Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\28570636
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 PLoS+One
2017 ; 12
(6
): e0178630
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Alport syndrome cold cases: Missing mutations identified by exome sequencing and
functional analysis
#MMPMID28570636
Chiereghin C
; Robusto M
; Mastrangelo A
; Castorina P
; Montini G
; Giani M
; Duga S
; Asselta R
; Soldą G
PLoS One
2017[]; 12
(6
): e0178630
PMID28570636
show ga
Alport syndrome (AS) is an inherited progressive renal disease caused by
mutations in COL4A3, COL4A4, and COL4A5 genes. Despite simultaneous screening of
these genes being widely available, mutation detection still remains incomplete
in a non-marginal portion of patients. Here, we applied whole-exome sequencing
(WES) in 3 Italian families negative after candidate-gene analyses. In Family 1,
we identified a novel heterozygous intronic variant (c.2245-40A>G) -outside the
conventionally screened candidate region for diagnosis- potentially disrupting
COL4A5 exon29 splicing. Using a minigene-based approach in HEK293 cells we
demonstrated that this variant abolishes exon29 branch site, causing exon
skipping. Moreover, skewed X-inactivation of the c.2245-40A>G allele correlated
with disease severity in heterozygous females. In Family 2, WES highlighted a
novel COL4A5 hemizygous missense mutation (p.Gly491Asp), which segregates with
the phenotype and impacts on a highly-conserved residue. Finally, in Family 3, we
detected a homozygous 24-bp in-frame deletion in COL4A3 exon1
(NM_000091.4:c.30_53del:p.Val11_Leu18del or c.40_63del24:p.Leu14_Leu21del), which
is ambiguously annotated in databases, although it corresponds to a recurrent AS
mutation. Functional analyses showed that this deletion disrupts COL4A3 signal
peptide, possibly altering protein secretion. In conclusion, WES -together with
functional studies- was fundamental for molecular diagnosis in 3 AS families,
highlighting pathogenic variants that escaped previous screenings.