Three Variants Affecting Exon 1 of Ectodysplasin A Cause X-Linked Hypohidrotic Ectodermal Dysplasia: Clinical and Molecular Characteristics

Background: Ectodysplasin A (EDA) variations are major pathogenic factors for hypohidrotic ectodermal dysplasia (HED), the most common form of ectodermal dysplasia (ED), characterized by hypotrichosis, hypohidrosis, hypodontia, and other oral features.Methods: Molecular genetic defects in three HED...

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Main Authors: Yupei Wang, Chuan Zhang, Bingbo Zhou, Ling Hui, Lei Zheng, Xue Chen, Shifan Wang, Lan Yang, Shengju Hao, Qinghua Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Genetics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fgene.2022.916340/full
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author Yupei Wang
Yupei Wang
Chuan Zhang
Chuan Zhang
Bingbo Zhou
Bingbo Zhou
Ling Hui
Ling Hui
Lei Zheng
Lei Zheng
Xue Chen
Xue Chen
Shifan Wang
Shifan Wang
Lan Yang
Lan Yang
Shengju Hao
Shengju Hao
Qinghua Zhang
Qinghua Zhang
author_facet Yupei Wang
Yupei Wang
Chuan Zhang
Chuan Zhang
Bingbo Zhou
Bingbo Zhou
Ling Hui
Ling Hui
Lei Zheng
Lei Zheng
Xue Chen
Xue Chen
Shifan Wang
Shifan Wang
Lan Yang
Lan Yang
Shengju Hao
Shengju Hao
Qinghua Zhang
Qinghua Zhang
author_sort Yupei Wang
collection DOAJ
description Background: Ectodysplasin A (EDA) variations are major pathogenic factors for hypohidrotic ectodermal dysplasia (HED), the most common form of ectodermal dysplasia (ED), characterized by hypotrichosis, hypohidrosis, hypodontia, and other oral features.Methods: Molecular genetic defects in three HED families were detected by whole-exome sequencing and confirmed by Sanger sequencing or multiplex ligation-dependent probe amplification. The effect of splicing variant was further verified by EDA minigene in vitro analysis. De novo deletion was confirmed by chromosomal microarray analysis.Results: Three variants (c.396 + 1 G > C, c.171-173 del GTT, and exon 1 deletion) were identified, all affecting exon 1 of the EDA gene. Variants c.396 + 1 G > C and c.171-173 del GTT were first identified. Minigene analysis of the splicing variant (c.396 + 1 G > C) displayed a prolonged EDA-A1 transcript containing extra 699 bp at the start of intron 1, representing a functional cryptic splice site formation in vitro. Combining the results of chromosomal microarray analysis and whole-exome sequencing, the deletion variant was over 87 kb. Three variants were predicted to affect protein function to differing degrees, and were responsible for X-linked HED with varying phenotype.Conclusion: Investigating the clinical and molecular characteristics of these variations broadens our understanding of EDA gene variants, supporting clinical diagnosis, genetic counseling, and prenatal diagnosis of HED.
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spelling doaj.art-5211740d0e82493f9f9a8cdb20637ccd2022-12-22T02:48:10ZengFrontiers Media S.A.Frontiers in Genetics1664-80212022-07-011310.3389/fgene.2022.916340916340Three Variants Affecting Exon 1 of Ectodysplasin A Cause X-Linked Hypohidrotic Ectodermal Dysplasia: Clinical and Molecular CharacteristicsYupei Wang0Yupei Wang1Chuan Zhang2Chuan Zhang3Bingbo Zhou4Bingbo Zhou5Ling Hui6Ling Hui7Lei Zheng8Lei Zheng9Xue Chen10Xue Chen11Shifan Wang12Shifan Wang13Lan Yang14Lan Yang15Shengju Hao16Shengju Hao17Qinghua Zhang18Qinghua Zhang19Medical Genetics Center, Gansu Provincial Maternity and Child-care Hospital, Lanzhou, ChinaGansu Provincial Clinical Research Center for Birth Defects and Rare Diseases, Lanzhou, ChinaMedical Genetics Center, Gansu Provincial Maternity and Child-care Hospital, Lanzhou, ChinaGansu Provincial Clinical Research Center for Birth Defects and Rare Diseases, Lanzhou, ChinaMedical Genetics Center, Gansu Provincial Maternity and Child-care Hospital, Lanzhou, ChinaGansu Provincial Clinical Research Center for Birth Defects and Rare Diseases, Lanzhou, ChinaMedical Genetics Center, Gansu Provincial Maternity and Child-care Hospital, Lanzhou, ChinaGansu Provincial Clinical Research Center for Birth Defects and Rare Diseases, Lanzhou, ChinaMedical Genetics Center, Gansu Provincial Maternity and Child-care Hospital, Lanzhou, ChinaGansu Provincial Clinical Research Center for Birth Defects and Rare Diseases, Lanzhou, ChinaMedical Genetics Center, Gansu Provincial Maternity and Child-care Hospital, Lanzhou, ChinaGansu Provincial Clinical Research Center for Birth Defects and Rare Diseases, Lanzhou, ChinaMedical Genetics Center, Gansu Provincial Maternity and Child-care Hospital, Lanzhou, ChinaGansu Provincial Clinical Research Center for Birth Defects and Rare Diseases, Lanzhou, ChinaMedical Genetics Center, Gansu Provincial Maternity and Child-care Hospital, Lanzhou, ChinaGansu Provincial Clinical Research Center for Birth Defects and Rare Diseases, Lanzhou, ChinaMedical Genetics Center, Gansu Provincial Maternity and Child-care Hospital, Lanzhou, ChinaGansu Provincial Clinical Research Center for Birth Defects and Rare Diseases, Lanzhou, ChinaMedical Genetics Center, Gansu Provincial Maternity and Child-care Hospital, Lanzhou, ChinaGansu Provincial Clinical Research Center for Birth Defects and Rare Diseases, Lanzhou, ChinaBackground: Ectodysplasin A (EDA) variations are major pathogenic factors for hypohidrotic ectodermal dysplasia (HED), the most common form of ectodermal dysplasia (ED), characterized by hypotrichosis, hypohidrosis, hypodontia, and other oral features.Methods: Molecular genetic defects in three HED families were detected by whole-exome sequencing and confirmed by Sanger sequencing or multiplex ligation-dependent probe amplification. The effect of splicing variant was further verified by EDA minigene in vitro analysis. De novo deletion was confirmed by chromosomal microarray analysis.Results: Three variants (c.396 + 1 G > C, c.171-173 del GTT, and exon 1 deletion) were identified, all affecting exon 1 of the EDA gene. Variants c.396 + 1 G > C and c.171-173 del GTT were first identified. Minigene analysis of the splicing variant (c.396 + 1 G > C) displayed a prolonged EDA-A1 transcript containing extra 699 bp at the start of intron 1, representing a functional cryptic splice site formation in vitro. Combining the results of chromosomal microarray analysis and whole-exome sequencing, the deletion variant was over 87 kb. Three variants were predicted to affect protein function to differing degrees, and were responsible for X-linked HED with varying phenotype.Conclusion: Investigating the clinical and molecular characteristics of these variations broadens our understanding of EDA gene variants, supporting clinical diagnosis, genetic counseling, and prenatal diagnosis of HED.https://www.frontiersin.org/articles/10.3389/fgene.2022.916340/fullhypohidrotic ectodermal dysplasiaEDAwhole-exome sequencingsplicing variantcryptic splice siteHED
spellingShingle Yupei Wang
Yupei Wang
Chuan Zhang
Chuan Zhang
Bingbo Zhou
Bingbo Zhou
Ling Hui
Ling Hui
Lei Zheng
Lei Zheng
Xue Chen
Xue Chen
Shifan Wang
Shifan Wang
Lan Yang
Lan Yang
Shengju Hao
Shengju Hao
Qinghua Zhang
Qinghua Zhang
Three Variants Affecting Exon 1 of Ectodysplasin A Cause X-Linked Hypohidrotic Ectodermal Dysplasia: Clinical and Molecular Characteristics
Frontiers in Genetics
hypohidrotic ectodermal dysplasia
EDA
whole-exome sequencing
splicing variant
cryptic splice site
HED
title Three Variants Affecting Exon 1 of Ectodysplasin A Cause X-Linked Hypohidrotic Ectodermal Dysplasia: Clinical and Molecular Characteristics
title_full Three Variants Affecting Exon 1 of Ectodysplasin A Cause X-Linked Hypohidrotic Ectodermal Dysplasia: Clinical and Molecular Characteristics
title_fullStr Three Variants Affecting Exon 1 of Ectodysplasin A Cause X-Linked Hypohidrotic Ectodermal Dysplasia: Clinical and Molecular Characteristics
title_full_unstemmed Three Variants Affecting Exon 1 of Ectodysplasin A Cause X-Linked Hypohidrotic Ectodermal Dysplasia: Clinical and Molecular Characteristics
title_short Three Variants Affecting Exon 1 of Ectodysplasin A Cause X-Linked Hypohidrotic Ectodermal Dysplasia: Clinical and Molecular Characteristics
title_sort three variants affecting exon 1 of ectodysplasin a cause x linked hypohidrotic ectodermal dysplasia clinical and molecular characteristics
topic hypohidrotic ectodermal dysplasia
EDA
whole-exome sequencing
splicing variant
cryptic splice site
HED
url https://www.frontiersin.org/articles/10.3389/fgene.2022.916340/full
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