Case report: A compound heterozygous mutations in ASNS broadens the spectrum of asparagine synthetase deficiency in the prenatal diagnosis

Asparagine synthetase deficiency (ASNSD) is a rare congenital disorder characterized by severe progressive microcephaly, global developmental delay, spastic quadriplegia, and refractory seizures. ASNSD is caused by variations of the ASNS gene. The present study showed a Chinese family with a fetus s...

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Main Authors: Linyan Zhu, Yixi Sun, Yuqing Xu, Pengzhen Jin, Huiqing Ding, Minyue Dong
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-10-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2023.1273789/full
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author Linyan Zhu
Linyan Zhu
Yixi Sun
Yixi Sun
Yuqing Xu
Yuqing Xu
Pengzhen Jin
Pengzhen Jin
Huiqing Ding
Minyue Dong
Minyue Dong
author_facet Linyan Zhu
Linyan Zhu
Yixi Sun
Yixi Sun
Yuqing Xu
Yuqing Xu
Pengzhen Jin
Pengzhen Jin
Huiqing Ding
Minyue Dong
Minyue Dong
author_sort Linyan Zhu
collection DOAJ
description Asparagine synthetase deficiency (ASNSD) is a rare congenital disorder characterized by severe progressive microcephaly, global developmental delay, spastic quadriplegia, and refractory seizures. ASNSD is caused by variations of the ASNS gene. The present study showed a Chinese family with a fetus suffering microcephaly. Whole-exome sequencing and Sanger sequencing were used to identify the disease-associated genetic variants. Compound heterozygous variants c.97C>T p. (R33C) and c.1031-2_1033del were identified in the ASNS gene and the variants were inherited from the parents. The mutation site c.97C>T was highly conserved across a wide range of species and predicted to alter the local electrostatic potential. The variant c.1031-2_1033del was classified pathogenic. However, there is no case report of prenatal diagnosis of ASNSD. This is the first description of fetal compound mutations in the ASNS gene leading to ASNSD, which expanded the spectrum of ASNSD.
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spelling doaj.art-3fdb54dacd23438fa6de7a09566c4de72023-10-13T05:47:52ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-10-011110.3389/fped.2023.12737891273789Case report: A compound heterozygous mutations in ASNS broadens the spectrum of asparagine synthetase deficiency in the prenatal diagnosisLinyan Zhu0Linyan Zhu1Yixi Sun2Yixi Sun3Yuqing Xu4Yuqing Xu5Pengzhen Jin6Pengzhen Jin7Huiqing Ding8Minyue Dong9Minyue Dong10Department of Obstetrics and Gynaecology, The First Affiliated Hospital of Ningbo University, Ningbo, ChinaWomen’s Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaWomen’s Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaKey Laboratory of Reproductive Genetics, Ministry of Education (Zhejiang University), Hangzhou, ChinaWomen’s Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaKey Laboratory of Reproductive Genetics, Ministry of Education (Zhejiang University), Hangzhou, ChinaWomen’s Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaKey Laboratory of Reproductive Genetics, Ministry of Education (Zhejiang University), Hangzhou, ChinaDepartment of Obstetrics and Gynaecology, The First Affiliated Hospital of Ningbo University, Ningbo, ChinaWomen’s Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaKey Laboratory of Reproductive Genetics, Ministry of Education (Zhejiang University), Hangzhou, ChinaAsparagine synthetase deficiency (ASNSD) is a rare congenital disorder characterized by severe progressive microcephaly, global developmental delay, spastic quadriplegia, and refractory seizures. ASNSD is caused by variations of the ASNS gene. The present study showed a Chinese family with a fetus suffering microcephaly. Whole-exome sequencing and Sanger sequencing were used to identify the disease-associated genetic variants. Compound heterozygous variants c.97C>T p. (R33C) and c.1031-2_1033del were identified in the ASNS gene and the variants were inherited from the parents. The mutation site c.97C>T was highly conserved across a wide range of species and predicted to alter the local electrostatic potential. The variant c.1031-2_1033del was classified pathogenic. However, there is no case report of prenatal diagnosis of ASNSD. This is the first description of fetal compound mutations in the ASNS gene leading to ASNSD, which expanded the spectrum of ASNSD.https://www.frontiersin.org/articles/10.3389/fped.2023.1273789/fullASNSprenatal diagnosisasparagine synthetase deficiencywhole-exome sequencingcase report
spellingShingle Linyan Zhu
Linyan Zhu
Yixi Sun
Yixi Sun
Yuqing Xu
Yuqing Xu
Pengzhen Jin
Pengzhen Jin
Huiqing Ding
Minyue Dong
Minyue Dong
Case report: A compound heterozygous mutations in ASNS broadens the spectrum of asparagine synthetase deficiency in the prenatal diagnosis
Frontiers in Pediatrics
ASNS
prenatal diagnosis
asparagine synthetase deficiency
whole-exome sequencing
case report
title Case report: A compound heterozygous mutations in ASNS broadens the spectrum of asparagine synthetase deficiency in the prenatal diagnosis
title_full Case report: A compound heterozygous mutations in ASNS broadens the spectrum of asparagine synthetase deficiency in the prenatal diagnosis
title_fullStr Case report: A compound heterozygous mutations in ASNS broadens the spectrum of asparagine synthetase deficiency in the prenatal diagnosis
title_full_unstemmed Case report: A compound heterozygous mutations in ASNS broadens the spectrum of asparagine synthetase deficiency in the prenatal diagnosis
title_short Case report: A compound heterozygous mutations in ASNS broadens the spectrum of asparagine synthetase deficiency in the prenatal diagnosis
title_sort case report a compound heterozygous mutations in asns broadens the spectrum of asparagine synthetase deficiency in the prenatal diagnosis
topic ASNS
prenatal diagnosis
asparagine synthetase deficiency
whole-exome sequencing
case report
url https://www.frontiersin.org/articles/10.3389/fped.2023.1273789/full
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