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全外显子组测序发现 BCL11B 中存在新的杂合框移突变,导致神经发育障碍。

A De Novo heterozygous frameshift mutation identified in BCL11B causes neurodevelopmental disorder by whole exome sequencing.

机构信息

Department of Prenatal Diagnosis, Women's Hospital of Nanjing Medical University, Nanjing Maternity and Child Health care Hospital, Nanjing, China.

出版信息

Mol Genet Genomic Med. 2019 Sep;7(9):e897. doi: 10.1002/mgg3.897. Epub 2019 Jul 25.

Abstract

BACKGROUND

Next-generation sequencing has been invaluable to delineate the genetic etiology of neurodevelopmental disorders (NDDs) in recent years. BCL11B, encoding Cys His zinc finger transcription factor, is essential for the development of immune and neural systems.

METHODS

Herein, we describe a Chinese girl presenting craniofacial abnormalities, developmental delay and intellectual disability with speech impairment. Exomes of genes were enriched with the Agilent SureSelect QXT ALL Human Exon V6 kit and sequenced on Illumina Hiseq 2500 platform.

RESULTS

After variants filtering and annotation, we identified a de novo heterozygous 11bp frameshift mutation NM_138576.4: c.2190_2200delGGACGCACGAC (p.Thr730Thrfs*151) in exon 4 of BCL11B, which is expected to escape nonsense-mediated mRNA decay and probably result in a truncated protein with lack of the C-terminal DNA-binding zinc-finger domains.

CONCLUSION

This is the first report of NDD caused by a BCL11B variant in a Chinese population. The mutation identified in this report broadens the knowledge of mutation spectrum of BCL11B and might help in genetic counseling and reducing reproductive risk.

摘要

背景

近年来,下一代测序技术在阐明神经发育障碍(NDD)的遗传病因方面发挥了重要作用。BCL11B 基因编码 Cys His 锌指转录因子,对于免疫系统和神经系统的发育至关重要。

方法

本研究描述了一位中国女孩,她表现出头面部异常、发育迟缓、智力残疾和言语障碍。使用 Agilent SureSelect QXT ALL Human Exon V6 试剂盒对基因外显子进行富集,并在 Illumina Hiseq 2500 平台上进行测序。

结果

经过变异过滤和注释,我们在 BCL11B 基因的第 4 外显子中发现了一个从头杂合的 11bp 移码突变 NM_138576.4:c.2190_2200delGGACGCACGAC(p.Thr730Thrfs*151),预计该突变将逃脱无义介导的 mRNA 降解,并可能导致截短蛋白,缺乏 C 末端 DNA 结合锌指结构域。

结论

这是中国人群中由 BCL11B 变异引起的 NDD 的首例报告。本研究中鉴定的突变扩展了 BCL11B 突变谱的知识,可能有助于遗传咨询和降低生殖风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5aa/6732278/286b00fc5f65/MGG3-7-e897-g001.jpg

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