Uniparental disomy for chromosome 1 with POMGNT1 splice-site variant causes muscle-eye-brain disease

POMGNT1, encoding protein O-mannose beta-1,2-N-acetylglucosaminyltransferase 1, is one of the genes responsible for dystroglycanopathy (DGP), which includes multiple phenotypes such as muscle-eye-brain disease (MEB), congenital muscular dystrophy with intellectual disability, and limb-girdle muscula...

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Main Authors: Yi-Dan Liu, Dan-Dan Tan, Dan-Yu Song, Yan-Bin Fan, Xiao-Na Fu, Lin Ge, Wei Wei, Hui Xiong
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:Frontiers in Genetics
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Online Access:https://www.frontiersin.org/articles/10.3389/fgene.2023.1170089/full
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author Yi-Dan Liu
Dan-Dan Tan
Dan-Yu Song
Yan-Bin Fan
Xiao-Na Fu
Lin Ge
Wei Wei
Hui Xiong
author_facet Yi-Dan Liu
Dan-Dan Tan
Dan-Yu Song
Yan-Bin Fan
Xiao-Na Fu
Lin Ge
Wei Wei
Hui Xiong
author_sort Yi-Dan Liu
collection DOAJ
description POMGNT1, encoding protein O-mannose beta-1,2-N-acetylglucosaminyltransferase 1, is one of the genes responsible for dystroglycanopathy (DGP), which includes multiple phenotypes such as muscle-eye-brain disease (MEB), congenital muscular dystrophy with intellectual disability, and limb-girdle muscular dystrophy Here, we report a case of MEB that is the result of a homozygous variant of POMGNT1 that is revealed through uniparental disomy (UPD). An 8-month-old boy was admitted with mental and motor retardation, hypotonia, esotropia, early onset severe myopia, and structural brain abnormalities. A panel testing of genetic myopathy-related genes was used to identify a homozygous c.636C>T (p.Phe212Phe) variant in exon 7 of POMGNT1 in the patient, a heterozygous c.636C>T variant in the father, and the wild type in the mother. Quantitative polymerase chain reaction (q-PCR) revealed no abnormal copy numbers in exon 7. Trio-based whole-exome sequencing (trio-WES) revealed a possible paternal UPD on chromosome 1 of the patient. Chromosomal microarray analysis (CMA) revealed a 120,451 kb loss of heterozygosity (LOH) on 1p36.33-p11.2, encompassing POMGNT1, and a 99,319 kb loss of heterozygosity on 1q21.2-q44, which indicated UPD. Moreover, RNA sequencing (RNA-seq) verified that the c.636C>T variant was a splice-site variant, leading to skipping of exon 7 (p.Asp179Valfs*23). In conclusion, to the best of our knowledge, we present the first case of MEB caused by UPD, providing valuable insights into the genetic mechanisms underlying this condition.
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spelling doaj.art-5761412c3b924a91bb268dcd88563e212023-06-05T09:31:43ZengFrontiers Media S.A.Frontiers in Genetics1664-80212023-06-011410.3389/fgene.2023.11700891170089Uniparental disomy for chromosome 1 with POMGNT1 splice-site variant causes muscle-eye-brain diseaseYi-Dan Liu0Dan-Dan Tan1Dan-Yu Song2Yan-Bin Fan3Xiao-Na Fu4Lin Ge5Wei Wei6Hui Xiong7Department of Pediatrics, Peking University First Hospital, Beijing, ChinaDepartment of Pediatrics, Peking University First Hospital, Beijing, ChinaDepartment of Pediatrics, Peking University First Hospital, Beijing, ChinaDepartment of Pediatrics, Peking University First Hospital, Beijing, ChinaDepartment of Pediatrics, Peking University First Hospital, Beijing, ChinaDepartment of Pediatrics, Peking University First Hospital, Beijing, ChinaBeijing Kangso Medical Inspection Co., Ltd., Beijing, ChinaDepartment of Pediatrics, Peking University First Hospital, Beijing, ChinaPOMGNT1, encoding protein O-mannose beta-1,2-N-acetylglucosaminyltransferase 1, is one of the genes responsible for dystroglycanopathy (DGP), which includes multiple phenotypes such as muscle-eye-brain disease (MEB), congenital muscular dystrophy with intellectual disability, and limb-girdle muscular dystrophy Here, we report a case of MEB that is the result of a homozygous variant of POMGNT1 that is revealed through uniparental disomy (UPD). An 8-month-old boy was admitted with mental and motor retardation, hypotonia, esotropia, early onset severe myopia, and structural brain abnormalities. A panel testing of genetic myopathy-related genes was used to identify a homozygous c.636C>T (p.Phe212Phe) variant in exon 7 of POMGNT1 in the patient, a heterozygous c.636C>T variant in the father, and the wild type in the mother. Quantitative polymerase chain reaction (q-PCR) revealed no abnormal copy numbers in exon 7. Trio-based whole-exome sequencing (trio-WES) revealed a possible paternal UPD on chromosome 1 of the patient. Chromosomal microarray analysis (CMA) revealed a 120,451 kb loss of heterozygosity (LOH) on 1p36.33-p11.2, encompassing POMGNT1, and a 99,319 kb loss of heterozygosity on 1q21.2-q44, which indicated UPD. Moreover, RNA sequencing (RNA-seq) verified that the c.636C>T variant was a splice-site variant, leading to skipping of exon 7 (p.Asp179Valfs*23). In conclusion, to the best of our knowledge, we present the first case of MEB caused by UPD, providing valuable insights into the genetic mechanisms underlying this condition.https://www.frontiersin.org/articles/10.3389/fgene.2023.1170089/fulluniparental disomy (UPD)muscle-eye-brain disease (MEB)PomGnT1dystroglycanopathy (DGP)splice-site variant
spellingShingle Yi-Dan Liu
Dan-Dan Tan
Dan-Yu Song
Yan-Bin Fan
Xiao-Na Fu
Lin Ge
Wei Wei
Hui Xiong
Uniparental disomy for chromosome 1 with POMGNT1 splice-site variant causes muscle-eye-brain disease
Frontiers in Genetics
uniparental disomy (UPD)
muscle-eye-brain disease (MEB)
PomGnT1
dystroglycanopathy (DGP)
splice-site variant
title Uniparental disomy for chromosome 1 with POMGNT1 splice-site variant causes muscle-eye-brain disease
title_full Uniparental disomy for chromosome 1 with POMGNT1 splice-site variant causes muscle-eye-brain disease
title_fullStr Uniparental disomy for chromosome 1 with POMGNT1 splice-site variant causes muscle-eye-brain disease
title_full_unstemmed Uniparental disomy for chromosome 1 with POMGNT1 splice-site variant causes muscle-eye-brain disease
title_short Uniparental disomy for chromosome 1 with POMGNT1 splice-site variant causes muscle-eye-brain disease
title_sort uniparental disomy for chromosome 1 with pomgnt1 splice site variant causes muscle eye brain disease
topic uniparental disomy (UPD)
muscle-eye-brain disease (MEB)
PomGnT1
dystroglycanopathy (DGP)
splice-site variant
url https://www.frontiersin.org/articles/10.3389/fgene.2023.1170089/full
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