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Identification of novel compound heterozygous variants of the ALMS1 gene in a child with Alström syndrome by whole genome sequencing.
Xu, Haikun; Wang, Ziju; Sa, Sha; Yang, Ying; Zhang, Xiaofei; Li, Dejun.
Afiliación
  • Xu H; Department of Radiology, China-Japan Union Hospital of Jilin University, Changchun 130033, P.R. China.
  • Wang Z; Department of Pediatrics, China-Japan Union Hospital of Jilin University, Changchun 130033, P.R. China.
  • Sa S; Department of Radiology, China-Japan Union Hospital of Jilin University, Changchun 130033, P.R. China.
  • Yang Y; Department of Ultrasound, China-Japan Union Hospital of Jilin University, Changchun 130033, P.R. China.
  • Zhang X; Department of Pediatrics, China-Japan Union Hospital of Jilin University, Changchun 130033, P.R. China. Electronic address: xiaofei@jlu.edu.cn.
  • Li D; Center for Reproductive Medicine and Prenatal Diagnosis, The First Hospital of Jilin University, Changchun 130021, P.R. China. Electronic address: lidejun@jlu.edu.cn.
Gene ; 929: 148827, 2024 Dec 15.
Article en En | MEDLINE | ID: mdl-39122231
ABSTRACT

BACKGROUND:

Alström syndrome (ALMS), a rare recessively inherited ciliopathy caused by mutations in ALMS1, is characterized by retinal dystrophy, childhood obesity, sensorineural hearing loss, and type 2 diabetes mellitus. The majority of pathogenic variants in ALMS1 are nonsense and frameshift mutations, which would lead to premature protein truncation, whereas copy number variants are seldom reported.

METHODS:

Herein, we present a 10-year-old Chinese girl with ALMS. The potential causative genetic variant was confirmed through whole genome sequencing, quantitative real-time PCR analysis, and Sanger sequencing. Additionally, breakpoint analysis was performed to determine the exact breakpoint site of the large deletion and elucidate its probable formation mechanism.

RESULTS:

The patient had a cor triatriatum sinister (CTS) structure. Genetic analysis identified novel compound heterozygous variants in the patient, consisting of a frameshift variant c.4414_4415delGT (p.V1472Nfs*26) in ALMS1 and a novel large deletion at chr273,612,355-73,626,339, which encompasses exon 1 of the ALMS1 gene. Moreover, breakpoint analysis revealed that the large deletion probably formed through the microhomology-mediated end joining (MMEJ) mechanism due to the 6-bp microhomologies (TCCTTC) observed at both ends of the breakpoints.

CONCLUSIONS:

In this study, novel compound heterozygous variants in the ALMS1 gene were identified in an ALMS patient with a CTS structure. The molecular confirmation of these variants expands the mutational spectrum of ALMS1, while the manifestation of ALMS in the patient provides additional clinical insights into this syndrome.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Mutación del Sistema de Lectura / Proteínas de Ciclo Celular / Síndrome de Alstrom / Secuenciación Completa del Genoma / Heterocigoto Límite: Child / Female / Humans Idioma: En Revista: Gene Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Mutación del Sistema de Lectura / Proteínas de Ciclo Celular / Síndrome de Alstrom / Secuenciación Completa del Genoma / Heterocigoto Límite: Child / Female / Humans Idioma: En Revista: Gene Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos