A novel intronic TCOF1 pathogenic variant in a Chinese family with Treacher Collins syndrome

Abstract Background Treacher Collins syndrome (TCS; OMIM 154500) is a craniofacial developmental disorder. Methods To investigate the genetic features of a four-generation Chinese family with TCS, clinical examinations, hearing tests, computed tomography, whole-exome sequencing (WES), Sanger sequenc...

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Main Authors: Haojie Sun, Xinda Xu, Binjun Chen, Yanmei Wang, Jihan Lyu, Luo Guo, Yasheng Yuan, Dongdong Ren
Format: Article
Language:English
Published: BMC 2024-03-01
Series:BMC Medical Genomics
Subjects:
Online Access:https://doi.org/10.1186/s12920-024-01828-4
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author Haojie Sun
Xinda Xu
Binjun Chen
Yanmei Wang
Jihan Lyu
Luo Guo
Yasheng Yuan
Dongdong Ren
author_facet Haojie Sun
Xinda Xu
Binjun Chen
Yanmei Wang
Jihan Lyu
Luo Guo
Yasheng Yuan
Dongdong Ren
author_sort Haojie Sun
collection DOAJ
description Abstract Background Treacher Collins syndrome (TCS; OMIM 154500) is a craniofacial developmental disorder. Methods To investigate the genetic features of a four-generation Chinese family with TCS, clinical examinations, hearing tests, computed tomography, whole-exome sequencing (WES), Sanger sequencing, reverse transcription (RT)-PCR, and the Minigene assay were performed. Results The probands, an 11-year-old male and his cousin exhibited typical clinical manifestations of TCS including conductive hearing loss, downward slanting palpebral fissures, and mandibular hypoplasia. Computed tomography revealed bilateral fusion of the anterior and posterior stapedial crura and malformation of the long crura of the incus. WES of both patients revealed a novel heterozygous intronic variant, i.e., c.4342 + 5_4342 + 8delGTGA (NM_001371623.1) in TCOF1. Minigene expression analysis revealed that the c.4342 + 5_4342 + 8delGTGA variant in TCOF1 caused a partial deletion of exon 24 (c.4115_4342del: p.Gly1373_Arg1448del), which was predicted to yield a truncated protein. The deletion was further confirmed via RT-PCR and sequencing of DNA from proband blood cells. A heterozygous variant in the POLR1C gene (NM_203290; exon6; c.525delG) was found almost co-segregated with the TCOF1 pathogenic variant. Conclusions In conclusion, we identified a heterozygous TCOF1 splicing variant c.4342 + 5_4342 + 8delGTGA (splicing) in a Chinese TSC family with ossicular chain malformations and facial anomalies. Our findings broadened the spectrum of TCS variants and will facilitate diagnostics and prognostic predictions.
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spelling doaj.art-753d9fde57094c8cb74b9258daf5fb952024-03-24T12:36:43ZengBMCBMC Medical Genomics1755-87942024-03-0117111010.1186/s12920-024-01828-4A novel intronic TCOF1 pathogenic variant in a Chinese family with Treacher Collins syndromeHaojie Sun0Xinda Xu1Binjun Chen2Yanmei Wang3Jihan Lyu4Luo Guo5Yasheng Yuan6Dongdong Ren7Department of Otorhinolaryngology, ENT Institute, Eye and ENT Hospital, Fudan UniversityDepartment of Otorhinolaryngology, ENT Institute, Eye and ENT Hospital, Fudan UniversityDepartment of Otorhinolaryngology, ENT Institute, Eye and ENT Hospital, Fudan UniversityDepartment of Otorhinolaryngology, ENT Institute, Eye and ENT Hospital, Fudan UniversityDepartment of Otorhinolaryngology, ENT Institute, Eye and ENT Hospital, Fudan UniversityNHC Key Laboratory of Hearing Medicine, Fudan UniversityDepartment of Otorhinolaryngology, ENT Institute, Eye and ENT Hospital, Fudan UniversityDepartment of Otorhinolaryngology, ENT Institute, Eye and ENT Hospital, Fudan UniversityAbstract Background Treacher Collins syndrome (TCS; OMIM 154500) is a craniofacial developmental disorder. Methods To investigate the genetic features of a four-generation Chinese family with TCS, clinical examinations, hearing tests, computed tomography, whole-exome sequencing (WES), Sanger sequencing, reverse transcription (RT)-PCR, and the Minigene assay were performed. Results The probands, an 11-year-old male and his cousin exhibited typical clinical manifestations of TCS including conductive hearing loss, downward slanting palpebral fissures, and mandibular hypoplasia. Computed tomography revealed bilateral fusion of the anterior and posterior stapedial crura and malformation of the long crura of the incus. WES of both patients revealed a novel heterozygous intronic variant, i.e., c.4342 + 5_4342 + 8delGTGA (NM_001371623.1) in TCOF1. Minigene expression analysis revealed that the c.4342 + 5_4342 + 8delGTGA variant in TCOF1 caused a partial deletion of exon 24 (c.4115_4342del: p.Gly1373_Arg1448del), which was predicted to yield a truncated protein. The deletion was further confirmed via RT-PCR and sequencing of DNA from proband blood cells. A heterozygous variant in the POLR1C gene (NM_203290; exon6; c.525delG) was found almost co-segregated with the TCOF1 pathogenic variant. Conclusions In conclusion, we identified a heterozygous TCOF1 splicing variant c.4342 + 5_4342 + 8delGTGA (splicing) in a Chinese TSC family with ossicular chain malformations and facial anomalies. Our findings broadened the spectrum of TCS variants and will facilitate diagnostics and prognostic predictions.https://doi.org/10.1186/s12920-024-01828-4Treacher Collins syndromeTCOF1Heterozygous variantsWhole-exome sequencingMinigeneOssicular chain malformation
spellingShingle Haojie Sun
Xinda Xu
Binjun Chen
Yanmei Wang
Jihan Lyu
Luo Guo
Yasheng Yuan
Dongdong Ren
A novel intronic TCOF1 pathogenic variant in a Chinese family with Treacher Collins syndrome
BMC Medical Genomics
Treacher Collins syndrome
TCOF1
Heterozygous variants
Whole-exome sequencing
Minigene
Ossicular chain malformation
title A novel intronic TCOF1 pathogenic variant in a Chinese family with Treacher Collins syndrome
title_full A novel intronic TCOF1 pathogenic variant in a Chinese family with Treacher Collins syndrome
title_fullStr A novel intronic TCOF1 pathogenic variant in a Chinese family with Treacher Collins syndrome
title_full_unstemmed A novel intronic TCOF1 pathogenic variant in a Chinese family with Treacher Collins syndrome
title_short A novel intronic TCOF1 pathogenic variant in a Chinese family with Treacher Collins syndrome
title_sort novel intronic tcof1 pathogenic variant in a chinese family with treacher collins syndrome
topic Treacher Collins syndrome
TCOF1
Heterozygous variants
Whole-exome sequencing
Minigene
Ossicular chain malformation
url https://doi.org/10.1186/s12920-024-01828-4
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