Huang Huan, Liu Jiamei, Zhang Guoying
Department of Obstetrics and Gynecology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu Province, China.
Department of Obstetrics and Gynecology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu Province, China.
Clin Chim Acta. 2021 Jun;517:133-138. doi: 10.1016/j.cca.2021.02.024. Epub 2021 Mar 9.
Our study reports a novel dominant COL1A1 mutation in OI. Using a zebrafish model, we confirmed that the glycine to serine substitution at position 608 of the COL1A1 protein has deleterious effects on bone development.
Osteogenesis imperfecta (OI), also known as brittle bone disease, is a group of genetic disorders. Mutations in two genes, collagen type I alpha 1 chain (COL1A1) and collagen type I alpha 1 chain (COL1A2), which encode the pro-a1 (I) and pro-a2 (I) chains of type I collagen, respectively, the most abundant form of collagen in the human body, cause most cases of OI.
In this study, we used panel-based next-generation sequencing for prenatal diagnosis of a fetus whose ultrasound images suggested OI. A de novo mutation in COL1A1 gene was suspected to cause the phenotype. To validate the effect of this mutation in a zebrafish model, we constructed a plasmid containing the corresponding mutation in the zebrafish gene col1a1a (c.1744 G > A), and overexpressed the mutant protein in zebrafish larvae.
We identified a novel COL1A1 mutation (c.1822 G > A; p.Gly608Ser) in the fetus but not in her parents by an skeletal dysplasias panel. Bioinformatic analysis showed that the affected residue (p.Gly608) is highly conserved from zebrafish to humans. In contrast to larvae expressing wild-type (WT) col1a1a and enhanced green fluorescent protein (EGFP), col1a1a mutation-expressing larvae showed significant spinal curvature and embryonic lethality, mimicking the phenotype of human OI.
Our study revealed the pathogenicity of a de novo mutation, c.1822 G > A, in human COL1A1, which expands the mutation spectrum of OI.
我们的研究报告了一种成骨不全症(OI)中新型的显性COL1A1突变。利用斑马鱼模型,我们证实COL1A1蛋白第608位的甘氨酸到丝氨酸的替换对骨骼发育具有有害影响。
成骨不全症(OI),也称为脆骨病,是一组遗传性疾病。分别编码人体中最丰富的胶原蛋白形式I型胶原蛋白的前α1(I)链和前α2(I)链的两个基因,即I型胶原蛋白α1链(COL1A1)和I型胶原蛋白α2链(COL1A2)中的突变,导致了大多数OI病例。
在本研究中,我们使用基于面板的二代测序对一名超声图像提示患有OI的胎儿进行产前诊断。怀疑COL1A1基因中的一个新生突变导致了该表型。为了在斑马鱼模型中验证此突变的作用,我们构建了一个在斑马鱼基因col1a1a(c.1744 G>A)中含有相应突变的质粒,并在斑马鱼幼虫中过表达突变蛋白。
通过骨骼发育异常面板,我们在胎儿中鉴定出一种新型的COL1A1突变(c.1822 G>A;p.Gly608Ser),但在其父母中未发现。生物信息学分析表明,受影响的残基(p.Gly608)从斑马鱼到人类高度保守。与表达野生型(WT)col1a1a和增强型绿色荧光蛋白(EGFP)的幼虫相比,表达col1a1a突变的幼虫表现出明显的脊柱弯曲和胚胎致死性,模拟了人类OI的表型。
我们的研究揭示了人类COL1A1中一个新生突变c.1822 G>A的致病性,这扩展了OI的突变谱。