Novel SOX10 Mutations in Waardenburg Syndrome: Functional Characterization and Genotype-Phenotype Analysis

Waardenburg syndrome (WS) is a prevalent hearing loss syndrome, concomitant with focal skin pigmentation abnormalities, blue iris, and other abnormalities of neural crest-derived cells, including Hirschsprung’s disease. WS is clinically and genetically heterogeneous and it is classified into four ma...

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Main Authors: Supranee Thongpradit, Natini Jinawath, Asif Javed, Laran T. Jensen, Issarapa Chunsuwan, Kitiwan Rojnueangnit, Thipwimol Tim-Aroon, Krisna Lertsukprasert, Meng-Shin Shiao, Nongnuch Sirachainan, Duangrurdee Wattanasirichaigoon
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-12-01
Series:Frontiers in Genetics
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Online Access:https://www.frontiersin.org/articles/10.3389/fgene.2020.589784/full
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author Supranee Thongpradit
Natini Jinawath
Natini Jinawath
Asif Javed
Asif Javed
Laran T. Jensen
Issarapa Chunsuwan
Kitiwan Rojnueangnit
Thipwimol Tim-Aroon
Krisna Lertsukprasert
Meng-Shin Shiao
Nongnuch Sirachainan
Duangrurdee Wattanasirichaigoon
author_facet Supranee Thongpradit
Natini Jinawath
Natini Jinawath
Asif Javed
Asif Javed
Laran T. Jensen
Issarapa Chunsuwan
Kitiwan Rojnueangnit
Thipwimol Tim-Aroon
Krisna Lertsukprasert
Meng-Shin Shiao
Nongnuch Sirachainan
Duangrurdee Wattanasirichaigoon
author_sort Supranee Thongpradit
collection DOAJ
description Waardenburg syndrome (WS) is a prevalent hearing loss syndrome, concomitant with focal skin pigmentation abnormalities, blue iris, and other abnormalities of neural crest-derived cells, including Hirschsprung’s disease. WS is clinically and genetically heterogeneous and it is classified into four major types WS type I, II, III, and IV (WS1, WS2, WS3, and WS4). WS1 and WS3 have the presence of dystopia canthorum, while WS3 also has upper limb anomalies. WS2 and WS4 do not have the dystopia canthorum, but the presence of Hirschsprung’s disease indicates WS4. There is a more severe subtype of WS4 with peripheral nerve and/or central nervous system involvement, namely peripheral demyelinating neuropathy, central dysmyelinating leukodystrophy, WS, and Hirschsprung’s disease or PCW/PCWH. We characterized the genetic defects underlying WS2, WS4, and the WS4-PCW/PCWH) using Sanger and whole-exome sequencing and cytogenomic microarray in seven patients from six unrelated families, including two with WS2 and five with WS4. We also performed multiple functional studies and analyzed genotype–phenotype correlations. The cohort included a relatively high frequency (80%) of individuals with neurological variants of WS4. Six novel SOX10 mutations were identified, including c.89C > A (p.Ser30∗), c.207_8 delCG (p.Cys71Hisfs∗62), c.479T > C (p.Leu160Pro), c.1379 delA (p.Tyr460Leufs∗42), c.425G > C (p.Trp142Ser), and a 20-nucleotide insertion, c.1155_1174dupGCCCCACTATGGCTCAGCCT (p.Phe392Cysfs∗117). All pathogenic variants were de novo. The results of reporter assays, western blotting, immunofluorescence, and molecular modeling supported the deleterious effects of the identified mutations and their correlations with phenotypic severity. The prediction of genotype–phenotype correlation and functional pathology, and dominant negative effect vs. haploinsufficiency in SOX10-related WS were influenced not only by site (first two vs. last coding exons) and type of mutation (missense vs. truncation/frameshift), but also by the protein expression level, molecular weight, and amino acid content of the altered protein. This in vitro analysis of SOX10 mutations thus provides a deeper understanding of the mechanisms resulting in specific WS subtypes and allows better prediction of the phenotypic manifestations, though it may not be always applicable to in vivo findings without further investigations.
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spelling doaj.art-53b6c9228f814e8abb18667953e586ef2022-12-21T21:29:19ZengFrontiers Media S.A.Frontiers in Genetics1664-80212020-12-011110.3389/fgene.2020.589784589784Novel SOX10 Mutations in Waardenburg Syndrome: Functional Characterization and Genotype-Phenotype AnalysisSupranee Thongpradit0Natini Jinawath1Natini Jinawath2Asif Javed3Asif Javed4Laran T. Jensen5Issarapa Chunsuwan6Kitiwan Rojnueangnit7Thipwimol Tim-Aroon8Krisna Lertsukprasert9Meng-Shin Shiao10Nongnuch Sirachainan11Duangrurdee Wattanasirichaigoon12Research Center, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, ThailandProgram in Translational Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, ThailandIntegrative Computational BioScience Center (ICBS), Mahidol University, Salaya, ThailandComputational and Systems Biology Group, Genome Institute of Singapore, Agency for Science, Technology and Research, Singapore, SingaporeSchool of Biomedical Sciences, University of Hong Kong, Hong Kong, ChinaDepartment of Biochemistry, Faculty of Science, Mahidol University, Bangkok, ThailandDepartment of Pediatrics, Faculty of Medicine, Thammasat University, Pathumthani, ThailandDepartment of Pediatrics, Faculty of Medicine, Thammasat University, Pathumthani, ThailandDivision of Medical Genetics, Department of Pediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, ThailandDepartment of Communication Sciences and Disorders, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, ThailandResearch Center, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand0Division of Hematology and Oncology, Department of Pediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, ThailandDivision of Medical Genetics, Department of Pediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, ThailandWaardenburg syndrome (WS) is a prevalent hearing loss syndrome, concomitant with focal skin pigmentation abnormalities, blue iris, and other abnormalities of neural crest-derived cells, including Hirschsprung’s disease. WS is clinically and genetically heterogeneous and it is classified into four major types WS type I, II, III, and IV (WS1, WS2, WS3, and WS4). WS1 and WS3 have the presence of dystopia canthorum, while WS3 also has upper limb anomalies. WS2 and WS4 do not have the dystopia canthorum, but the presence of Hirschsprung’s disease indicates WS4. There is a more severe subtype of WS4 with peripheral nerve and/or central nervous system involvement, namely peripheral demyelinating neuropathy, central dysmyelinating leukodystrophy, WS, and Hirschsprung’s disease or PCW/PCWH. We characterized the genetic defects underlying WS2, WS4, and the WS4-PCW/PCWH) using Sanger and whole-exome sequencing and cytogenomic microarray in seven patients from six unrelated families, including two with WS2 and five with WS4. We also performed multiple functional studies and analyzed genotype–phenotype correlations. The cohort included a relatively high frequency (80%) of individuals with neurological variants of WS4. Six novel SOX10 mutations were identified, including c.89C > A (p.Ser30∗), c.207_8 delCG (p.Cys71Hisfs∗62), c.479T > C (p.Leu160Pro), c.1379 delA (p.Tyr460Leufs∗42), c.425G > C (p.Trp142Ser), and a 20-nucleotide insertion, c.1155_1174dupGCCCCACTATGGCTCAGCCT (p.Phe392Cysfs∗117). All pathogenic variants were de novo. The results of reporter assays, western blotting, immunofluorescence, and molecular modeling supported the deleterious effects of the identified mutations and their correlations with phenotypic severity. The prediction of genotype–phenotype correlation and functional pathology, and dominant negative effect vs. haploinsufficiency in SOX10-related WS were influenced not only by site (first two vs. last coding exons) and type of mutation (missense vs. truncation/frameshift), but also by the protein expression level, molecular weight, and amino acid content of the altered protein. This in vitro analysis of SOX10 mutations thus provides a deeper understanding of the mechanisms resulting in specific WS subtypes and allows better prediction of the phenotypic manifestations, though it may not be always applicable to in vivo findings without further investigations.https://www.frontiersin.org/articles/10.3389/fgene.2020.589784/fullSOX10Waardenburg syndromegenotype-phenotype analysisHirschsprung’s diseaseplatelet dysfunctionplatelet storage pool defect
spellingShingle Supranee Thongpradit
Natini Jinawath
Natini Jinawath
Asif Javed
Asif Javed
Laran T. Jensen
Issarapa Chunsuwan
Kitiwan Rojnueangnit
Thipwimol Tim-Aroon
Krisna Lertsukprasert
Meng-Shin Shiao
Nongnuch Sirachainan
Duangrurdee Wattanasirichaigoon
Novel SOX10 Mutations in Waardenburg Syndrome: Functional Characterization and Genotype-Phenotype Analysis
Frontiers in Genetics
SOX10
Waardenburg syndrome
genotype-phenotype analysis
Hirschsprung’s disease
platelet dysfunction
platelet storage pool defect
title Novel SOX10 Mutations in Waardenburg Syndrome: Functional Characterization and Genotype-Phenotype Analysis
title_full Novel SOX10 Mutations in Waardenburg Syndrome: Functional Characterization and Genotype-Phenotype Analysis
title_fullStr Novel SOX10 Mutations in Waardenburg Syndrome: Functional Characterization and Genotype-Phenotype Analysis
title_full_unstemmed Novel SOX10 Mutations in Waardenburg Syndrome: Functional Characterization and Genotype-Phenotype Analysis
title_short Novel SOX10 Mutations in Waardenburg Syndrome: Functional Characterization and Genotype-Phenotype Analysis
title_sort novel sox10 mutations in waardenburg syndrome functional characterization and genotype phenotype analysis
topic SOX10
Waardenburg syndrome
genotype-phenotype analysis
Hirschsprung’s disease
platelet dysfunction
platelet storage pool defect
url https://www.frontiersin.org/articles/10.3389/fgene.2020.589784/full
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