Mutation spectrum of Kallmann syndrome: identification of five novel mutations across ANOS1 and FGFR1

Abstract Background Kallmann syndrome (KS) is a common type of idiopathic hypogonadotropic hypogonadism. To date, more than 30 genes including ANOS1 and FGFR1 have been identified in different genetic models of KS without affirmatory genotype–phenotype correlation, and novel mutations have been foun...

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Main Authors: Guoming Chu, Pingping Li, Qian Zhao, Rong He, Yanyan Zhao
Format: Article
Language:English
Published: BMC 2023-03-01
Series:Reproductive Biology and Endocrinology
Subjects:
Online Access:https://doi.org/10.1186/s12958-023-01074-w
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author Guoming Chu
Pingping Li
Qian Zhao
Rong He
Yanyan Zhao
author_facet Guoming Chu
Pingping Li
Qian Zhao
Rong He
Yanyan Zhao
author_sort Guoming Chu
collection DOAJ
description Abstract Background Kallmann syndrome (KS) is a common type of idiopathic hypogonadotropic hypogonadism. To date, more than 30 genes including ANOS1 and FGFR1 have been identified in different genetic models of KS without affirmatory genotype–phenotype correlation, and novel mutations have been found. Methods A total of 35 unrelated patients with clinical features of disorder of sex development were recruited. Custom-panel sequencing or whole-exome sequencing was performed to detect the pathogenic mutations. Sanger sequencing was performed to verify single-nucleotide variants. Copy number variation-sequencing (CNV-seq) was performed to determine CNVs. The pathogenicity of the identified variant was predicted in silico. mRNA transcript analysis and minigene reporter assay were performed to test the effect of the mutation on splicing. Results ANOS1 gene c.709 T > A and c.711 G > T were evaluated as pathogenic by several commonly used software, and c.1063-2 A > T was verified by transcriptional splicing assay. The c.1063-2 A > T mutation activated a cryptic splice acceptor site downstream of the original splice acceptor site and resulted in an aberrant splicing of the 24-basepair at the 5′ end of exon 8, yielding a new transcript with c.1063–1086 deletion. FRFR1 gene c.1835delA was assessed as pathogenic according to the ACMG guideline. The CNV of del(8)(p12p11.22)chr8:g.36140000_38460000del was judged as pathogenic according to the ACMG & ClinGen technical standards. Conclusions Herein, we identified three novel ANOS1 mutations and two novel FGFR1 variations in Chinese KS families. In silico prediction and functional experiment evaluated the pathogenesis of ANOS1 mutations. FRFR1 c.1835delA mutation and del(8)(p12p11.22)chr8:g.36140000_38460000del were assessed as pathogenic variations. Therefore, our study expands the spectrum of mutations associated with KS and provides diagnostic evidence for patients who carry the same mutation in the future.
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spelling doaj.art-05ebd8f62d2f462b8aead95ce192f3412023-03-22T12:41:51ZengBMCReproductive Biology and Endocrinology1477-78272023-03-0121111010.1186/s12958-023-01074-wMutation spectrum of Kallmann syndrome: identification of five novel mutations across ANOS1 and FGFR1Guoming Chu0Pingping Li1Qian Zhao2Rong He3Yanyan Zhao4Department of Clinical Genetics, Shengjing Hospital of China Medical UniversityCenter of Reproductive Medicine, Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical UniversityDepartment of Pediatric Urology, Shengjing Hospital of China Medical UniversityDepartment of Clinical Genetics, Shengjing Hospital of China Medical UniversityDepartment of Clinical Genetics, Shengjing Hospital of China Medical UniversityAbstract Background Kallmann syndrome (KS) is a common type of idiopathic hypogonadotropic hypogonadism. To date, more than 30 genes including ANOS1 and FGFR1 have been identified in different genetic models of KS without affirmatory genotype–phenotype correlation, and novel mutations have been found. Methods A total of 35 unrelated patients with clinical features of disorder of sex development were recruited. Custom-panel sequencing or whole-exome sequencing was performed to detect the pathogenic mutations. Sanger sequencing was performed to verify single-nucleotide variants. Copy number variation-sequencing (CNV-seq) was performed to determine CNVs. The pathogenicity of the identified variant was predicted in silico. mRNA transcript analysis and minigene reporter assay were performed to test the effect of the mutation on splicing. Results ANOS1 gene c.709 T > A and c.711 G > T were evaluated as pathogenic by several commonly used software, and c.1063-2 A > T was verified by transcriptional splicing assay. The c.1063-2 A > T mutation activated a cryptic splice acceptor site downstream of the original splice acceptor site and resulted in an aberrant splicing of the 24-basepair at the 5′ end of exon 8, yielding a new transcript with c.1063–1086 deletion. FRFR1 gene c.1835delA was assessed as pathogenic according to the ACMG guideline. The CNV of del(8)(p12p11.22)chr8:g.36140000_38460000del was judged as pathogenic according to the ACMG & ClinGen technical standards. Conclusions Herein, we identified three novel ANOS1 mutations and two novel FGFR1 variations in Chinese KS families. In silico prediction and functional experiment evaluated the pathogenesis of ANOS1 mutations. FRFR1 c.1835delA mutation and del(8)(p12p11.22)chr8:g.36140000_38460000del were assessed as pathogenic variations. Therefore, our study expands the spectrum of mutations associated with KS and provides diagnostic evidence for patients who carry the same mutation in the future.https://doi.org/10.1186/s12958-023-01074-wKallmann syndromeANOS1FGFR1Splicing mutationMinigene
spellingShingle Guoming Chu
Pingping Li
Qian Zhao
Rong He
Yanyan Zhao
Mutation spectrum of Kallmann syndrome: identification of five novel mutations across ANOS1 and FGFR1
Reproductive Biology and Endocrinology
Kallmann syndrome
ANOS1
FGFR1
Splicing mutation
Minigene
title Mutation spectrum of Kallmann syndrome: identification of five novel mutations across ANOS1 and FGFR1
title_full Mutation spectrum of Kallmann syndrome: identification of five novel mutations across ANOS1 and FGFR1
title_fullStr Mutation spectrum of Kallmann syndrome: identification of five novel mutations across ANOS1 and FGFR1
title_full_unstemmed Mutation spectrum of Kallmann syndrome: identification of five novel mutations across ANOS1 and FGFR1
title_short Mutation spectrum of Kallmann syndrome: identification of five novel mutations across ANOS1 and FGFR1
title_sort mutation spectrum of kallmann syndrome identification of five novel mutations across anos1 and fgfr1
topic Kallmann syndrome
ANOS1
FGFR1
Splicing mutation
Minigene
url https://doi.org/10.1186/s12958-023-01074-w
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