Division of Medical Genetics, Fondazione IRCCS-Casa Sollievo della Sofferenza, 71013 San Giovanni Rotondo FG, Italy.
Laboratory of Medical Genetics, Department of Molecular Medicine, Sapienza University, San Camillo-Forlaninin Hospital, 00152 Rome, Italy.
Genes (Basel). 2019 Jun 10;10(6):442. doi: 10.3390/genes10060442.
encodes fibrillin 1, a key structural component of the extracellular matrix, and its variants are associated with a wide range of hereditary connective tissues disorders, such as Marfan syndrome (MFS) and mitral valve-aorta-skeleton-skin (MASS) syndrome. Interpretations of the genomic data and possible genotype-phenotype correlations in are complicated by the high rate of intronic variants of unknown significance. Here, we report two unrelated individuals with the deep intronic variants c.6872-24T>A and c.7571-12T>A, clinically associated with MFS and MASS syndrome, respectively. The individual carrying the c.6872-24T>A variant is positive for aortic disease. Both individuals lacked ectopia lentis. In silico analysis and subsequent mRNA study by RT-PCR demonstrated the effect of the identified variant on the splicing process in both cases. The c.6872-24T>A and c.7571-12T>A variants generate the retention of intronic nucleotides and lead to the introduction of a premature stop codon. This study enlarges the mutation spectrum of and points out the importance of intronic sequence analysis and the need for integrative functional studies in diagnostics.
编码原纤维蛋白 1,细胞外基质的关键结构成分,其变体与广泛的遗传性结缔组织疾病有关,如马凡综合征(MFS)和二尖瓣-主动脉-骨骼-皮肤(MASS)综合征。由于内含子变异的未知意义的高发生率,对基因组数据的解释和可能的基因型-表型相关性在 中变得复杂。在这里,我们报告了两个无关的个体,他们携带 中的深内含子变异 c.6872-24T>A 和 c.7571-12T>A,分别与 MFS 和 MASS 综合征相关。携带 c.6872-24T>A 变异的个体存在主动脉疾病。这两个人都没有晶状体异位。计算机分析和随后的 RT-PCR 信使 RNA 研究表明,这两种情况下的变异都对剪接过程有影响。c.6872-24T>A 和 c.7571-12T>A 变异导致内含子核苷酸的保留,并导致提前终止密码子的引入。本研究扩大了 的突变谱,并指出了内含子序列分析的重要性和 诊断中综合功能研究的必要性。