Identification of a novel SUOX pathogenic variants as the cause of isolated sulfite oxidase deficiency in a Chinese pedigree

Abstract Background Isolated sulfite oxidase deficiency (ISOD) is a life‐threatening rare autosomal recessive disorder caused by pathogenic variants in SUOX (OMIM 606887) gene. The aim of our study was to establish a comprehensive genetic diagnosis strategy for the pathogenicity analysis of the SUOX...

Full description

Bibliographic Details
Main Authors: Peng Du, Reem N. Hassan, Hualei Luo, Jie Xie, Yue Zhu, Qiuyue Hu, Jin Yan, Weiying Jiang
Format: Article
Language:English
Published: Wiley 2021-02-01
Series:Molecular Genetics & Genomic Medicine
Subjects:
Online Access:https://doi.org/10.1002/mgg3.1590
_version_ 1797301046321610752
author Peng Du
Reem N. Hassan
Hualei Luo
Jie Xie
Yue Zhu
Qiuyue Hu
Jin Yan
Weiying Jiang
author_facet Peng Du
Reem N. Hassan
Hualei Luo
Jie Xie
Yue Zhu
Qiuyue Hu
Jin Yan
Weiying Jiang
author_sort Peng Du
collection DOAJ
description Abstract Background Isolated sulfite oxidase deficiency (ISOD) is a life‐threatening rare autosomal recessive disorder caused by pathogenic variants in SUOX (OMIM 606887) gene. The aim of our study was to establish a comprehensive genetic diagnosis strategy for the pathogenicity analysis of the SUOX gene within a limited time and to lay the foundation for precise genetic counseling, prenatal diagnosis, and preimplantation genetic diagnosis. Methods Two offspring from one set of parents were studied. Next‐generation sequencing (NGS) was used to screen for disease‐causing gene variants in a family with ISOD. Then, Sanger sequencing was performed to verify the presence of candidate variants. Sulfite, homocysteine and uric acid levels were detected in the patients. According to the ACMG/AMP guidelines, the pathogenicity level of novel variants was annotated. Results The nonsense pathogenic variant (c.1200C > G (p.Y400*)) and a duplication (c.1549_1574dup (p.I525 Mfs*102)) were found in the SUOX gene in the proband. The nonsense mutation (c.1200C > G (p.Y400*), pathogenic, isolated sulfite oxidase deficiency, autosomal recessive) has been reported as pathogenic and the duplication (c.1549_1574dup (p.I525 Mfs*102), pathogenic, isolated sulfite oxidase deficiency, autosomal recessive) was novel, which was classified as pathogenic according to the ACMG/AMP Standards and Guidelines. Conclusion We established the pathogenicity assessment in ISOD patients based on ACMG/AMP Standards and Guidelines and this is the first ISOD patient reported in mainland China. We also discovered that ISOD is caused by SUOX gene duplication mutation, which enriches the spectrum of SUOX pathogenic variants.
first_indexed 2024-03-07T23:15:47Z
format Article
id doaj.art-33acfdf6853c40c0b80e0ef71569408e
institution Directory Open Access Journal
issn 2324-9269
language English
last_indexed 2024-03-07T23:15:47Z
publishDate 2021-02-01
publisher Wiley
record_format Article
series Molecular Genetics & Genomic Medicine
spelling doaj.art-33acfdf6853c40c0b80e0ef71569408e2024-02-21T11:37:44ZengWileyMolecular Genetics & Genomic Medicine2324-92692021-02-0192n/an/a10.1002/mgg3.1590Identification of a novel SUOX pathogenic variants as the cause of isolated sulfite oxidase deficiency in a Chinese pedigreePeng Du0Reem N. Hassan1Hualei Luo2Jie Xie3Yue Zhu4Qiuyue Hu5Jin Yan6Weiying Jiang7Department of Medical Genetics ZhongShan School of MedicineSun Yat‐sen University Guangzhou ChinaDepartment of Medical Genetics ZhongShan School of MedicineSun Yat‐sen University Guangzhou ChinaDepartment of Medical Genetics ZhongShan School of MedicineSun Yat‐sen University Guangzhou ChinaDepartment of Medical Genetics ZhongShan School of MedicineSun Yat‐sen University Guangzhou ChinaDepartment of Medical Genetics ZhongShan School of MedicineSun Yat‐sen University Guangzhou ChinaDepartment of Medical Genetics ZhongShan School of MedicineSun Yat‐sen University Guangzhou ChinaDepartment of Medical Genetics ZhongShan School of MedicineSun Yat‐sen University Guangzhou ChinaDepartment of Medical Genetics ZhongShan School of MedicineSun Yat‐sen University Guangzhou ChinaAbstract Background Isolated sulfite oxidase deficiency (ISOD) is a life‐threatening rare autosomal recessive disorder caused by pathogenic variants in SUOX (OMIM 606887) gene. The aim of our study was to establish a comprehensive genetic diagnosis strategy for the pathogenicity analysis of the SUOX gene within a limited time and to lay the foundation for precise genetic counseling, prenatal diagnosis, and preimplantation genetic diagnosis. Methods Two offspring from one set of parents were studied. Next‐generation sequencing (NGS) was used to screen for disease‐causing gene variants in a family with ISOD. Then, Sanger sequencing was performed to verify the presence of candidate variants. Sulfite, homocysteine and uric acid levels were detected in the patients. According to the ACMG/AMP guidelines, the pathogenicity level of novel variants was annotated. Results The nonsense pathogenic variant (c.1200C > G (p.Y400*)) and a duplication (c.1549_1574dup (p.I525 Mfs*102)) were found in the SUOX gene in the proband. The nonsense mutation (c.1200C > G (p.Y400*), pathogenic, isolated sulfite oxidase deficiency, autosomal recessive) has been reported as pathogenic and the duplication (c.1549_1574dup (p.I525 Mfs*102), pathogenic, isolated sulfite oxidase deficiency, autosomal recessive) was novel, which was classified as pathogenic according to the ACMG/AMP Standards and Guidelines. Conclusion We established the pathogenicity assessment in ISOD patients based on ACMG/AMP Standards and Guidelines and this is the first ISOD patient reported in mainland China. We also discovered that ISOD is caused by SUOX gene duplication mutation, which enriches the spectrum of SUOX pathogenic variants.https://doi.org/10.1002/mgg3.1590homocysteineisolated sulfite oxidase deficiencynovel mutationpathogenic identificationsulfite oxidaseSUOX
spellingShingle Peng Du
Reem N. Hassan
Hualei Luo
Jie Xie
Yue Zhu
Qiuyue Hu
Jin Yan
Weiying Jiang
Identification of a novel SUOX pathogenic variants as the cause of isolated sulfite oxidase deficiency in a Chinese pedigree
Molecular Genetics & Genomic Medicine
homocysteine
isolated sulfite oxidase deficiency
novel mutation
pathogenic identification
sulfite oxidase
SUOX
title Identification of a novel SUOX pathogenic variants as the cause of isolated sulfite oxidase deficiency in a Chinese pedigree
title_full Identification of a novel SUOX pathogenic variants as the cause of isolated sulfite oxidase deficiency in a Chinese pedigree
title_fullStr Identification of a novel SUOX pathogenic variants as the cause of isolated sulfite oxidase deficiency in a Chinese pedigree
title_full_unstemmed Identification of a novel SUOX pathogenic variants as the cause of isolated sulfite oxidase deficiency in a Chinese pedigree
title_short Identification of a novel SUOX pathogenic variants as the cause of isolated sulfite oxidase deficiency in a Chinese pedigree
title_sort identification of a novel suox pathogenic variants as the cause of isolated sulfite oxidase deficiency in a chinese pedigree
topic homocysteine
isolated sulfite oxidase deficiency
novel mutation
pathogenic identification
sulfite oxidase
SUOX
url https://doi.org/10.1002/mgg3.1590
work_keys_str_mv AT pengdu identificationofanovelsuoxpathogenicvariantsasthecauseofisolatedsulfiteoxidasedeficiencyinachinesepedigree
AT reemnhassan identificationofanovelsuoxpathogenicvariantsasthecauseofisolatedsulfiteoxidasedeficiencyinachinesepedigree
AT hualeiluo identificationofanovelsuoxpathogenicvariantsasthecauseofisolatedsulfiteoxidasedeficiencyinachinesepedigree
AT jiexie identificationofanovelsuoxpathogenicvariantsasthecauseofisolatedsulfiteoxidasedeficiencyinachinesepedigree
AT yuezhu identificationofanovelsuoxpathogenicvariantsasthecauseofisolatedsulfiteoxidasedeficiencyinachinesepedigree
AT qiuyuehu identificationofanovelsuoxpathogenicvariantsasthecauseofisolatedsulfiteoxidasedeficiencyinachinesepedigree
AT jinyan identificationofanovelsuoxpathogenicvariantsasthecauseofisolatedsulfiteoxidasedeficiencyinachinesepedigree
AT weiyingjiang identificationofanovelsuoxpathogenicvariantsasthecauseofisolatedsulfiteoxidasedeficiencyinachinesepedigree