Case report: Gene mutations and clinical characteristics of four patients with osteopetrosis

Osteopetrosis is characterized by increased bone density caused by decreased osteoclasts or dysfunction of their differentiation and absorption properties, usually caused by biallelic variants of the TCIRG1(OMIM:604592)and CLCN7(OMIM:602727) genes. Herein, the clinical, biochemical, and radiological...

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Main Authors: Yu Chen, Lina Zhou, Xianmin Guan, Xianhao Wen, Jie Yu, Ying Dou
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2023.1096770/full
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author Yu Chen
Yu Chen
Lina Zhou
Xianmin Guan
Xianhao Wen
Jie Yu
Ying Dou
Ying Dou
author_facet Yu Chen
Yu Chen
Lina Zhou
Xianmin Guan
Xianhao Wen
Jie Yu
Ying Dou
Ying Dou
author_sort Yu Chen
collection DOAJ
description Osteopetrosis is characterized by increased bone density caused by decreased osteoclasts or dysfunction of their differentiation and absorption properties, usually caused by biallelic variants of the TCIRG1(OMIM:604592)and CLCN7(OMIM:602727) genes. Herein, the clinical, biochemical, and radiological manifestations of osteopetrosis in four Chinese children are described. Whole-exome sequencing identified compound heterozygous variants of the CLCN7 and TCIRG1 genes in these patients. In Patient 1, two novel variants were identified in CLCN7:c.880T > G(p.F294V) and c.686C > G(p.S229X). Patient 2 harbored previously reported a single gene variant c.643G > A(p.G215R) in CLCN7. Patient 3 had a novel variant c.569A > G(p.N190S) and a novel frameshift variant c.1113dupG(p.N372fs) in CLCN7. Patient 4 had a frameshift variant c.43delA(p.K15fs) and variant c.C1360T in TCIRG1, resulting in the formation of a premature termination codon (p.R454X), both of which were reported previously. Our results expand the spectrum of identified genetic variation in osteopetrosis and provide a deeper understanding of the relations between genotype and clinical characteristics of this disorder.
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spelling doaj.art-42ba3568a19d4b30ba16d1cab21f29002023-03-14T04:39:51ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-03-011110.3389/fped.2023.10967701096770Case report: Gene mutations and clinical characteristics of four patients with osteopetrosisYu Chen0Yu Chen1Lina Zhou2Xianmin Guan3Xianhao Wen4Jie Yu5Ying Dou6Ying Dou7National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Child Infection and Immunity, Children’s Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Hematological Oncology, Children’s Hospital of Chongqing Medical University, Chongqing, ChinaNational Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Child Infection and Immunity, Children’s Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Hematological Oncology, Children’s Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Hematological Oncology, Children’s Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Hematological Oncology, Children’s Hospital of Chongqing Medical University, Chongqing, ChinaNational Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Child Infection and Immunity, Children’s Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Hematological Oncology, Children’s Hospital of Chongqing Medical University, Chongqing, ChinaOsteopetrosis is characterized by increased bone density caused by decreased osteoclasts or dysfunction of their differentiation and absorption properties, usually caused by biallelic variants of the TCIRG1(OMIM:604592)and CLCN7(OMIM:602727) genes. Herein, the clinical, biochemical, and radiological manifestations of osteopetrosis in four Chinese children are described. Whole-exome sequencing identified compound heterozygous variants of the CLCN7 and TCIRG1 genes in these patients. In Patient 1, two novel variants were identified in CLCN7:c.880T > G(p.F294V) and c.686C > G(p.S229X). Patient 2 harbored previously reported a single gene variant c.643G > A(p.G215R) in CLCN7. Patient 3 had a novel variant c.569A > G(p.N190S) and a novel frameshift variant c.1113dupG(p.N372fs) in CLCN7. Patient 4 had a frameshift variant c.43delA(p.K15fs) and variant c.C1360T in TCIRG1, resulting in the formation of a premature termination codon (p.R454X), both of which were reported previously. Our results expand the spectrum of identified genetic variation in osteopetrosis and provide a deeper understanding of the relations between genotype and clinical characteristics of this disorder.https://www.frontiersin.org/articles/10.3389/fped.2023.1096770/fullosteopetrosisCLCN7TCIRG1mutationvariants
spellingShingle Yu Chen
Yu Chen
Lina Zhou
Xianmin Guan
Xianhao Wen
Jie Yu
Ying Dou
Ying Dou
Case report: Gene mutations and clinical characteristics of four patients with osteopetrosis
Frontiers in Pediatrics
osteopetrosis
CLCN7
TCIRG1
mutation
variants
title Case report: Gene mutations and clinical characteristics of four patients with osteopetrosis
title_full Case report: Gene mutations and clinical characteristics of four patients with osteopetrosis
title_fullStr Case report: Gene mutations and clinical characteristics of four patients with osteopetrosis
title_full_unstemmed Case report: Gene mutations and clinical characteristics of four patients with osteopetrosis
title_short Case report: Gene mutations and clinical characteristics of four patients with osteopetrosis
title_sort case report gene mutations and clinical characteristics of four patients with osteopetrosis
topic osteopetrosis
CLCN7
TCIRG1
mutation
variants
url https://www.frontiersin.org/articles/10.3389/fped.2023.1096770/full
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