Identifying and predicting the pathogenic effects of a novel variant inducing severe early onset MMA: a bioinformatics approach

Abstract Background Methylmalonic acidemia (MMA) is a rare metabolic disorder resulting from functional defects in methylmalonyl-CoA mutase. Mutations in the MMAB gene are responsible for the cblB type of vitamin B12-responsive MMA. Results This study used Whole-exome sequencing (WES), Sanger sequen...

Full description

Bibliographic Details
Main Authors: Fereshteh Maryami, Elham Rismani, Elham Davoudi-Dehaghani, Nasrin Khalesi, Fatemeh Zafarghandi Motlagh, Alireza Kordafshari, Saeed Talebi, Hamzeh Rahimi, Sirous Zeinali
Format: Article
Language:English
Published: BMC 2023-05-01
Series:Hereditas
Subjects:
Online Access:https://doi.org/10.1186/s41065-023-00281-0
_version_ 1797811454089363456
author Fereshteh Maryami
Elham Rismani
Elham Davoudi-Dehaghani
Nasrin Khalesi
Fatemeh Zafarghandi Motlagh
Alireza Kordafshari
Saeed Talebi
Hamzeh Rahimi
Sirous Zeinali
author_facet Fereshteh Maryami
Elham Rismani
Elham Davoudi-Dehaghani
Nasrin Khalesi
Fatemeh Zafarghandi Motlagh
Alireza Kordafshari
Saeed Talebi
Hamzeh Rahimi
Sirous Zeinali
author_sort Fereshteh Maryami
collection DOAJ
description Abstract Background Methylmalonic acidemia (MMA) is a rare metabolic disorder resulting from functional defects in methylmalonyl-CoA mutase. Mutations in the MMAB gene are responsible for the cblB type of vitamin B12-responsive MMA. Results This study used Whole-exome sequencing (WES), Sanger sequencing, linkage analysis, and in-silico evaluation of the variants’ effect on protein structure and function to confirm their pathogenicity in a 2-day-old neonate presenting an early-onset metabolic crisis and death. WES revealed a homozygous missense variant on chromosome 12, the NM_052845.4 (MMAB):c.557G > A, p.Arg186Gln, in exon 7, a highly conserved and hot spot region for pathogenic variants. After being confirmed by Sanger sequencing, the wild-type and mutant proteins’ structure and function were modeled and examined using in-silico bioinformatics tools and compared to the variant NM_052845.4 (MMAB):c.556C > T, p.Arg186Trp, a known pathogenic variant at the same position. Comprehensive bioinformatics analysis showed a significant reduction in the stability of variants and changes in protein–protein and ligand–protein interactions. Interestingly, the variant c.557G > A, p.Arg186Gln depicted more variations in the secondary structure and less binding to the ATP and B12 ligands compared to the c.556C > T, p.Arg186Trp, the known pathogenic variant. Conclusion This study succeeded in expanding the variant spectra of the MMAB, forasmuch as the variant c.557G > A, p.Arg186Gln is suggested as a pathogenic variant and the cause of severe MMA and neonatal death. These results benefit the prenatal diagnosis of MMA in the subsequent pregnancies and carrier screening of the family members. Furthermore, as an auxiliary technique, homology modeling and protein structure and function evaluations could provide geneticists with a more accurate interpretation of variants’ pathogenicity. Graphical Abstract
first_indexed 2024-03-13T07:23:16Z
format Article
id doaj.art-70d8c593cda74a6cbeb5034735dc8991
institution Directory Open Access Journal
issn 1601-5223
language English
last_indexed 2024-03-13T07:23:16Z
publishDate 2023-05-01
publisher BMC
record_format Article
series Hereditas
spelling doaj.art-70d8c593cda74a6cbeb5034735dc89912023-06-04T11:30:43ZengBMCHereditas1601-52232023-05-01160111610.1186/s41065-023-00281-0Identifying and predicting the pathogenic effects of a novel variant inducing severe early onset MMA: a bioinformatics approachFereshteh Maryami0Elham Rismani1Elham Davoudi-Dehaghani2Nasrin Khalesi3Fatemeh Zafarghandi Motlagh4Alireza Kordafshari5Saeed Talebi6Hamzeh Rahimi7Sirous Zeinali8Department of Molecular Medicine, Biotechnology Research Center, Pasteur Institute of IranDepartment of Molecular Medicine, Biotechnology Research Center, Pasteur Institute of IranDepartment of Molecular Medicine, Biotechnology Research Center, Pasteur Institute of IranDepartment of Pediatrics and Neonatal Intensive Care Unit, Ali-Asghar Children’s Hospital, Iran University of Medical SciencesMedical Genetics Lab, Kawsar Human Genetics Research CenterDepartment of Molecular Medicine, Biotechnology Research Center, Pasteur Institute of IranDepartment of Medical Genetics and Molecular Biology, Faculty of Medicine, Iran University of Medical Sciences (IUMS)Department of Molecular Medicine, Biotechnology Research Center, Pasteur Institute of IranDepartment of Molecular Medicine, Biotechnology Research Center, Pasteur Institute of IranAbstract Background Methylmalonic acidemia (MMA) is a rare metabolic disorder resulting from functional defects in methylmalonyl-CoA mutase. Mutations in the MMAB gene are responsible for the cblB type of vitamin B12-responsive MMA. Results This study used Whole-exome sequencing (WES), Sanger sequencing, linkage analysis, and in-silico evaluation of the variants’ effect on protein structure and function to confirm their pathogenicity in a 2-day-old neonate presenting an early-onset metabolic crisis and death. WES revealed a homozygous missense variant on chromosome 12, the NM_052845.4 (MMAB):c.557G > A, p.Arg186Gln, in exon 7, a highly conserved and hot spot region for pathogenic variants. After being confirmed by Sanger sequencing, the wild-type and mutant proteins’ structure and function were modeled and examined using in-silico bioinformatics tools and compared to the variant NM_052845.4 (MMAB):c.556C > T, p.Arg186Trp, a known pathogenic variant at the same position. Comprehensive bioinformatics analysis showed a significant reduction in the stability of variants and changes in protein–protein and ligand–protein interactions. Interestingly, the variant c.557G > A, p.Arg186Gln depicted more variations in the secondary structure and less binding to the ATP and B12 ligands compared to the c.556C > T, p.Arg186Trp, the known pathogenic variant. Conclusion This study succeeded in expanding the variant spectra of the MMAB, forasmuch as the variant c.557G > A, p.Arg186Gln is suggested as a pathogenic variant and the cause of severe MMA and neonatal death. These results benefit the prenatal diagnosis of MMA in the subsequent pregnancies and carrier screening of the family members. Furthermore, as an auxiliary technique, homology modeling and protein structure and function evaluations could provide geneticists with a more accurate interpretation of variants’ pathogenicity. Graphical Abstracthttps://doi.org/10.1186/s41065-023-00281-0Methylmalonic acidemiaWhole-exome sequencingMMABCorrinoid adenosyltransferaseHomology modelingBioinformatics
spellingShingle Fereshteh Maryami
Elham Rismani
Elham Davoudi-Dehaghani
Nasrin Khalesi
Fatemeh Zafarghandi Motlagh
Alireza Kordafshari
Saeed Talebi
Hamzeh Rahimi
Sirous Zeinali
Identifying and predicting the pathogenic effects of a novel variant inducing severe early onset MMA: a bioinformatics approach
Hereditas
Methylmalonic acidemia
Whole-exome sequencing
MMAB
Corrinoid adenosyltransferase
Homology modeling
Bioinformatics
title Identifying and predicting the pathogenic effects of a novel variant inducing severe early onset MMA: a bioinformatics approach
title_full Identifying and predicting the pathogenic effects of a novel variant inducing severe early onset MMA: a bioinformatics approach
title_fullStr Identifying and predicting the pathogenic effects of a novel variant inducing severe early onset MMA: a bioinformatics approach
title_full_unstemmed Identifying and predicting the pathogenic effects of a novel variant inducing severe early onset MMA: a bioinformatics approach
title_short Identifying and predicting the pathogenic effects of a novel variant inducing severe early onset MMA: a bioinformatics approach
title_sort identifying and predicting the pathogenic effects of a novel variant inducing severe early onset mma a bioinformatics approach
topic Methylmalonic acidemia
Whole-exome sequencing
MMAB
Corrinoid adenosyltransferase
Homology modeling
Bioinformatics
url https://doi.org/10.1186/s41065-023-00281-0
work_keys_str_mv AT fereshtehmaryami identifyingandpredictingthepathogeniceffectsofanovelvariantinducingsevereearlyonsetmmaabioinformaticsapproach
AT elhamrismani identifyingandpredictingthepathogeniceffectsofanovelvariantinducingsevereearlyonsetmmaabioinformaticsapproach
AT elhamdavoudidehaghani identifyingandpredictingthepathogeniceffectsofanovelvariantinducingsevereearlyonsetmmaabioinformaticsapproach
AT nasrinkhalesi identifyingandpredictingthepathogeniceffectsofanovelvariantinducingsevereearlyonsetmmaabioinformaticsapproach
AT fatemehzafarghandimotlagh identifyingandpredictingthepathogeniceffectsofanovelvariantinducingsevereearlyonsetmmaabioinformaticsapproach
AT alirezakordafshari identifyingandpredictingthepathogeniceffectsofanovelvariantinducingsevereearlyonsetmmaabioinformaticsapproach
AT saeedtalebi identifyingandpredictingthepathogeniceffectsofanovelvariantinducingsevereearlyonsetmmaabioinformaticsapproach
AT hamzehrahimi identifyingandpredictingthepathogeniceffectsofanovelvariantinducingsevereearlyonsetmmaabioinformaticsapproach
AT sirouszeinali identifyingandpredictingthepathogeniceffectsofanovelvariantinducingsevereearlyonsetmmaabioinformaticsapproach