Low‐level germline mosaicism of a novel SMARCA2 missense variant: Expanding the phenotypic spectrum and mode of genetic transmission

Abstract Background Nicolaides–Baraitser syndrome (NCBRS) is a severe neurodevelopmental disorder with multiple abnormalities. To date, all pathogenic variants in SMARCA2 causing NCBRS are de novo and most are missense variants located in the ATPase domain of SMARCA2 protein. Methods In this study,...

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Main Authors: Nina Pan, Songchang Chen, Xiaoqiang Cai, Jianli Li, Tao Yu, He‐feng Huang, Jinglan Zhang, Chenming Xu
Format: Article
Language:English
Published: Wiley 2021-09-01
Series:Molecular Genetics & Genomic Medicine
Subjects:
Online Access:https://doi.org/10.1002/mgg3.1763
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author Nina Pan
Songchang Chen
Xiaoqiang Cai
Jianli Li
Tao Yu
He‐feng Huang
Jinglan Zhang
Chenming Xu
author_facet Nina Pan
Songchang Chen
Xiaoqiang Cai
Jianli Li
Tao Yu
He‐feng Huang
Jinglan Zhang
Chenming Xu
author_sort Nina Pan
collection DOAJ
description Abstract Background Nicolaides–Baraitser syndrome (NCBRS) is a severe neurodevelopmental disorder with multiple abnormalities. To date, all pathogenic variants in SMARCA2 causing NCBRS are de novo and most are missense variants located in the ATPase domain of SMARCA2 protein. Methods In this study, a familial trio whole‐exome sequencing was performed on the proband presenting with intellectual disability, early‐onset epilepsy, and autistic features. A novel missense variant c.553C>G (p.Gln185Glu) in SMARCA2 was identified, which is located in the QLQ domain. The same variant was subsequently also found in the mother's ongoing pregnancy. Samples from accessible tissues such as saliva and sperm other than blood were collected from the parents, and the detection of the target variant was performed by amplicon‐based deep sequencing. Results Low‐level mosaicism of the target variant c.553C>G (p.Gln185Glu) was detected in the father's sperm with allele fraction of 2.8% by amplicon‐based deep sequencing, which was not detected in either parents’ blood or saliva specimens. Heterozygosity of this variant was confirmed in the proband. Conclusion This is the first report of paternal germline mosaicism for a SMARCA2 disease‐causing variant. In addition, the missense variant c.553C>G (p.Gln185Glu) in the QLQ domain causes mainly neurological and developmental phenotypes with unremarkable characteristic facial features and limb abnormalities. Our findings expand the phenotypic spectrum and mode of genetic transmission associated with the SMARCA2 variants.
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spelling doaj.art-46c9bb0697304db7b5824c99b51236b42022-12-21T21:26:58ZengWileyMolecular Genetics & Genomic Medicine2324-92692021-09-0199n/an/a10.1002/mgg3.1763Low‐level germline mosaicism of a novel SMARCA2 missense variant: Expanding the phenotypic spectrum and mode of genetic transmissionNina Pan0Songchang Chen1Xiaoqiang Cai2Jianli Li3Tao Yu4He‐feng Huang5Jinglan Zhang6Chenming Xu7International Peace Maternity and Child Health Hospital, School of Medicine Shanghai Jiao Tong University Shanghai ChinaObstetrics and Gynecology Hospital Institute of Reproduction and Development Fudan University Shanghai ChinaBeijing BioBiggen Technology Co., Ltd., Beijing ChinaBeijing BioBiggen Technology Co., Ltd., Beijing ChinaBeijing BioBiggen Technology Co., Ltd., Beijing ChinaInternational Peace Maternity and Child Health Hospital, School of Medicine Shanghai Jiao Tong University Shanghai ChinaObstetrics and Gynecology Hospital Institute of Reproduction and Development Fudan University Shanghai ChinaShanghai Key Laboratory of Embryo Original Diseases Shanghai ChinaAbstract Background Nicolaides–Baraitser syndrome (NCBRS) is a severe neurodevelopmental disorder with multiple abnormalities. To date, all pathogenic variants in SMARCA2 causing NCBRS are de novo and most are missense variants located in the ATPase domain of SMARCA2 protein. Methods In this study, a familial trio whole‐exome sequencing was performed on the proband presenting with intellectual disability, early‐onset epilepsy, and autistic features. A novel missense variant c.553C>G (p.Gln185Glu) in SMARCA2 was identified, which is located in the QLQ domain. The same variant was subsequently also found in the mother's ongoing pregnancy. Samples from accessible tissues such as saliva and sperm other than blood were collected from the parents, and the detection of the target variant was performed by amplicon‐based deep sequencing. Results Low‐level mosaicism of the target variant c.553C>G (p.Gln185Glu) was detected in the father's sperm with allele fraction of 2.8% by amplicon‐based deep sequencing, which was not detected in either parents’ blood or saliva specimens. Heterozygosity of this variant was confirmed in the proband. Conclusion This is the first report of paternal germline mosaicism for a SMARCA2 disease‐causing variant. In addition, the missense variant c.553C>G (p.Gln185Glu) in the QLQ domain causes mainly neurological and developmental phenotypes with unremarkable characteristic facial features and limb abnormalities. Our findings expand the phenotypic spectrum and mode of genetic transmission associated with the SMARCA2 variants.https://doi.org/10.1002/mgg3.1763amplicon sequencinggermline mosaicismNicolaides–Baraitser syndromeQLQ domainSMARCA2 gene
spellingShingle Nina Pan
Songchang Chen
Xiaoqiang Cai
Jianli Li
Tao Yu
He‐feng Huang
Jinglan Zhang
Chenming Xu
Low‐level germline mosaicism of a novel SMARCA2 missense variant: Expanding the phenotypic spectrum and mode of genetic transmission
Molecular Genetics & Genomic Medicine
amplicon sequencing
germline mosaicism
Nicolaides–Baraitser syndrome
QLQ domain
SMARCA2 gene
title Low‐level germline mosaicism of a novel SMARCA2 missense variant: Expanding the phenotypic spectrum and mode of genetic transmission
title_full Low‐level germline mosaicism of a novel SMARCA2 missense variant: Expanding the phenotypic spectrum and mode of genetic transmission
title_fullStr Low‐level germline mosaicism of a novel SMARCA2 missense variant: Expanding the phenotypic spectrum and mode of genetic transmission
title_full_unstemmed Low‐level germline mosaicism of a novel SMARCA2 missense variant: Expanding the phenotypic spectrum and mode of genetic transmission
title_short Low‐level germline mosaicism of a novel SMARCA2 missense variant: Expanding the phenotypic spectrum and mode of genetic transmission
title_sort low level germline mosaicism of a novel smarca2 missense variant expanding the phenotypic spectrum and mode of genetic transmission
topic amplicon sequencing
germline mosaicism
Nicolaides–Baraitser syndrome
QLQ domain
SMARCA2 gene
url https://doi.org/10.1002/mgg3.1763
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