Akbaroghli Susan, Kooshavar Daniz, Golchehre Zahra, Karamzade Arezou, Saberi Mohammad, Alaei Mohammad Reza, Abbasi Sadegh Masoud, Asadollahi Mostafa, Keramatipour Mohammad
Department of Pediatrics, Mofid Children's Hospital, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Medical Genetics, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Iran J Child Neurol. 2022 Winter;16(1):123-133. doi: 10.22037/ijcn.v16i1.31650. Epub 2022 Jan 1.
Bardet-Biedl syndrome (BBS) is an autosomal recessive pleiotropic ciliopathy, which includes multi-organ clinical manifestations. The known genes involved in the development of the disease account for the causality in about 80% of the examined cases.
MATERIALS & METHODS: We investigated two Iranian unrelated clinically diagnosed BBS patients, using a targeted next-generation sequencing panel consisting of 18 known BBS genes. The detected variants were investigated in the pedigree and studied using tools for their pathogenicity. Patients' phenotypes were also assessed.
Novel homozygous variants were detected in gene in each patient, c.2014C>T, p.Gln672Ter and c.673_674insAA, p.Gln225GlnfsX10. The variants were segregated in the corresponding pedigree and were authenticated to obtain enough evidence to be categorized as pathogenic variants.
Patients with truncating mutations in the same gene seem to show similar phenotypic features. Detection of novel and family-specific mutations is typically expected in the genetic hereditary diseases in Iran, which can finally lead to prevent the recurrence of the disease in the consanguineous marriages.
巴德-比埃尔综合征(BBS)是一种常染色体隐性多效性纤毛病,具有多器官临床表现。已知与该疾病发生相关的基因在约80%的受检病例中解释了病因。
我们使用一个由18个已知BBS基因组成的靶向二代测序panel,对两名无亲缘关系的伊朗临床诊断BBS患者进行了研究。在其家系中对检测到的变异进行研究,并使用工具评估其致病性。还对患者的表型进行了评估。
在每位患者的基因中检测到新的纯合变异,分别为c.2014C>T,p.Gln672Ter和c.673_674insAA,p.Gln225GlnfsX10。这些变异在相应家系中呈分离状态,并经过验证以获得足够证据被归类为致病变异。
同一基因中存在截短突变的患者似乎表现出相似的表型特征。在伊朗的遗传性疾病中,通常预期会检测到新的和家族特异性的突变,这最终可预防近亲结婚中该疾病的复发。