Iowa Institute for Oral Health Research, University of Iowa, Iowa City, IA, USA.
Department of Oral Pathology, Radiology and Medicine, College of Dentistry, University of Iowa, Iowa City, IA, USA.
Sci Rep. 2022 Jul 11;12(1):11743. doi: 10.1038/s41598-022-15885-1.
The majority (85%) of nonsyndromic cleft lip with or without cleft palate (nsCL/P) cases occur sporadically, suggesting a role for de novo mutations (DNMs) in the etiology of nsCL/P. To identify high impact protein-altering DNMs that contribute to the risk of nsCL/P, we conducted whole-genome sequencing (WGS) analyses in 130 African case-parent trios (affected probands and unaffected parents). We identified 162 high confidence protein-altering DNMs some of which are based on available evidence, contribute to the risk of nsCL/P. These include novel protein-truncating DNMs in the ACTL6A, ARHGAP10, MINK1, TMEM5 and TTN genes; as well as missense variants in ACAN, DHRS3, DLX6, EPHB2, FKBP10, KMT2D, RECQL4, SEMA3C, SEMA4D, SHH, TP63, and TULP4. Many of these protein-altering DNMs were predicted to be pathogenic. Analysis using mouse transcriptomics data showed that some of these genes are expressed during the development of primary and secondary palate. Gene-set enrichment analysis of the protein-altering DNMs identified palatal development and neural crest migration among the few processes that were significantly enriched. These processes are directly involved in the etiopathogenesis of clefting. The analysis of the coding sequence in the WGS data provides more evidence of the opportunity for novel findings in the African genome.
大多数(85%)非综合征性唇裂伴或不伴腭裂(nsCL/P)病例为散发,提示新出现的突变(DNMs)在 nsCL/P 的发病机制中起作用。为了确定导致 nsCL/P 风险的高影响蛋白改变 DNMs,我们对 130 个非洲病例-父母三体型(受影响的先证者和未受影响的父母)进行了全基因组测序(WGS)分析。我们鉴定了 162 个高可信度的蛋白改变 DNMs,其中一些基于现有证据,增加了 nsCL/P 的风险。这些包括 ACTL6A、ARHGAP10、MINK1、TMEM5 和 TTN 基因中的新型蛋白截断 DNMs;以及 ACAN、DHRS3、DLX6、EPHB2、FKBP10、KMT2D、RECQL4、SEMA3C、SEMA4D、SHH、TP63 和 TULP4 中的错义变异。这些蛋白改变的 DNMs 中的许多被预测为致病性的。使用小鼠转录组学数据进行的分析表明,这些基因中的一些在初级和次级腭发育过程中表达。对蛋白改变 DNMs 的基因集富集分析确定了腭发育和神经嵴迁移是少数显著富集的过程之一。这些过程直接涉及裂腭的发病机制。WGS 数据中编码序列的分析为非洲基因组中的新发现提供了更多机会。
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