Mutation spectrum and frequency of copy number variations of the ANOS1 gene in patients with Kallmann syndrome or normosmic isolated hypogonadotropic hypogonadism

Objective: This study was performed to investigate the molecular characteristics and frequency of copy number variations (CNVs) of ANOS1 in patients with Kallmann syndrome (KS) or normosmic isolated hypogonadotropic hypogonadism (nIHH) using multiplex ligation-dependent probe amplification (MLPA) an...

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Main Authors: Ja Hye Kim, Yunha Choi, Soojin Hwang, Ji-Hee Yoon, Jieun Lee, Min Jae Kang, Gu-Hwan Kim, Han-Wook Yoo, Jin-Ho Choi
Format: Article
Language:English
Published: Bioscientifica 2023-04-01
Series:Endocrine Connections
Subjects:
Online Access:https://ec.bioscientifica.com/view/journals/ec/12/5/EC-22-0413.xml
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author Ja Hye Kim
Yunha Choi
Soojin Hwang
Ji-Hee Yoon
Jieun Lee
Min Jae Kang
Gu-Hwan Kim
Han-Wook Yoo
Jin-Ho Choi
author_facet Ja Hye Kim
Yunha Choi
Soojin Hwang
Ji-Hee Yoon
Jieun Lee
Min Jae Kang
Gu-Hwan Kim
Han-Wook Yoo
Jin-Ho Choi
author_sort Ja Hye Kim
collection DOAJ
description Objective: This study was performed to investigate the molecular characteristics and frequency of copy number variations (CNVs) of ANOS1 in patients with Kallmann syndrome (KS) or normosmic isolated hypogonadotropic hypogonadism (nIHH) using multiplex ligation-dependent probe amplification (MLPA) analysis and sequencing. Methods: Among 45 patients from 43 independent families, Sanger sequencing, next-generation sequencing (NGS), or microarray was performed in 24 patients from 23 families, and MLPA was performed in 19 patients who did not sho w rare sequence variants (n = 18) or ANOS1 amplification by PCR (n = 1). Results: Seven patients (four patients with KS, one patient with nIHH, one prepubertal boy with anosmia, and one newborn patient) from six families (6/43, 14%) harbored molecular defects in ANOS1 including a nonsense mutation (c.1140G>A (p.W380*)), a frameshift mutation (c.1260del (p.Q421Kfs*61)), a splice site m utation (c.1449+1G>A), an exon 7 deletion, a complete deletion, and 7.9 Mb-sized inversio n encompassing ANOS1. The complete deletion of ANOS1 was identified in a neonate with a micropenis and cryptorchidism. Unilateral renal agenesis was found in three pa tients, whereas only one patient displayed both synkinesia and sensorineural hearing los s. There was no reversal of hypogonadotropic hypogonadism in any patient during 9.1 ± 2. 9 years of treatment with testosterone enanthate. Conclusions: Molecular defects in the ANOS1 gene could be identified in 14% of probands including various types of CNVs (3/43, 7.0%). Comprehensive ana lysis using sequencing and analysis for CNVs is required to detect molecular defects in ANOS1.
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spelling doaj.art-368140b25ade47a79889160fc12b67352023-04-21T09:50:37ZengBioscientificaEndocrine Connections2049-36142023-04-01125111https://doi.org/10.1530/EC-22-0413Mutation spectrum and frequency of copy number variations of the ANOS1 gene in patients with Kallmann syndrome or normosmic isolated hypogonadotropic hypogonadismJa Hye Kim0Yunha Choi1Soojin Hwang2Ji-Hee Yoon3Jieun Lee4Min Jae Kang5Gu-Hwan Kim6Han-Wook Yoo7Jin-Ho Choi8Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Pediatrics, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, KoreaDepartment of Pediatrics, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, KoreaMedical Genetics Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaObjective: This study was performed to investigate the molecular characteristics and frequency of copy number variations (CNVs) of ANOS1 in patients with Kallmann syndrome (KS) or normosmic isolated hypogonadotropic hypogonadism (nIHH) using multiplex ligation-dependent probe amplification (MLPA) analysis and sequencing. Methods: Among 45 patients from 43 independent families, Sanger sequencing, next-generation sequencing (NGS), or microarray was performed in 24 patients from 23 families, and MLPA was performed in 19 patients who did not sho w rare sequence variants (n = 18) or ANOS1 amplification by PCR (n = 1). Results: Seven patients (four patients with KS, one patient with nIHH, one prepubertal boy with anosmia, and one newborn patient) from six families (6/43, 14%) harbored molecular defects in ANOS1 including a nonsense mutation (c.1140G>A (p.W380*)), a frameshift mutation (c.1260del (p.Q421Kfs*61)), a splice site m utation (c.1449+1G>A), an exon 7 deletion, a complete deletion, and 7.9 Mb-sized inversio n encompassing ANOS1. The complete deletion of ANOS1 was identified in a neonate with a micropenis and cryptorchidism. Unilateral renal agenesis was found in three pa tients, whereas only one patient displayed both synkinesia and sensorineural hearing los s. There was no reversal of hypogonadotropic hypogonadism in any patient during 9.1 ± 2. 9 years of treatment with testosterone enanthate. Conclusions: Molecular defects in the ANOS1 gene could be identified in 14% of probands including various types of CNVs (3/43, 7.0%). Comprehensive ana lysis using sequencing and analysis for CNVs is required to detect molecular defects in ANOS1.https://ec.bioscientifica.com/view/journals/ec/12/5/EC-22-0413.xmlanos1copy number variationkallmann syndromemultiplex ligation-dependent probe amplificationhypogonadotropic hypogonadism
spellingShingle Ja Hye Kim
Yunha Choi
Soojin Hwang
Ji-Hee Yoon
Jieun Lee
Min Jae Kang
Gu-Hwan Kim
Han-Wook Yoo
Jin-Ho Choi
Mutation spectrum and frequency of copy number variations of the ANOS1 gene in patients with Kallmann syndrome or normosmic isolated hypogonadotropic hypogonadism
Endocrine Connections
anos1
copy number variation
kallmann syndrome
multiplex ligation-dependent probe amplification
hypogonadotropic hypogonadism
title Mutation spectrum and frequency of copy number variations of the ANOS1 gene in patients with Kallmann syndrome or normosmic isolated hypogonadotropic hypogonadism
title_full Mutation spectrum and frequency of copy number variations of the ANOS1 gene in patients with Kallmann syndrome or normosmic isolated hypogonadotropic hypogonadism
title_fullStr Mutation spectrum and frequency of copy number variations of the ANOS1 gene in patients with Kallmann syndrome or normosmic isolated hypogonadotropic hypogonadism
title_full_unstemmed Mutation spectrum and frequency of copy number variations of the ANOS1 gene in patients with Kallmann syndrome or normosmic isolated hypogonadotropic hypogonadism
title_short Mutation spectrum and frequency of copy number variations of the ANOS1 gene in patients with Kallmann syndrome or normosmic isolated hypogonadotropic hypogonadism
title_sort mutation spectrum and frequency of copy number variations of the anos1 gene in patients with kallmann syndrome or normosmic isolated hypogonadotropic hypogonadism
topic anos1
copy number variation
kallmann syndrome
multiplex ligation-dependent probe amplification
hypogonadotropic hypogonadism
url https://ec.bioscientifica.com/view/journals/ec/12/5/EC-22-0413.xml
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