Schaefer Elise, Stoetzel Corinne, Scheidecker Sophie, Geoffroy Véronique, Prasad Megana K, Redin Claire, Missotte Isabelle, Lacombe Didier, Mandel Jean-Louis, Muller Jean, Dollfus Hélène
Laboratoire de Génétique Médicale, Institut de Génétique Médicale d'Alsace, INSERM U1112, Fédération de Médecine Translationnelle de Strasbourg (FMTS), Université de Strasbourg, Strasbourg, France.
Service de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
J Hum Genet. 2016 May;61(5):447-50. doi: 10.1038/jhg.2015.162. Epub 2016 Jan 14.
Bardet-Biedl syndrome (BBS; MIM 209900) is a recessive heterogeneous ciliopathy characterized by retinitis pigmentosa (RP), postaxial polydactyly, obesity, hypogonadism, cognitive impairment and kidney dysfunction. So far, 20 BBS genes have been identified, with the last reported ones being found in one or very few families. Whole-exome sequencing was performed in a consanguineous family in which two affected children presented typical BBS features (retinitis pigmentosa, postaxial polydactyly, obesity, hypogonadism and cognitive impairment) without any mutation identified in known BBS genes at the time of the study. We identified a homozygous splice-site mutation (NM_015662.2: c.4428+3A>G) in both affected siblings in the last reported BBS gene, namely, Intraflagellar Transport 172 Homolog (IFT172). Familial mutation segregation was consistent with autosomal recessive inheritance. IFT172 mutations were initially reported in Jeune and Mainzer-Saldino syndromes. Recently, mutations have also been found in isolated RP and Bardet-Biedl-like ciliopathy. This is the second report of IFT172 mutations in BBS patients validating IFT172 as the twentieth BBS gene (BBS20). Moreover, another IFT gene, IFT27, was already associated with BBS, confirming the implication of IFT genes in the pathogenesis of BBS.
巴德-比德尔综合征(BBS;MIM 209900)是一种隐性异质性纤毛病,其特征为色素性视网膜炎(RP)、轴后多指畸形、肥胖、性腺功能减退、认知障碍和肾功能不全。到目前为止,已鉴定出20个BBS基因,最近报道的基因仅在一个或极少数家族中发现。对一个近亲家庭进行了全外显子组测序,该家庭中有两个患病儿童表现出典型的BBS特征(色素性视网膜炎、轴后多指畸形、肥胖、性腺功能减退和认知障碍),但在研究时已知的BBS基因中未发现任何突变。我们在最后报道的BBS基因,即鞭毛内运输蛋白172同源物(IFT172)中,在两个患病的兄弟姐妹中鉴定出一个纯合剪接位点突变(NM_015662.2:c.4428+3A>G)。家族性突变分离符合常染色体隐性遗传。IFT172突变最初在约内综合征和梅因泽尔-萨尔迪诺综合征中报道。最近,在孤立性RP和巴德-比德尔样纤毛病中也发现了突变。这是关于BBS患者中IFT172突变的第二篇报道,证实IFT172为第20个BBS基因(BBS20)。此外,另一个IFT基因IFT27已经与BBS相关联。这进一步证实了IFT基因在BBS发病机制中的作用。