Nanjundagowda Vykuntaraju K, Paikaraya Swabhiman, Srinivasan Varunvenkat M, Srivastava Anshika
Pediatric Neurology, Indira Gandhi Institute of Child Health, Bengaluru, IND.
Division of Medicinal and Process Chemistry, Council of Scientific and Industrial research-Central Drug Research Institute (CSIR-CDRI), Lucknow, IND.
Cureus. 2023 Jun 13;15(6):e40366. doi: 10.7759/cureus.40366. eCollection 2023 Jun.
Background Aicardi-Goutieres syndrome (AGS) is a genetic disorder that has variable manifestations including neurological, immunological, and sometimes other system involvement in various combinations. Considering the high genetic and clinical diversity of AGS and the importance of RNASEH2 complex in the biological system, it is important to take a systematic approach to delineate the genetic diagnosis and impact of missense mutations. Methods Clinical targeted gene sequencing followed by Sanger validation was performed in an individual with the clinical features of AGS. Protein modeling studies of all the reported missense variants till date were performed using freely available web servers BioGrid, ShinyGO. Protein structures were visualized using Pymol. Results and discussion We identified a novel homozygous splice site donor variant c.549+1G>T in Furthermore protein-interactome studies identifiedpotential genetic interactors that include and . Identified genes were mapped to specific pathways using SHINY GO. DNA replication and cell cycle, centrosome cycle, post-replication repair, nucleic acid and metabolic process, cellular response to stress, DNA metabolic process, nucleic acid phosphodiester bond hydrolysis, RNA phosphodiester bond hydrolysis, and DNA biosynthetic process were identified as the linked pathways with the prioritized genes. Conclusion In conclusion, a sophisticated genotype and phenotype correlation followed by linking the genes to the key biological pathways opens new avenues to understand disease pathology and plan for therapeutic interventions.
艾卡迪-古铁雷斯综合征(AGS)是一种遗传性疾病,具有多种表现形式,包括神经、免疫等方面,有时还会以各种组合形式累及其他系统。鉴于AGS的高度遗传和临床多样性以及RNASEH2复合物在生物系统中的重要性,采用系统方法来明确错义突变的基因诊断及其影响至关重要。方法:对一名具有AGS临床特征的个体进行临床靶向基因测序,随后进行桑格验证。使用免费的网络服务器BioGrid、ShinyGO对迄今为止所有已报道的错义变体进行蛋白质建模研究。使用Pymol可视化蛋白质结构。结果与讨论:我们在[具体位置]鉴定出一种新的纯合剪接位点供体变体c.549+1G>T。此外,蛋白质相互作用组研究确定了潜在的遗传相互作用因子,包括[具体因子1]和[具体因子2]。使用SHINY GO将鉴定出的基因映射到特定途径。DNA复制和细胞周期、中心体周期、复制后修复、核酸和代谢过程、细胞对压力的反应、DNA代谢过程、核酸磷酸二酯键水解、RNA磷酸二酯键水解以及DNA生物合成过程被确定为与优先基因相关的途径。结论:总之,通过复杂的基因型与表型相关性分析,然后将基因与关键生物途径联系起来,为理解疾病病理和规划治疗干预开辟了新途径。