Girard Muriel, Bizet Albane A, Lachaux Alain, Gonzales Emmanuel, Filhol Emilie, Collardeau-Frachon Sophie, Jeanpierre Cécile, Henry Charline, Fabre Monique, Viremouneix Loic, Galmiche Louise, Debray Dominique, Bole-Feysot Christine, Nitschke Patrick, Pariente Danièle, Guettier Catherine, Lyonnet Stanislas, Heidet Laurence, Bertholet Aurelia, Jacquemin Emmanuel, Henrion-Caude Alexandra, Saunier Sophie
Hepatology Unit, Necker Hospital, Assistance Publique-Hopitaux de Paris, France.
Paris Descartes Sorbonne Paris Cité University, Imagine institute, Paris, France.
Hum Mutat. 2016 Oct;37(10):1025-9. doi: 10.1002/humu.23031. Epub 2016 Aug 24.
Neonatal sclerosing cholangitis (NSC) is a rare biliary disease leading to liver transplantation in childhood. Patients with NSC and ichtyosis have already been identified with a CLDN1 mutation, encoding a tight-junction protein. However, for the majority of patients, the molecular basis of NSC remains unknown. We identified biallelic missense mutations or in-frame deletion in DCDC2 in four affected children. Mutations involve highly conserved amino acids in the doublecortin domains of the protein. In cholangiocytes, DCDC2 protein is normally located in the cytoplasm and cilia, whereas in patients the mutated protein is accumulated in the cytoplasm, absent from cilia, and associated with ciliogenesis defect. This is the first report of DCDC2 mutations in NSC. This data expands the molecular spectrum of NSC, that can be considered as a ciliopathy and also expands the clinical spectrum of the DCDC2 mutations, previously reported in dyslexia, deafness, and nephronophtisis.
新生儿硬化性胆管炎(NSC)是一种罕见的胆道疾病,可导致儿童进行肝移植。患有NSC和鱼鳞病的患者已被确定存在CLDN1突变,该基因编码一种紧密连接蛋白。然而,对于大多数患者来说,NSC的分子基础仍然未知。我们在四名患病儿童中发现了DCDC2基因的双等位基因错义突变或框内缺失。这些突变涉及该蛋白双皮质素结构域中高度保守的氨基酸。在胆管细胞中,DCDC2蛋白通常位于细胞质和纤毛中,而在患者中,突变蛋白积聚在细胞质中,纤毛中不存在,并且与纤毛发生缺陷有关。这是关于NSC中DCDC2突变的首次报道。该数据扩展了NSC的分子谱,NSC可被视为一种纤毛病,同时也扩展了先前在阅读障碍、耳聋和肾单位肾痨中报道的DCDC2突变的临床谱。