Toral López Jaime, Gómez Martinez Sandra, Rivera Vega María Del Refugio, Hernández-Zamora Edgar, Cuevas Covarrubias Sergio, Ibarra Castrejón Belem Arely, González Huerta Luz María
Department of Medical Genetics, Centro Médico Ecatepec ISSEMYM, Ecatepec 55000, México State, Mexico.
Servicio de Genética, Hospital General de México "Eduardo Liceaga" (HGM), México City 06720, Mexico.
Biology (Basel). 2024 Mar 8;13(3):173. doi: 10.3390/biology13030173.
Cleidocranial dysplasia (CCD) is an autosomal dominant skeletal dysplasia characterized by persistent open skull sutures with bulging calvaria, hypoplasia, or aplasia of clavicles permitting abnormal opposition of the shoulders; wide public symphysis; short middle phalanx of the fifth fingers; and vertebral, craniofacial, and dental anomalies. It is a rare disease, with a prevalence of 1-9/1,000,000, high penetrance, and variable expression. The gene responsible for CCD is the Runt-related transcription factor 2 () gene. We characterize the clinical, genetic, and bioinformatic results of four CCD cases: two cases within Mexican families with six affected members, nine asymptomatic individuals, and two sporadic cases with CCD, with one hundred healthy controls. Genomic DNA analyses of the gene were performed for Sanger sequencing. Bioinformatics tools were used to predict the function, stability, and structural changes of the mutated RUNX2 proteins. Three novel heterozygous mutations (c.651_652delTA; c.538_539delinsCA; c.662T>A) and a previously reported mutation (c.674G>A) were detected. In silico analysis showed that all mutations had functional, stability-related, and structural alterations in the RUNX2 protein. Our results show novel mutations that enrich the pool of gene mutations with CCD. Moreover, the proband 1 presented clinical data not previously reported that could represent an expanded phenotype of severe expression.
锁骨颅骨发育不全(CCD)是一种常染色体显性遗传性骨骼发育不良疾病,其特征为颅骨缝线持续开放伴颅骨膨出、锁骨发育不全或缺失,导致肩部异常对合;耻骨联合增宽;第五指中节指骨短小;以及脊柱、颅面和牙齿异常。它是一种罕见疾病,患病率为1-9/1000000,具有高外显率和可变表达。导致CCD的基因是 Runt 相关转录因子 2(RUNX2)基因。我们对四例CCD病例的临床、遗传和生物信息学结果进行了特征分析:两例来自墨西哥家庭,有六名患病成员、九名无症状个体,以及两例散发的CCD病例,并纳入了一百名健康对照。对RUNX2基因进行了基因组DNA分析以进行桑格测序。使用生物信息学工具预测突变的RUNX2蛋白的功能、稳定性和结构变化。检测到三个新的杂合突变(c.651_652delTA;c.538_539delinsCA;c.662T>A)和一个先前报道的突变(c.674G>A)。计算机模拟分析表明,所有突变在RUNX2蛋白中都具有功能、稳定性相关和结构改变。我们的结果显示了新的突变,丰富了与CCD相关的RUNX2基因突变库。此外,先证者1呈现了以前未报道的临床数据,可能代表严重表达的扩展表型。
Biology (Basel). 2024-3-8
J Clin Res Pediatr Endocrinol. 2019-9-3
Int J Clin Exp Pathol. 2014-4-15
Glob Med Genet. 2021-10-22
Medicine (Baltimore). 2021-11-12
Int J Mol Sci. 2022-5-21
Glob Med Genet. 2021-10-22
J Cell Biochem. 2017-8-23
Clin Genet. 2016-11