Department of Genetics and Human Genomics, Instituto Nacional de Perinatología, Montes Urales 800 Col. Lomas Virreyes, 11000, Mexico City, Mexico.
Department of Human Genetics, McGill University, Montreal, Quebec, Canada.
J Assist Reprod Genet. 2021 Jul;38(7):1879-1886. doi: 10.1007/s10815-021-02132-1. Epub 2021 Mar 22.
To investigate the frequency of a founder mutation in NLRP7, L750V, in independent cohorts of Mexican patients with recurrent hydatidiform moles (RHMs).
Mutation analysis was performed by Sanger sequencing on DNA from 44 unrelated Mexican patients with RHMs and seven molar tissues from seven additional unrelated patients.
L750V was present in homozygous or heterozygous state in 37 (86%) patients and was transmitted on the same haplotype to patients from different states of Mexico. We also identified a second founder mutation, c.2810+2T>G in eight (18.1%) patients, and a novel premature stop-codon mutation W653*.
Our data confirm the strong founder effect for L750V, which appears to be the most common mutation in NLRP7. We also report on six healthy live births to five patients with biallelic NLRP7 mutations, two from spontaneous conceptions and four from donated ovum and discuss our recommendations for DNA testing and genetic counseling.
在独立的墨西哥复发性葡萄胎(RHMs)患者队列中,调查 NLRP7 中的 L750V 创始突变的频率。
对 44 名 RHMs 无关的墨西哥患者和另外 7 名无关患者的 7 份葡萄胎组织的 DNA 进行 Sanger 测序进行突变分析。
L750V 在 37 名(86%)患者中以纯合或杂合状态存在,并在同一单倍型上传递给来自墨西哥不同州的患者。我们还在 8 名(18.1%)患者中发现了第二个创始突变 c.2810+2T>G,以及一个新的提前终止密码子突变 W653*。
我们的数据证实了 L750V 的强烈创始效应,它似乎是 NLRP7 中最常见的突变。我们还报告了六例健康的活产,其中五例患者存在 NLRP7 双等位基因突变,两例来自自然受孕,四例来自捐赠的卵子,并讨论了我们对 DNA 检测和遗传咨询的建议。