A Novel Homozygous Frameshift Mutation in CCN6 Causing Progressive Pseudorheumatoid Dysplasia (PPRD) in a Consanguineous Yemeni Family

Background: Progressive pseudorheumatoid dysplasia (PPRD) inherited in an autosomal recessive fashion, is a disabling disease, characterized by platyspondyly, irregularities of the vertebral bodies, narrowing of the intervertebral discs and intraarticular spaces, widening of the epiphysis-metaphysis...

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Main Authors: Nagwa E. A. Gaboon, Asia Parveen, Ahmed El Beheiry, Jumana Y. Al-Aama, Mosab S. Alsaedi, Naveed Wasif
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-06-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fped.2019.00245/full
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author Nagwa E. A. Gaboon
Asia Parveen
Asia Parveen
Ahmed El Beheiry
Jumana Y. Al-Aama
Jumana Y. Al-Aama
Mosab S. Alsaedi
Naveed Wasif
Naveed Wasif
Naveed Wasif
author_facet Nagwa E. A. Gaboon
Asia Parveen
Asia Parveen
Ahmed El Beheiry
Jumana Y. Al-Aama
Jumana Y. Al-Aama
Mosab S. Alsaedi
Naveed Wasif
Naveed Wasif
Naveed Wasif
author_sort Nagwa E. A. Gaboon
collection DOAJ
description Background: Progressive pseudorheumatoid dysplasia (PPRD) inherited in an autosomal recessive fashion, is a disabling disease, characterized by platyspondyly, irregularities of the vertebral bodies, narrowing of the intervertebral discs and intraarticular spaces, widening of the epiphysis-metaphysis, polyarthralgia, multiple joint contractures, and disproportionate short stature. A number of studies have been performed on this deformity in various populations around the globe, including the Arab population. Mutations in CCN6, located on 6q22, are reported to cause this anomaly.Case Presentation: The present study describes the investigation of a consanguineous family of Yemeni origin. Clinical examination of the patient revealed short stature with progressive skeletal abnormalities, stiffness and enlargement of small joints of the hands along with restriction of movements of proximal interphalangeal (PIP) and distal interphalangeal (DIP) joints with weakness and gait disturbance. Sanger sequencing revealed a novel homozygous frameshift deletion mutation (c.746delT; p.Val249Glyfs*10) in CCN6 which may lead to NMD (Nonsense mediated decay). This mutation expands the spectrum of pathogenic variants in CCN6 causing PPRD.
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spelling doaj.art-68002e01e2cd4893842baf47e5ee16672022-12-21T18:43:30ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602019-06-01710.3389/fped.2019.00245459599A Novel Homozygous Frameshift Mutation in CCN6 Causing Progressive Pseudorheumatoid Dysplasia (PPRD) in a Consanguineous Yemeni FamilyNagwa E. A. Gaboon0Asia Parveen1Asia Parveen2Ahmed El Beheiry3Jumana Y. Al-Aama4Jumana Y. Al-Aama5Mosab S. Alsaedi6Naveed Wasif7Naveed Wasif8Naveed Wasif9Medical Genetics Center, Faculty of Medicine, AinShams University, Cairo, EgyptInstitute of Molecular Biology and Biotechnology, Center for Research in Molecular Medicine, The University of Lahore, Lahore, PakistanFaculty of Life Sciences, University of Central Punjab (UCP), Lahore, PakistanDepartment of Radiodiagnosis and Interventional Radiology, Faculty of Medicine, Alexandria University, Alexandria, EgyptDepartment of Genetic Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi ArabiaPrincess Al-Jawhara Albrahim Center of Excellence in Research of Hereditary Disorders, King Abdulaziz University, Jeddah, Saudi ArabiaDepartment of Genetic Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi ArabiaInstitute of Molecular Biology and Biotechnology, Center for Research in Molecular Medicine, The University of Lahore, Lahore, PakistanInstitute of Human Genetics, University of Ulm, Ulm, GermanyInstitute of Human Genetics, University Hospital Schleswig-Holstein, Kiel, GermanyBackground: Progressive pseudorheumatoid dysplasia (PPRD) inherited in an autosomal recessive fashion, is a disabling disease, characterized by platyspondyly, irregularities of the vertebral bodies, narrowing of the intervertebral discs and intraarticular spaces, widening of the epiphysis-metaphysis, polyarthralgia, multiple joint contractures, and disproportionate short stature. A number of studies have been performed on this deformity in various populations around the globe, including the Arab population. Mutations in CCN6, located on 6q22, are reported to cause this anomaly.Case Presentation: The present study describes the investigation of a consanguineous family of Yemeni origin. Clinical examination of the patient revealed short stature with progressive skeletal abnormalities, stiffness and enlargement of small joints of the hands along with restriction of movements of proximal interphalangeal (PIP) and distal interphalangeal (DIP) joints with weakness and gait disturbance. Sanger sequencing revealed a novel homozygous frameshift deletion mutation (c.746delT; p.Val249Glyfs*10) in CCN6 which may lead to NMD (Nonsense mediated decay). This mutation expands the spectrum of pathogenic variants in CCN6 causing PPRD.https://www.frontiersin.org/article/10.3389/fped.2019.00245/fullprogressive pseudorheumatoid dysplasia (PPRD)consanguinitynovel frameshift mutationCCN6Nonsense Mediated Decay
spellingShingle Nagwa E. A. Gaboon
Asia Parveen
Asia Parveen
Ahmed El Beheiry
Jumana Y. Al-Aama
Jumana Y. Al-Aama
Mosab S. Alsaedi
Naveed Wasif
Naveed Wasif
Naveed Wasif
A Novel Homozygous Frameshift Mutation in CCN6 Causing Progressive Pseudorheumatoid Dysplasia (PPRD) in a Consanguineous Yemeni Family
Frontiers in Pediatrics
progressive pseudorheumatoid dysplasia (PPRD)
consanguinity
novel frameshift mutation
CCN6
Nonsense Mediated Decay
title A Novel Homozygous Frameshift Mutation in CCN6 Causing Progressive Pseudorheumatoid Dysplasia (PPRD) in a Consanguineous Yemeni Family
title_full A Novel Homozygous Frameshift Mutation in CCN6 Causing Progressive Pseudorheumatoid Dysplasia (PPRD) in a Consanguineous Yemeni Family
title_fullStr A Novel Homozygous Frameshift Mutation in CCN6 Causing Progressive Pseudorheumatoid Dysplasia (PPRD) in a Consanguineous Yemeni Family
title_full_unstemmed A Novel Homozygous Frameshift Mutation in CCN6 Causing Progressive Pseudorheumatoid Dysplasia (PPRD) in a Consanguineous Yemeni Family
title_short A Novel Homozygous Frameshift Mutation in CCN6 Causing Progressive Pseudorheumatoid Dysplasia (PPRD) in a Consanguineous Yemeni Family
title_sort novel homozygous frameshift mutation in ccn6 causing progressive pseudorheumatoid dysplasia pprd in a consanguineous yemeni family
topic progressive pseudorheumatoid dysplasia (PPRD)
consanguinity
novel frameshift mutation
CCN6
Nonsense Mediated Decay
url https://www.frontiersin.org/article/10.3389/fped.2019.00245/full
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