Genomic alterations in the F8 gene correlating with severe hemophilia A in Egyptian patients

Abstract Background Hemophilia A (HA) is an inherited X‐linked recessive coagulation disorder caused by factor VIII (F8) deficiency. F8 rearrangements involving intron 22 (int22) and intron 1 (int1) account for almost half of severe HA phenotype also a hotspot exon 14 provides numerous mutational pa...

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Main Authors: Rehab M. Mosaad, Khalda S. Amr, Eman A. Rabie, Naglaa O. Mostafa, Sonia A. Habib, Ghada Y. El‐Kamah
Format: Article
Language:English
Published: Wiley 2021-02-01
Series:Molecular Genetics & Genomic Medicine
Subjects:
Online Access:https://doi.org/10.1002/mgg3.1575
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author Rehab M. Mosaad
Khalda S. Amr
Eman A. Rabie
Naglaa O. Mostafa
Sonia A. Habib
Ghada Y. El‐Kamah
author_facet Rehab M. Mosaad
Khalda S. Amr
Eman A. Rabie
Naglaa O. Mostafa
Sonia A. Habib
Ghada Y. El‐Kamah
author_sort Rehab M. Mosaad
collection DOAJ
description Abstract Background Hemophilia A (HA) is an inherited X‐linked recessive coagulation disorder caused by factor VIII (F8) deficiency. F8 rearrangements involving intron 22 (int22) and intron 1 (int1) account for almost half of severe HA phenotype also a hotspot exon 14 provides numerous mutational patterns. This study aims to identify F8 gene mutations among Egyptian HA patients. Methods DNA samples from 60 HA patients were screened for int22 and int1 rearrangements using simplified inverse shifting PCR (IS‐PCR) followed by exon 14 sequencing. Also, four uncharacterized patients were studied by targeted exome sequencing. Results In 33.3% of the studied patients, we identified three int22 rearrangements, three exon 14 mutations (two frameshift; one novel (NM_000132.3:c.2734_2735delAA, p.(N912Ffs*6)), a second reported mutation (NM_000132.3:c.3091_3094delAGAA, p.(K1031Lfs*9)), and one nonsense mutation (NM_000132.3:c.2440C>T, p.(R814*)). All identified mutations were detected in patients with severe HA phenotype. Targeted exome sequencing could not detect any known pathogenic variants. Conclusion Intron 22 rearrangement and exon 14 mutations correlate with most severe hemophilia A Egyptian patients.
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spelling doaj.art-52f5c1ffa7df41dc9263349910215ee52024-02-21T11:37:44ZengWileyMolecular Genetics & Genomic Medicine2324-92692021-02-0192n/an/a10.1002/mgg3.1575Genomic alterations in the F8 gene correlating with severe hemophilia A in Egyptian patientsRehab M. Mosaad0Khalda S. Amr1Eman A. Rabie2Naglaa O. Mostafa3Sonia A. Habib4Ghada Y. El‐Kamah5Molecular Genetics and Enzymology Department Human Genetics and Genome Research Division (HGGR)National Research Centre (NRC) Cairo EgyptMedical Molecular Genetics HGGRNRC Cairo EgyptMedical Molecular Genetics HGGRNRC Cairo EgyptDepartment of Hematology Pediatric HospitalCairo University Cairo EgyptDepartment of Pediatrics Medical Division NRC Cairo EgyptClinical Genetics Department HGGRNRC Cairo EgyptAbstract Background Hemophilia A (HA) is an inherited X‐linked recessive coagulation disorder caused by factor VIII (F8) deficiency. F8 rearrangements involving intron 22 (int22) and intron 1 (int1) account for almost half of severe HA phenotype also a hotspot exon 14 provides numerous mutational patterns. This study aims to identify F8 gene mutations among Egyptian HA patients. Methods DNA samples from 60 HA patients were screened for int22 and int1 rearrangements using simplified inverse shifting PCR (IS‐PCR) followed by exon 14 sequencing. Also, four uncharacterized patients were studied by targeted exome sequencing. Results In 33.3% of the studied patients, we identified three int22 rearrangements, three exon 14 mutations (two frameshift; one novel (NM_000132.3:c.2734_2735delAA, p.(N912Ffs*6)), a second reported mutation (NM_000132.3:c.3091_3094delAGAA, p.(K1031Lfs*9)), and one nonsense mutation (NM_000132.3:c.2440C>T, p.(R814*)). All identified mutations were detected in patients with severe HA phenotype. Targeted exome sequencing could not detect any known pathogenic variants. Conclusion Intron 22 rearrangement and exon 14 mutations correlate with most severe hemophilia A Egyptian patients.https://doi.org/10.1002/mgg3.1575FVIII proteinhemophilia Ahuman F8 genemutationnonsense
spellingShingle Rehab M. Mosaad
Khalda S. Amr
Eman A. Rabie
Naglaa O. Mostafa
Sonia A. Habib
Ghada Y. El‐Kamah
Genomic alterations in the F8 gene correlating with severe hemophilia A in Egyptian patients
Molecular Genetics & Genomic Medicine
FVIII protein
hemophilia A
human F8 gene
mutation
nonsense
title Genomic alterations in the F8 gene correlating with severe hemophilia A in Egyptian patients
title_full Genomic alterations in the F8 gene correlating with severe hemophilia A in Egyptian patients
title_fullStr Genomic alterations in the F8 gene correlating with severe hemophilia A in Egyptian patients
title_full_unstemmed Genomic alterations in the F8 gene correlating with severe hemophilia A in Egyptian patients
title_short Genomic alterations in the F8 gene correlating with severe hemophilia A in Egyptian patients
title_sort genomic alterations in the f8 gene correlating with severe hemophilia a in egyptian patients
topic FVIII protein
hemophilia A
human F8 gene
mutation
nonsense
url https://doi.org/10.1002/mgg3.1575
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