk factors contribute to CAD development. Matricellular proteins, including thrombospondins (THBS), play crucial roles in vascular processes and cardiac function. A case–control study was conducted among 296 participants from Era's Lucknow Medical College and Hospital, India, to investigate genetic variations in THBS1 (N700S) and THBS2 (3′ UTR T → G) in relation to CAD. Genomic DNA was isolated, and PCR–RFLP was employed for genotyping. Clinical and biochemical parameters were assessed, and statistical analyses were performed using SPSS software. The study revealed that age, serum cholesterol, HDL, VLDL, and LDL were significantly associated with CAD in the Indian population. However, no statistically significant associations were found between triglyceride and serum creatinine levels, as well as the studied THBS1 and THBS2 genetic polymorphisms, and CAD. The analysis of genotypic and allelic frequencies did not indicate significant associations with CAD risk. This study suggests that specific genetic variations in THBS1 and THBS2 may not be strongly linked to the development or risk of CAD in the studied Indian population. The associations observed between age, lipid profiles, and CAD highlight the multifactorial nature of CAD susceptibility. Further research with larger sample sizes and diverse populations is warranted to validate these findings and explore additional genetic factors contributing to CAD in specific populations.
冠状动脉疾病(CAD)是一种复杂的内科疾病,其特点是冠状动脉内粥样硬化斑块堆积,导致血管狭窄和血流受阻。内皮功能障碍、平滑肌细胞增殖以及各种危险因素都是导致冠状动脉粥样硬化的原因。母细胞蛋白,包括血栓软蛋白(THBS),在血管过程和心脏功能中发挥着至关重要的作用。研究人员对来自印度 Era's Lucknow 医学院和医院的 296 名参与者进行了病例对照研究,以调查 THBS1(N700S)和 THBS2(3′ UTR T → G)的遗传变异与 CAD 的关系。分离基因组 DNA,采用 PCR-RFLP 进行基因分型。对临床和生化指标进行评估,并使用 SPSS 软件进行统计分析。研究显示,在印度人群中,年龄、血清胆固醇、高密度脂蛋白、低密度脂蛋白和低密度脂蛋白与 CAD 有显著相关性。然而,甘油三酯和血清肌酐水平以及所研究的 THBS1 和 THBS2 基因多态性与 CAD 之间没有统计学意义上的明显关联。对基因型和等位基因频率的分析也未发现与 CAD 风险有明显关联。这项研究表明,在所研究的印度人群中,THBS1 和 THBS2 的特定基因变异可能与 CAD 的发生或风险没有密切联系。所观察到的年龄、血脂特征和 CAD 之间的关联凸显了 CAD 易感性的多因素性质。为了验证这些发现并探索特定人群中导致 CAD 的其他遗传因素,有必要对更大样本量和不同人群进行进一步研究。
{"title":"cxsAssociation study between single nucleotide polymorphism in thrombospondins THBS1 gene and THBS2 gene and coronary artery disease in Indian population","authors":"Ale Eba, Syed Tasleem Raza, Irshad A. Wani, Zeba Siddiqi, Mohammad Abbas, Sanchita Srivastava, Farzana Mahdi","doi":"10.1186/s43042-024-00498-2","DOIUrl":"https://doi.org/10.1186/s43042-024-00498-2","url":null,"abstract":"Coronary artery disease (CAD) is a complex medical condition characterized by atherosclerotic plaque accumulation in coronary arteries, leading to narrowed blood vessels and impaired blood flow. Endothelial dysfunction, smooth muscle cell proliferation, and various risk factors contribute to CAD development. Matricellular proteins, including thrombospondins (THBS), play crucial roles in vascular processes and cardiac function. A case–control study was conducted among 296 participants from Era's Lucknow Medical College and Hospital, India, to investigate genetic variations in THBS1 (N700S) and THBS2 (3′ UTR T → G) in relation to CAD. Genomic DNA was isolated, and PCR–RFLP was employed for genotyping. Clinical and biochemical parameters were assessed, and statistical analyses were performed using SPSS software. The study revealed that age, serum cholesterol, HDL, VLDL, and LDL were significantly associated with CAD in the Indian population. However, no statistically significant associations were found between triglyceride and serum creatinine levels, as well as the studied THBS1 and THBS2 genetic polymorphisms, and CAD. The analysis of genotypic and allelic frequencies did not indicate significant associations with CAD risk. This study suggests that specific genetic variations in THBS1 and THBS2 may not be strongly linked to the development or risk of CAD in the studied Indian population. The associations observed between age, lipid profiles, and CAD highlight the multifactorial nature of CAD susceptibility. Further research with larger sample sizes and diverse populations is warranted to validate these findings and explore additional genetic factors contributing to CAD in specific populations.","PeriodicalId":39112,"journal":{"name":"Egyptian Journal of Medical Human Genetics","volume":"10 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140008368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Identification of a novel ATR-X mutation causative of acquired α-thalassemia in a myelofibrosis patient 在一名骨髓纤维化患者身上发现导致获得性α地中海贫血的新型 ATR-X 基因突变
IF 1.3 Q4 GENETICS & HEREDITY Pub Date : 2024-02-28 DOI: 10.1186/s43042-024-00497-3
Rosa Catapano, Filippo Russo, Marco Rosetti, Giovanni Poletti, Silvia Trombetti, Raffaele Sessa, Tommaso Fasano, Sauro Maoggi, Sante Roperto, Michela Grosso
<p><b>Dear Editor,</b></p><p>Acquired alpha-thalassemia mental retardation X-linked (ATRX) mutations are associated with the onset of α-thalassemia in several hematological malignancies including myelodysplasia, acute lymphoblastic leukemia, myelofibrosis, essential thrombocythemia, and acute myeloid leukemia (acquired α-thalassemia myelodisplastic syndrome, ATMDS) [1]. The ATRX gene (NM_000489.6) is located at Xq21.1 and encodes a chromatin remodeling protein which contributes to regulate the structure and function of chromatin in centromeric heterochromatin and telomeric domains to control different cellular pathways including DNA damage response and senescence mechanisms [2, 3]. ATRX is also involved in the epigenetic regulation of α-globin genes: loss-of-function mutations in the ATRX gene cause the transcriptional repression of the α-globin gene (HBA), thus resulting in a decreasing production of α-globin chains [4]. In this regard, mutations of the ATRX gene have been reported in association with a rare inherited pathology called X-linked α-thalassemia and mental retardation syndrome (or ATR-X syndrome) characterized by mental retardation, facial and urogenital abnormalities along with an α-thalassemia trait with elevated levels of β-globin or γ-globin tetramers (HbH or Barts' hemoglobin), the amount of which is directly related to the severity of the α-globin chain deficiency [5].</p><p>Here we report a novel single-nucleotide variant (SNV) in the <i>ATRX</i> gene, found by Next-Generation Sequencing (NGS) analysis in a 77-year-old Italian man previously healthy who had been hospitalized for myelofibrosis and was referred to our Centre to investigate the possible genetic cause of an acquired form of α-thalassemia with elevated levels of HbH. The study was conducted in accordance with the Declaration of Helsinki and approved by the Ethics Committee of the University of Naples Federico II (project approval number 443/21). Genomic DNA was extracted using the Nucleon BACC3 kit (GE Healthcare, Life Sciences, Chicago, IL, USA) and analyzed by a customized NGS gene panel recently developed by our group to identify acquired or inherited mutations associated with thalassemic disorders. The DNA libraries were prepared with the SureSelect<sup>XT HS</sup> Target Enrichment System kit (Agilent Technologies, Santa Clara, CA, USA) after enzymatic fragmentation and according to the manufacturer’s protocol. Library quality and quantity were checked with the TapeStation system (Agilent Technologies) and Qubit dsDNA High Sensitivity assay kit on Qubit Fluorometer (Thermo Fisher Scientific, Waltham, MA, USA), respectively. Libraries were sequenced with MiSeq Reagent Kit v2 (300-cycles) by loading a concentrated pool (9 pM) and 1% Phix on a MiSeq Illumina® instrument (Illumina; San Diego, CA, USA). To exclude any kind of contamination, a blank negative control was included, and it followed all procedure’s steps, from DNA extraction to sequencing. Data analysis
亲爱的编辑,获得性α-地中海贫血智力低下X连锁(ATRX)基因突变与多种血液恶性肿瘤中α-地中海贫血的发病有关,包括骨髓增生异常、急性淋巴细胞白血病、骨髓纤维化、原发性血小板增多症和急性髓性白血病(获得性α-地中海贫血骨髓增生异常综合征,ATMDS)[1]。ATRX 基因(NM_000489.6)位于 Xq21.1,编码一种染色质重塑蛋白,有助于调节染色质在中心异染色质和端粒域的结构和功能,从而控制不同的细胞通路,包括 DNA 损伤反应和衰老机制 [2,3]。ATRX 还参与了 α- 球蛋白基因的表观遗传调控:ATRX 基因的功能缺失突变会导致 α- 球蛋白基因(HBA)的转录抑制,从而导致 α- 球蛋白链的生成减少 [4]。在这方面,有报道称 ATRX 基因突变与一种罕见的遗传性病症有关,这种病症被称为 X 连锁α-地中海贫血和智力低下综合征(或 ATR-X 综合征),其特征是智力低下、面部和泌尿生殖系统异常,同时伴有α-地中海贫血性状,β-球蛋白或γ-球蛋白四聚体(HbH 或巴氏血红蛋白)水平升高,其含量与α-球蛋白链缺乏的严重程度直接相关[5]。在此,我们报告了通过下一代测序(NGS)分析发现的 ATRX 基因中的一个新型单核苷酸变异体(SNV)。一名 77 岁的意大利男子因骨髓纤维化住院治疗,并被转诊至本中心,以调查 HbH 水平升高的获得性 α 地中海贫血的可能遗传原因。研究按照《赫尔辛基宣言》进行,并获得了那不勒斯费德里科二世大学伦理委员会的批准(项目批准号 443/21)。使用 Nucleon BACC3 试剂盒(GE Healthcare,Life Sciences,Chicago,IL,USA)提取基因组 DNA,并通过我们小组最近开发的定制 NGS 基因面板进行分析,以确定与地中海贫血症相关的获得性或遗传性突变。DNA 文库是用 SureSelectXT HS 靶标富集系统试剂盒(Agilent Technologies, Santa Clara, CA, USA)进行酶切后,按照制造商的方案制备的。文库的质量和数量分别用 TapeStation 系统(安捷伦科技公司)和 Qubit Fluorometer(赛默飞世尔科技公司,美国马萨诸塞州沃尔瑟姆)上的 Qubit dsDNA 高灵敏度检测试剂盒进行检测。通过在 MiSeq Illumina® 仪器(Illumina;San Diego, CA, USA)上加载浓缩池(9 pM)和 1% Phix,使用 MiSeq Reagent Kit v2(300-cycles)对文库进行测序。为了排除任何形式的污染,还加入了一个空白阴性对照,该对照遵循了从 DNA 提取到测序的所有步骤。数据分析使用 Alissa Report v1.1.6-2023-03 和 Alissa Interpret v5.4.2 软件(安捷伦科技公司)进行,结果显示 ATRX 基因第 7 外显子 520 密码子处存在 T &gt; G 转换(c.520T &gt;G),变异等位基因频率为 89.9%(179/199 变异覆盖率),偏离种系突变的预期值,因此与变异的后天来源一致。该 SNV 导致了 PHD 样结构域的错义 p.Cys174Gly 突变,而 PHD 样结构域是 ATMDS 缺陷的热点区域 [1, 6]。该突变通过 Sanger 测序得到证实(图 1A)。NGS 和 MLPA 分析还排除了α-球蛋白基因簇中存在点突变或大缺失的可能性,而这些突变或缺失正是导致遗传性α-地中海贫血的原因(图 1B)[7]。A 使用正向和反向引物进行 Sanger 测序,以确认先前通过 NGS 在该患者身上发现的新型突变的存在。箭头所指为突变碱基;B MLPA 分析显示α-球蛋白簇中不存在α-地中海贫血缺失,如前所述[7];C ATRX 第 7 外显子 X 染色体负链上 18 个碱基的碱基守恒性得分(以及各自编码的氨基酸)。在每个碱基下方,VarSome 数据库中的 PhyloP100way 分数以图表形式显示,并用颜色标示。PhyloP100way 分数的计算基于不同脊椎动物的 99 个基因组序列与人类基因组的多重比对。它表示特定核苷酸在人类基因组中的保守程度:得分越高,表示该核苷酸越保守(红色=高度保守;黄色=中度保守;浅绿色=轻度保守;深绿色=极轻度保守)。星号表示 ATRX:c.520T &gt; G 变体的位置(p.)。 据我们所知,根据 GnomAD 外显子组、GnomAD 基因组和 ClinVar 数据库,该 SNV 是 ATRX 基因中一个未报道的变异。在 18 种体内预测工具(CADD、Polyphen2 HVAR、Polyphen2 HDIV、FATHMM、M-CAP、MutPred、MVP、FATHMM-MKL、LRT、PrimateAI、PROVEAN、SIFT、SIFT4G)中,有 13 种支持该 SNV 可能具有致病性,而其他 5 种工具(BLOSUM、DANN、DEOGEN2、LIST-S2、MutationTaster)则将其归类为不确定意义(表 1)。此外,根据表 1 中报告的多种工具,用于体内致病性评估的六种不同的元评分确定了极强、强或中度致病性预测。此外,对与人类基因组对齐的 99 个脊椎动物基因组序列(由 VarSome 平台提供的 PhyloP100way 分数表示,https://varsome.com/about/resources/acmg-implementation)进行的碱基保守性得分分析表明,c.520T 在人类基因组中是一个高度保守的核苷酸,如图 1C 所示。事实上,该突变位于该蛋白的 PHD 样区,迄今为止已在该功能区发现了其他几个 ATMDS 突变[8]。基于这些信息,我们将这一突变归类为潜在致病性突变。事实上,根据美国医学遗传学和基因组学学会(ACMG)的标准,检测到的 SNV 符合三个标准,可以确定其致病性[9]:首先,有多个计算系统支持该突变可能具有致畸作用(PP1 规则);其次,该突变位于突变热点基因组区域(PM1 规则);最后,外显子组测序项目、1000 基因组项目或外显子组聚合联盟等主要遗传学数据库均未报告该序列变异的频率数据(PM2 规则)。表 1 致病性预测元评分全尺寸表总之,我们在此报告了一名骨髓纤维化患者的新型 ATRX 基因突变,其 HbH 发病的原因可解释为 ATRX 功能受损导致 α- 球蛋白基因表达的改变。本报告有助于更好地界定ATRX基因突变谱,从而改进罕见病的基因筛查和诊断。ATRX:X-连锁α-地中海贫血智力低下ATMDS:获得性α-地中海贫血骨髓增生异常综合征HBA:α-球蛋白基因SNV:新型单核苷酸变异NGS:下一代测序MLPA:多重连接依赖性探针扩增ACMG:美国医学遗传学和基因组学学院Steensma DP, Gibbons RJ, Higgs DR (2005) Acquired α-thalassemia in association with myelodysplastic syndrome and other hematol
{"title":"Identification of a novel ATR-X mutation causative of acquired α-thalassemia in a myelofibrosis patient","authors":"Rosa Catapano, Filippo Russo, Marco Rosetti, Giovanni Poletti, Silvia Trombetti, Raffaele Sessa, Tommaso Fasano, Sauro Maoggi, Sante Roperto, Michela Grosso","doi":"10.1186/s43042-024-00497-3","DOIUrl":"https://doi.org/10.1186/s43042-024-00497-3","url":null,"abstract":"&lt;p&gt;&lt;b&gt;Dear Editor,&lt;/b&gt;&lt;/p&gt;&lt;p&gt;Acquired alpha-thalassemia mental retardation X-linked (ATRX) mutations are associated with the onset of α-thalassemia in several hematological malignancies including myelodysplasia, acute lymphoblastic leukemia, myelofibrosis, essential thrombocythemia, and acute myeloid leukemia (acquired α-thalassemia myelodisplastic syndrome, ATMDS) [1]. The ATRX gene (NM_000489.6) is located at Xq21.1 and encodes a chromatin remodeling protein which contributes to regulate the structure and function of chromatin in centromeric heterochromatin and telomeric domains to control different cellular pathways including DNA damage response and senescence mechanisms [2, 3]. ATRX is also involved in the epigenetic regulation of α-globin genes: loss-of-function mutations in the ATRX gene cause the transcriptional repression of the α-globin gene (HBA), thus resulting in a decreasing production of α-globin chains [4]. In this regard, mutations of the ATRX gene have been reported in association with a rare inherited pathology called X-linked α-thalassemia and mental retardation syndrome (or ATR-X syndrome) characterized by mental retardation, facial and urogenital abnormalities along with an α-thalassemia trait with elevated levels of β-globin or γ-globin tetramers (HbH or Barts' hemoglobin), the amount of which is directly related to the severity of the α-globin chain deficiency [5].&lt;/p&gt;&lt;p&gt;Here we report a novel single-nucleotide variant (SNV) in the &lt;i&gt;ATRX&lt;/i&gt; gene, found by Next-Generation Sequencing (NGS) analysis in a 77-year-old Italian man previously healthy who had been hospitalized for myelofibrosis and was referred to our Centre to investigate the possible genetic cause of an acquired form of α-thalassemia with elevated levels of HbH. The study was conducted in accordance with the Declaration of Helsinki and approved by the Ethics Committee of the University of Naples Federico II (project approval number 443/21). Genomic DNA was extracted using the Nucleon BACC3 kit (GE Healthcare, Life Sciences, Chicago, IL, USA) and analyzed by a customized NGS gene panel recently developed by our group to identify acquired or inherited mutations associated with thalassemic disorders. The DNA libraries were prepared with the SureSelect&lt;sup&gt;XT HS&lt;/sup&gt; Target Enrichment System kit (Agilent Technologies, Santa Clara, CA, USA) after enzymatic fragmentation and according to the manufacturer’s protocol. Library quality and quantity were checked with the TapeStation system (Agilent Technologies) and Qubit dsDNA High Sensitivity assay kit on Qubit Fluorometer (Thermo Fisher Scientific, Waltham, MA, USA), respectively. Libraries were sequenced with MiSeq Reagent Kit v2 (300-cycles) by loading a concentrated pool (9 pM) and 1% Phix on a MiSeq Illumina® instrument (Illumina; San Diego, CA, USA). To exclude any kind of contamination, a blank negative control was included, and it followed all procedure’s steps, from DNA extraction to sequencing. Data analysis","PeriodicalId":39112,"journal":{"name":"Egyptian Journal of Medical Human Genetics","volume":"4 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140008449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A novel N7-methylguanosine-associated feature predicts prognosis in gastric cancer 预测胃癌预后的新型 N7-甲基鸟苷相关特征
IF 1.3 Q4 GENETICS & HEREDITY Pub Date : 2024-02-27 DOI: 10.1186/s43042-024-00495-5
Shixing Zhao, Wenbo Zhao, Chunxia Yao, Yunxiao Tian
Despite substantial advancements in gastric cancer treatment in recent years, our understanding of the disease’s pathophysiology and progression processes remains limited, and the prognosis for gastric cancer patients remains poor. This study investigated potential prognostic indicators based on m7G-associated long non-coding RNA (lncRNA) and its relationship with gastric cancer (STAD). The researchers used RNA-seq and prognostic data from TCGA, employing Cox regression, co-expression network analysis, and multivariate Cox regression to identify relevant lncRNAs. We compiled four m7G-related lncRNAs into a single signature. We found it may be used as a prognostic indicator for gastric cancer. The m7G-related lncRNA profile had an area under the curve of 0.710, significantly more diagnostic than clinicopathological markers. The study also found that the TMB and tumor microenvironment were associated with gastric cancer risk, highlighting their signature’s potential utility for personalized treatment and disease monitoring. This study provides a novel signature of m7G-related lncRNAs that can be used as a prognostic indicator for gastric cancer and may help guide the development of targeted immunotherapy for the condition.
尽管近年来胃癌治疗取得了重大进展,但我们对该疾病的病理生理学和进展过程的了解仍然有限,胃癌患者的预后仍然很差。本研究调查了基于m7G相关长非编码RNA(lncRNA)的潜在预后指标及其与胃癌(STAD)的关系。研究人员利用来自TCGA的RNA-seq和预后数据,采用Cox回归、共表达网络分析和多变量Cox回归来确定相关的lncRNA。我们将四个与 m7G 相关的 lncRNA 汇编成一个特征。我们发现它可作为胃癌的预后指标。m7G相关lncRNA图谱的曲线下面积为0.710,明显比临床病理标记更具诊断意义。研究还发现,TMB和肿瘤微环境与胃癌风险相关,这凸显了其特征在个性化治疗和疾病监测中的潜在作用。这项研究提供了一种新型的m7G相关lncRNA特征,可用作胃癌的预后指标,并有助于指导胃癌靶向免疫疗法的开发。
{"title":"A novel N7-methylguanosine-associated feature predicts prognosis in gastric cancer","authors":"Shixing Zhao, Wenbo Zhao, Chunxia Yao, Yunxiao Tian","doi":"10.1186/s43042-024-00495-5","DOIUrl":"https://doi.org/10.1186/s43042-024-00495-5","url":null,"abstract":"Despite substantial advancements in gastric cancer treatment in recent years, our understanding of the disease’s pathophysiology and progression processes remains limited, and the prognosis for gastric cancer patients remains poor. This study investigated potential prognostic indicators based on m7G-associated long non-coding RNA (lncRNA) and its relationship with gastric cancer (STAD). The researchers used RNA-seq and prognostic data from TCGA, employing Cox regression, co-expression network analysis, and multivariate Cox regression to identify relevant lncRNAs. We compiled four m7G-related lncRNAs into a single signature. We found it may be used as a prognostic indicator for gastric cancer. The m7G-related lncRNA profile had an area under the curve of 0.710, significantly more diagnostic than clinicopathological markers. The study also found that the TMB and tumor microenvironment were associated with gastric cancer risk, highlighting their signature’s potential utility for personalized treatment and disease monitoring. This study provides a novel signature of m7G-related lncRNAs that can be used as a prognostic indicator for gastric cancer and may help guide the development of targeted immunotherapy for the condition.","PeriodicalId":39112,"journal":{"name":"Egyptian Journal of Medical Human Genetics","volume":"1 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139978775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
System biology approach to delineate expressional difference in the blood mononuclear cells between healthy and Turner syndrome individuals 用系统生物学方法确定健康人和特纳综合征患者血液单核细胞的表达差异
IF 1.3 Q4 GENETICS & HEREDITY Pub Date : 2024-02-25 DOI: 10.1186/s43042-024-00491-9
Anam Farooqui, Naaila Tamkeen, Safia Tazyeen, Sher Ali, Romana Ishrat
Turner syndrome (TS) is a rare disorder associated either with complete or partial loss of one X chromosome in women. The information on the genotype–phenotype relationship in TS is inadequate. Comparing the healthy and Turner syndrome patients may help elucidate the mechanisms involved in TS pathophysiology. Gene expression differences between healthy and individuals with Turner syndrome were characterized using the systems-biology approach of weighted gene coexpression network analysis (WGCNA) on 182 microarray peripheral mononuclear blood samples (PBMC). The coexpression networks of healthy and TS had scale-free topology that ensures network robustness. In the process, five modules were preserved between healthy and TS, which carry several genes common in each module. Two of them, SMCHD1 and PGK1, have already been reported to be involved in TS. Previously reported genes of TS, specifically, PTPN22, RPS4X, CSF2RA, and TIMP1, were missing in their respective modules. Dysfunction, differential expression, or absence of these genes could lead to a progressive disruption of molecular pathways leading to the pathophysiology of TS. Indeed, we observed a significant difference in the functions of these modules when compared within and across the healthy and TS samples. We identified four clusters in the PPI network constructed from the top 15 KME enriched in significant functions. Overall, our work highlights the potential molecular functions, pathways, and molecular targets of TS that can be exploited therapeutically in the human healthcare system.
特纳综合征(Turner syndrome,TS)是一种罕见的疾病,与女性完全或部分缺失一条 X 染色体有关。有关 TS 基因型与表型关系的信息尚不充分。对健康人和特纳综合征患者进行比较可能有助于阐明特纳综合征的病理生理学机制。研究人员采用系统生物学的加权基因共表达网络分析(WGCNA)方法,对182个微阵列外周单核血样本(PBMC)进行了研究,以确定健康人和特纳综合征患者之间的基因表达差异。健康人和特发性红细胞增多症患者的共表达网络具有无标度拓扑结构,确保了网络的稳健性。在这一过程中,健康人和 TS 之间保留了五个模块,每个模块中都有几个共同的基因。其中,SMCHD1 和 PGK1 这两个基因已被报道与 TS 有关。之前报道的 TS 基因,特别是 PTPN22、RPS4X、CSF2RA 和 TIMP1,在各自的模块中缺失。这些基因的功能障碍、差异表达或缺失可能会导致分子通路逐渐中断,从而导致 TS 的病理生理学。事实上,我们观察到这些模块的功能在健康样本和 TS 样本内部和之间存在显著差异。我们在由具有重要功能的前 15 个 KME 构建的 PPI 网络中发现了四个集群。总之,我们的工作强调了TS的潜在分子功能、通路和分子靶点,这些功能、通路和靶点可在人类医疗保健系统中加以利用。
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引用次数: 0
Association of SLC30A8 rs13266634 gene polymorphism with type 2 diabetes mellitus (T2DM) in a population of Noakhali, Bangladesh: a case–control study 孟加拉国 Noakhali 人口中 SLC30A8 rs13266634 基因多态性与 2 型糖尿病 (T2DM) 的关系:一项病例对照研究
IF 1.3 Q4 GENETICS & HEREDITY Pub Date : 2024-02-14 DOI: 10.1186/s43042-024-00484-8
Farhana Siddiqi Mitu, Md. Murad Hossain, Shuvo Chandra Das, Md. Mafizul Islam, Dhirendra Nath Barman, Shipan Das Gupta
Type 2 diabetes mellitus (T2DM) is considered to be a polygenic disorder that emerges as a result of complicated gene-environment interactions. Several investigations revealed that SLC30A8 rs13266634 polymorphism elevates T2DM risk. T2DM and hypertension (HTN) are often found to be coexist. Compared to normotensive non-diabetic controls, T2DM patients with HTN have a fourfold increased risk of cardiovascular disease (CVD). The average age of T2DM diagnosis is decreasing, and ‘early onset of T2DM’ in adolescents and young adults is an emerging worldwide health concern. The objective of this study was to examine the potential correlations of SLC30A8 rs13266634 polymorphism with T2DM and T2DM-related CVD and HTN as well as ‘early onset of T2DM’ in the Noakhali region. This case–control study involved 163 T2DM patients and 75 healthy controls for analysis of SLC30A8-rs13266634 polymorphism. Genotyping of this polymorphism was performed using polymerase chain reaction-restriction fragment length polymorphism (PCR–RFLP) method. MedCalc and Gene Calc programs were used for statistical analysis. A statistically significant association of SLC30A8 rs13266634 (P < 0.05) with T2DM was found in dominant, over dominant and allele models. But this study found no evidence of a connection between SLC30A8-rs13266634 with CVD, HTN, or ‘early onset of T2DM’ in any models. Furthermore, T2DM patients had higher total cholesterol (TC) and triglyceride (TG) levels than non-diabetics individuals. This study revealed a substantial association between the variation in SLC30A8-rs13266634 and the increased risk of developing T2DM within a sample of the Noakhali population in Bangladesh. However, no significant associations were observed between SLC30A8-rs13266634 and T2DM-related cardiovascular disease (CVD), hypertension (HTN), or the early onset of T2DM within this specific population.
2 型糖尿病(T2DM)被认为是一种多基因疾病,是复杂的基因-环境相互作用的结果。多项研究发现,SLC30A8 rs13266634 多态性会增加 T2DM 风险。T2DM 和高血压(HTN)常常同时存在。与血压正常的非糖尿病对照组相比,患有高血压的 T2DM 患者罹患心血管疾病(CVD)的风险增加了四倍。T2DM 诊断的平均年龄正在下降,青少年和年轻成年人 "T2DM 早发 "已成为全球新出现的健康问题。本研究旨在探讨 SLC30A8 rs13266634 多态性与 T2DM、T2DM 相关心血管疾病和高血压以及努阿卡利地区 "T2DM 早发 "的潜在相关性。这项病例对照研究涉及 163 名 T2DM 患者和 75 名健康对照者,以分析 SLC30A8-rs13266634 多态性。该多态性的基因分型采用聚合酶链式反应-限制性片段长度多态性(PCR-RFLP)方法进行。统计分析使用了 MedCalc 和 Gene Calc 程序。在显性、过显性和等位基因模型中,SLC30A8 rs13266634(P < 0.05)与 T2DM 的关系均有统计学意义。但在任何模型中,本研究都没有发现 SLC30A8-rs13266634 与心血管疾病、高血压或 "T2DM 早发 "有关。此外,与非糖尿病患者相比,T2DM 患者的总胆固醇(TC)和甘油三酯(TG)水平更高。这项研究显示,在孟加拉国努哈里人口样本中,SLC30A8-rs13266634 的变异与 T2DM 患病风险的增加有很大关系。但是,在这一特定人群中,没有观察到 SLC30A8-rs13266634 与 T2DM 相关的心血管疾病(CVD)、高血压(HTN)或 T2DM 早期发病之间有明显的关联。
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Egyptian Journal of Medical Human Genetics
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