Zavarzadeh Parisima Ghaffarian, Bonyadi Morteza, Abedi Zahra
Department of Animal Sciences, University of Tabriz, Tabriz, Iran.
Laboratory of Systems Biology and Bioinformatics (LBB), Institute of Biochemistry and Biophysics, University of Tehran, Tehran, Iran.
Genomics Inform. 2022 Sep;20(3):e28. doi: 10.5808/gi.21044. Epub 2022 Sep 30.
We described a clinical, laboratory, and genetic presentation of a pathogenic variant of the CYP1B1 gene through a report of a case of primary congenital glaucoma and a trio analysis of this candidate variant in the family with the sanger sequencing method and eventually completed our study with the secondary/incidental findings. This study reports a rare case of primary congenital glaucoma, an 8-year-old female child with a negative family history of glaucoma and uncontrolled intraocular pressure. This case's whole-exome sequencing data analysis presents a homozygous pathogenic single nucleotide variant in the CYP1B1 gene (NM 000104:exon3:c.G1103A:p.R368H). At the same time, this pathogenic variant was obtained as a heterozygous state in her unaffected father but not her mother. The diagnosis was made based on molecular findings of whole-exome sequencing data analysis. Therefore, the clinical reports and bioinformatics findings supported the relation between the candidate pathogenic variant and the disease. However, it should not be forgotten that primary congenital glaucoma is not peculiar to the CYP1B1 gene. Since the chance of developing autosomal recessive disorders with low allele frequency and unrelated parents is extraordinary in offspring. However, further data analysis of whole-exome sequencing and sanger sequencing method were applied to obtain the type of mutation and how it was carried to the offspring.
我们通过报告一例原发性先天性青光眼病例以及采用桑格测序法对该家族中的候选变异进行三联体分析,描述了CYP1B1基因致病性变异的临床、实验室和基因表现,并最终通过次要/偶然发现完成了我们的研究。本研究报告了一例罕见的原发性先天性青光眼病例,一名8岁女童,青光眼家族史阴性且眼压控制不佳。该病例的全外显子组测序数据分析显示,CYP1B1基因(NM_000104:exon3:c.G1103A:p.R368H)存在纯合致病性单核苷酸变异。同时,该致病性变异在其未受影响的父亲中为杂合状态,而在其母亲中未检测到。诊断基于全外显子组测序数据分析的分子结果。因此,临床报告和生物信息学结果支持了候选致病性变异与该疾病之间的关系。然而,不应忘记原发性先天性青光眼并非CYP1B1基因所特有。由于等位基因频率低且父母无亲缘关系的情况下,后代患常染色体隐性疾病的几率非常高。然而,应用全外显子组测序和桑格测序法进行进一步的数据分析,以获得突变类型及其如何遗传给后代。