A Novel Arg120Pro Mutation in the RP2 Gene in an Iranian Family with X-linked Retinitis Pigmentosa: A Case Report

As the most common type of inherited retinal degenerative disease, retinitis pigmentosa (RP) has taken clinical and prenatal attention. Considering the clinical importance of consanguineous marriages, new mutations in this type of pregnancy have a high risk and increase the importance of Prenatal Di...

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Main Authors: Nasrin Mansouri, Parichehr Darabi, Masoumeh Favaedi, Hanieh Faizmahdavi, Soheila Nankali, Marjan Assefi, Alireza Sharafshah, Vahid Omarmeli
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2023-11-01
Series:Iranian Journal of Medical Sciences
Subjects:
Online Access:https://ijms.sums.ac.ir/article_49284_be79baa2bbed2c407b74137ad6152c43.pdf
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author Nasrin Mansouri
Parichehr Darabi
Masoumeh Favaedi
Hanieh Faizmahdavi
Soheila Nankali
Marjan Assefi
Alireza Sharafshah
Vahid Omarmeli
author_facet Nasrin Mansouri
Parichehr Darabi
Masoumeh Favaedi
Hanieh Faizmahdavi
Soheila Nankali
Marjan Assefi
Alireza Sharafshah
Vahid Omarmeli
author_sort Nasrin Mansouri
collection DOAJ
description As the most common type of inherited retinal degenerative disease, retinitis pigmentosa (RP) has taken clinical and prenatal attention. Considering the clinical importance of consanguineous marriages, new mutations in this type of pregnancy have a high risk and increase the importance of Prenatal Diagnosis (PND). In vitro analysis was done through Whole Exome Sequencing (WES) for a 36-year-old woman who was referred to a genetic laboratory in Kermanshah in 2021 for PND. The woman had consanguineous marriage and was pregnant with twins (a boy and a girl). Mutation confirmation tests were also performed on her husband and both fetuses to find mutations. Moreover, in silico analyses were performed by SWISS-MODEL, ProSA, Molprobity, Swiss-Pdb Viewer, and ERRAT. The WES analysis showed a novel mutation of the RP2 gene (exon2:c. 359G>C: p.R120P) in the 36-year-old pregnant woman. Mutations identified in her husband and her twins revealed changes in protein conformations. Further modeling and validation evaluations showed the replacement of Arg by Pro at the 120th residue site of the cognate protein. For the first time, our report introduced a novel missense mutation in the RP2 gene associated with severe signs of RP in an Iranian family based on an X-linked recessive pattern of genetic inheritance. These findings may pave the way for a better diagnosis of RP in genetic counseling and PND.
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spelling doaj.art-7b6981dd554e4362a94deeb41b5f2bbe2023-12-03T09:16:37ZengShiraz University of Medical SciencesIranian Journal of Medical Sciences0253-07161735-36882023-11-0148660661110.30476/ijms.2022.96392.279249284A Novel Arg120Pro Mutation in the RP2 Gene in an Iranian Family with X-linked Retinitis Pigmentosa: A Case ReportNasrin Mansouri0Parichehr Darabi1Masoumeh Favaedi2Hanieh Faizmahdavi3Soheila Nankali4Marjan Assefi5Alireza Sharafshah6Vahid Omarmeli7Department of Obstetrics and Gynecology, Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, IranDr. Shaveisi-zadeh Medical Genetic Lab, Kermanshah, IranHealth Network of Kermanshah, Kermanshah University of Medical Sciences, Kermanshah, IranDepartment of Obstetrics and Gynecology, Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, IranDepartment of Obstetrics and Gynecology, Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, IranUniversity of North Carolina, Greensboro, USADr. Shaveisi-zadeh Medical Genetic Lab, Kermanshah, IranDr. Shaveisi-zadeh Medical Genetic Lab, Kermanshah, IranAs the most common type of inherited retinal degenerative disease, retinitis pigmentosa (RP) has taken clinical and prenatal attention. Considering the clinical importance of consanguineous marriages, new mutations in this type of pregnancy have a high risk and increase the importance of Prenatal Diagnosis (PND). In vitro analysis was done through Whole Exome Sequencing (WES) for a 36-year-old woman who was referred to a genetic laboratory in Kermanshah in 2021 for PND. The woman had consanguineous marriage and was pregnant with twins (a boy and a girl). Mutation confirmation tests were also performed on her husband and both fetuses to find mutations. Moreover, in silico analyses were performed by SWISS-MODEL, ProSA, Molprobity, Swiss-Pdb Viewer, and ERRAT. The WES analysis showed a novel mutation of the RP2 gene (exon2:c. 359G>C: p.R120P) in the 36-year-old pregnant woman. Mutations identified in her husband and her twins revealed changes in protein conformations. Further modeling and validation evaluations showed the replacement of Arg by Pro at the 120th residue site of the cognate protein. For the first time, our report introduced a novel missense mutation in the RP2 gene associated with severe signs of RP in an Iranian family based on an X-linked recessive pattern of genetic inheritance. These findings may pave the way for a better diagnosis of RP in genetic counseling and PND.https://ijms.sums.ac.ir/article_49284_be79baa2bbed2c407b74137ad6152c43.pdfwhole exome sequencingretinitis pigmentosamutation
spellingShingle Nasrin Mansouri
Parichehr Darabi
Masoumeh Favaedi
Hanieh Faizmahdavi
Soheila Nankali
Marjan Assefi
Alireza Sharafshah
Vahid Omarmeli
A Novel Arg120Pro Mutation in the RP2 Gene in an Iranian Family with X-linked Retinitis Pigmentosa: A Case Report
Iranian Journal of Medical Sciences
whole exome sequencing
retinitis pigmentosa
mutation
title A Novel Arg120Pro Mutation in the RP2 Gene in an Iranian Family with X-linked Retinitis Pigmentosa: A Case Report
title_full A Novel Arg120Pro Mutation in the RP2 Gene in an Iranian Family with X-linked Retinitis Pigmentosa: A Case Report
title_fullStr A Novel Arg120Pro Mutation in the RP2 Gene in an Iranian Family with X-linked Retinitis Pigmentosa: A Case Report
title_full_unstemmed A Novel Arg120Pro Mutation in the RP2 Gene in an Iranian Family with X-linked Retinitis Pigmentosa: A Case Report
title_short A Novel Arg120Pro Mutation in the RP2 Gene in an Iranian Family with X-linked Retinitis Pigmentosa: A Case Report
title_sort novel arg120pro mutation in the rp2 gene in an iranian family with x linked retinitis pigmentosa a case report
topic whole exome sequencing
retinitis pigmentosa
mutation
url https://ijms.sums.ac.ir/article_49284_be79baa2bbed2c407b74137ad6152c43.pdf
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