Compound Heterozygous Mutations Involving Splicing Mutations Cause Rothmund-Thomson Syndrome in Two Chinese Families
Objective::Biallelic mutations in the RecQ like helicase (
RECQL) 4 gene, a guardian of the genome, cause Rothmund-Thomson syndrome type II (RTS-II). Two Chinese girls with mild-phenotype RTS-II mainly restricted to their skin are herein described.
Methods::Blood specimens from two families with mild-phenotype RTS-II were collected. DNA isolation, RNA isolation and complementary DNA synthesis, and next-generation sequencing using a multi-gene panel were applied to verify the underlying pathogenic variants in the causative
RECQL4 gene.
Results::We analyzed two patients with mild phenotypes. One patient had an unreported paternal c.2885+1G>A alteration in intervening sequence 16 and the previously reported maternal exon 14 c.2272C>T (p.R758X), both resulting in premature termination codons. The other patient carried two novel alterations, c.2886-1G>A and c.2752G>T (p.E918X). Complementary DNA sequencing showed that different splice-site mutations within the same intron could lead to completely different splicing modes.Conclusion::We identified three novel pathogenic
RECQL4 variants in two patients with RTS, thus expanding the mutational spectrum of RTS-II. We also explored their pathogenic effect by transcripts analysis to address genotype-phenotype correlations.
exon-skipping、genodermatosis、RECQL4 variants 、Rothmund-Thomson syndrome、splice-site mutation
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National Nature Science Foundation of ChinaNos. 82073422 and 81874239;Shanghai Health System Excellent Academic Leader Training ProjectNo. 2018BR22;Pujiang Talents ProgramNo. 18PJ1407300
2023-05-30（万方平台首次上网日期，不代表论文的发表时间）
共6页
76-81
