Kallikrein 基因家族变异与高移动性埃勒斯-丹洛斯综合症

Cortney Gensemer, Tyler Beck, Lilong Guo, Taylor Petrucci, Jordan Morningstar, Isabelle Kornblau, Kathryn Byerly, Rachel Biggs, Amy Weintraub, Kelsey Moore, Natalie Koren, Victoria Daylor, Christina Hastings, Emily Oberlies, Ella R Zientara, Elsie Devey, Sarah Dooley, Kristina Stayer, Roman Fenner, Katherine Singleton, Sofia Luzbetak, Deatra Bear, Rebecca Byrd, Julianna Weninger, Erika Bistran, Gyda Beeson, Joshua Kerns, Molly Griggs, Charlotte Griggs, Madalyn Osterhaus, Emily Fleck, Jillian Schnaudigel, Shaina Butler, Sydney Severance, Wiley Kendall, Joe R Delaney, Daniel P Judge, Peng Chen, Hai Yao, Jan Guz, Alexander Awgulewitsch, Steven A Kautz, Rupak Mukherjee, Robert Price, Fraser Henderson, Steven Shapiro, Clair A Francomano, Jason C Kovacic, Mark Lavallee, Sunil Patel, Takiy-Eddine Berrandou, Susan A Slaugenhaupt, David Milan, Amy R Kontorovich, Nabila Bouatia-Naji, Russell A Norris
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摘要

高移动性埃勒斯-丹洛斯综合征(hEDS)是一种常见的遗传性结缔组织疾病,缺乏已知的遗传病因。为了确定遗传因素对 hEDS 的影响,对家族和散发性 hEDS 患者队列进行了全外显子组测序。在两个家族中,Kallikrein-15(KLK15 p. Gly226Asp)中的一个错义变体与疾病发生分离,对197名散发性hEDS患者进行的遗传负荷分析显示,Kallikrein基因家族中的变体富集。为了验证致病性,我们利用在家族研究中发现的变体来产生基因敲入小鼠。与我们的临床队列一致,Klk15 G224D/+ 小鼠在多个器官系统中表现出结缔组织结构和功能缺陷。这些研究结果支持了 Kallikrein 基因变异在 hEDS 发病机制中的作用,是朝着更早的诊断和更好的临床结果迈出的重要一步。
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Variants in the Kallikrein Gene Family and Hypermobile Ehlers-Danlos Syndrome.

Hypermobile Ehlers-Danlos syndrome (hEDS) is a common heritable connective tissue disorder that lacks a known genetic etiology. To identify genetic contributions to hEDS, whole exome sequencing was performed on families and a cohort of sporadic hEDS patients. A missense variant in Kallikrein-15 (KLK15 p. Gly226Asp), segregated with disease in two families and genetic burden analyses of 197 sporadic hEDS patients revealed enrichment of variants within the Kallikrein gene family. To validate pathogenicity, the variant identified in familial studies was used to generate knock-in mice. Consistent with our clinical cohort, Klk15 G224D/+ mice displayed structural and functional connective tissue defects within multiple organ systems. These findings support Kallikrein gene variants in the pathogenesis of hEDS and represent an important step towards earlier diagnosis and better clinical outcomes.

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