Chen Huamu, Lin Hongrong, Yue Zhihui, Wang Haiyan, Yang Junhui, Sun Liangzhong
Department of Pediatrics, Children's Kidney Disease Center, The First Affiliated Hospital, Sun Yat-sen University Guangzhou, Guangdong, P. R. China.
Department of Pediatrics, Nanfang Hospital, Southern Medical University Guangzhou, Guangdong Province, P. R. China.
Int J Mol Epidemiol Genet. 2019 Aug 15;10(4):53-58. eCollection 2019.
is the most prevalent genetic factor in the development of juvenile nephronophthisis (NPHP). In our previous study, homozygous point mutations were detected by Sanger sequencing in three cases from two nonconsanguineous pedigrees. However, mutant sites were detected in only one parent from each respective pedigree. To investigate whether other disease-causing mutations were present, targeted exome sequencing (TES) of 63 ciliopathy genes was performed in the probands of the two pedigrees. In addition to the previously detected point mutations, a complete heterozygous deletion of (1-20 exons) in the other allele was found in each of the three patients. The deletions were inherited from one parent of each pedigree. These is the first report of Chinese NPHP patients harboring a complete heterozygous deletion of in one allele and a point mutation in the other one. The study demonstrated that TES is helpful in identifying complicated mutations in patients with NPHP.
是青少年肾单位肾痨(NPHP)发病过程中最常见的遗传因素。在我们之前的研究中,通过桑格测序在两个非近亲家系的三例患者中检测到纯合点突变。然而,在每个家系中仅在一位亲本中检测到突变位点。为了研究是否存在其他致病突变,对这两个家系的先证者进行了63个纤毛病相关基因的靶向外显子组测序(TES)。除了先前检测到的点突变外,在三名患者中的每一位中还发现另一个等位基因存在(第1 - 20外显子)的完全杂合缺失。这些缺失是从每个家系的一位亲本遗传而来。这是关于中国NPHP患者一个等位基因存在完全杂合缺失而另一个等位基因存在点突变的首次报道。该研究表明,TES有助于识别NPHP患者中的复杂突变。