A Novel <i>CDH1</i> Variant Identified in a Chinese Family with Blepharocheilodontic Syndrome

The goal of the current study was to identify the pathogenic gene variant in a Chinese family with Blepharocheilodontic (BCD) syndrome. Whole-exome sequencing (WES) and Sanger sequencing were used to identify the pathogenic gene variant. The harmfulness of the variant was predicted by bioinformatics...

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Main Authors: Bichen Lin, Yang Liu, Lanxin Su, Hangbo Liu, Hailan Feng, Miao Yu, Haochen Liu
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/12/12/2936
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author Bichen Lin
Yang Liu
Lanxin Su
Hangbo Liu
Hailan Feng
Miao Yu
Haochen Liu
author_facet Bichen Lin
Yang Liu
Lanxin Su
Hangbo Liu
Hailan Feng
Miao Yu
Haochen Liu
author_sort Bichen Lin
collection DOAJ
description The goal of the current study was to identify the pathogenic gene variant in a Chinese family with Blepharocheilodontic (BCD) syndrome. Whole-exome sequencing (WES) and Sanger sequencing were used to identify the pathogenic gene variant. The harmfulness of the variant was predicted by bioinformatics. We identified a novel heterozygous missense variant c.1198G>A (p.Asp400Asn) in the <i>CDH1</i> gene in the proband and his mother with BCD syndrome. The sequencing results of three healthy individuals in this family are wild type. This result is consistent with familial co-segregation. According to ReVe, REVEL, CADD, gnomAD, dbSNP, and the classification of pathogenic variants with the standards of the 2015 American College of Medical Genetics and Genomics and the Association for Molecular Pathology (ACMG), c.1198G>A (p.Asp400Asn) is predicted to be a likely pathogenic. We observed that variant c.1198G>A (p.Asp400Asn) was located in the extracellular cadherin-type repeats in CDH1. Amino acid sequence alignment of the CDH1 protein among multiple species showed that Asp400 was highly evolutionarily conserved. The conformational analysis showed that this variant might cause structural damage to the CDH1 protein. Phenotypic analysis revealed unique dental phenotypes in patients with BCD syndrome, such as oligodontia, conical-shaped teeth, and notching of the incisal edges. Our results broaden the variation spectrum of BCD syndrome and phenotype spectrum of CDH1, which can help with the clinical diagnosis, treatment, and genetic counseling in relation to BCD syndrome.
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spelling doaj.art-5e979b39fd8d49d8b7f8025dd14f16d82023-11-24T14:15:49ZengMDPI AGDiagnostics2075-44182022-11-011212293610.3390/diagnostics12122936A Novel <i>CDH1</i> Variant Identified in a Chinese Family with Blepharocheilodontic SyndromeBichen Lin0Yang Liu1Lanxin Su2Hangbo Liu3Hailan Feng4Miao Yu5Haochen Liu6First Clinical Division, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing 100081, ChinaDepartment of Prosthodontics, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing 100081, ChinaDepartment of Prosthodontics, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing 100081, ChinaDepartment of Prosthodontics, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing 100081, ChinaDepartment of Prosthodontics, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing 100081, ChinaDepartment of Prosthodontics, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing 100081, ChinaDepartment of Prosthodontics, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing 100081, ChinaThe goal of the current study was to identify the pathogenic gene variant in a Chinese family with Blepharocheilodontic (BCD) syndrome. Whole-exome sequencing (WES) and Sanger sequencing were used to identify the pathogenic gene variant. The harmfulness of the variant was predicted by bioinformatics. We identified a novel heterozygous missense variant c.1198G>A (p.Asp400Asn) in the <i>CDH1</i> gene in the proband and his mother with BCD syndrome. The sequencing results of three healthy individuals in this family are wild type. This result is consistent with familial co-segregation. According to ReVe, REVEL, CADD, gnomAD, dbSNP, and the classification of pathogenic variants with the standards of the 2015 American College of Medical Genetics and Genomics and the Association for Molecular Pathology (ACMG), c.1198G>A (p.Asp400Asn) is predicted to be a likely pathogenic. We observed that variant c.1198G>A (p.Asp400Asn) was located in the extracellular cadherin-type repeats in CDH1. Amino acid sequence alignment of the CDH1 protein among multiple species showed that Asp400 was highly evolutionarily conserved. The conformational analysis showed that this variant might cause structural damage to the CDH1 protein. Phenotypic analysis revealed unique dental phenotypes in patients with BCD syndrome, such as oligodontia, conical-shaped teeth, and notching of the incisal edges. Our results broaden the variation spectrum of BCD syndrome and phenotype spectrum of CDH1, which can help with the clinical diagnosis, treatment, and genetic counseling in relation to BCD syndrome.https://www.mdpi.com/2075-4418/12/12/2936<i>CDH1</i>Blepharocheilodontic syndromegene varianttooth agenesis
spellingShingle Bichen Lin
Yang Liu
Lanxin Su
Hangbo Liu
Hailan Feng
Miao Yu
Haochen Liu
A Novel <i>CDH1</i> Variant Identified in a Chinese Family with Blepharocheilodontic Syndrome
Diagnostics
<i>CDH1</i>
Blepharocheilodontic syndrome
gene variant
tooth agenesis
title A Novel <i>CDH1</i> Variant Identified in a Chinese Family with Blepharocheilodontic Syndrome
title_full A Novel <i>CDH1</i> Variant Identified in a Chinese Family with Blepharocheilodontic Syndrome
title_fullStr A Novel <i>CDH1</i> Variant Identified in a Chinese Family with Blepharocheilodontic Syndrome
title_full_unstemmed A Novel <i>CDH1</i> Variant Identified in a Chinese Family with Blepharocheilodontic Syndrome
title_short A Novel <i>CDH1</i> Variant Identified in a Chinese Family with Blepharocheilodontic Syndrome
title_sort novel i cdh1 i variant identified in a chinese family with blepharocheilodontic syndrome
topic <i>CDH1</i>
Blepharocheilodontic syndrome
gene variant
tooth agenesis
url https://www.mdpi.com/2075-4418/12/12/2936
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