Prenatal diagnosis identifies compound heterozygous variants in RYR1 that causes ultrasound abnormalities in a fetus

Abstract Objective We presented a non-consanguineous healthy Chinese couple with five pregnancies, three early miscarriages, the fetus II-2 and II-5 with similar abnormal phenotypes of fetal hydrops, scoliosis, fetal akinesia and polyhydramnios. This study aimed to uncover the molecular etiology of...

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Main Authors: Qiuling Zhao, Xiaoduo Li, Li Liu, Xu Zhang, Xin Pan, Hong Yao, Yongyi Ma, Bo Tan
Format: Article
Language:English
Published: BMC 2022-09-01
Series:BMC Medical Genomics
Subjects:
Online Access:https://doi.org/10.1186/s12920-022-01358-x
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author Qiuling Zhao
Xiaoduo Li
Li Liu
Xu Zhang
Xin Pan
Hong Yao
Yongyi Ma
Bo Tan
author_facet Qiuling Zhao
Xiaoduo Li
Li Liu
Xu Zhang
Xin Pan
Hong Yao
Yongyi Ma
Bo Tan
author_sort Qiuling Zhao
collection DOAJ
description Abstract Objective We presented a non-consanguineous healthy Chinese couple with five pregnancies, three early miscarriages, the fetus II-2 and II-5 with similar abnormal phenotypes of fetal hydrops, scoliosis, fetal akinesia and polyhydramnios. This study aimed to uncover the molecular etiology of this family with a history of multiple adverse pregnancies. Materials and methods DNA extracted from the fifth fetal umbilical cord and parents’ peripheral blood were subjected to SNP-array and whole exome sequencing. The result was verified by Sanger sequencing. Functional characterization of the c.2682G > C (p.Ile860_Pro894del) variant was completed by minigene splicing assay. Results Trio whole-exome sequencing has identified compound heterozygous variants in RYR1 (c.2682G > C; p.Ile860_Pro894del and c.12572G > A; p.Arg4191His) in fetus II-5. The variant c.2682G > C (p.Ile860_Pro894del) comes from the father and the c.12572G > A (p.Arg4191His) comes from the mother. The c.2682G > C (p.Ile860_Pro894del) affects the splice site resulting in exon 21 skipping, therefore is classified as likely pathogenic. The c.12572G > A (p.Arg4191His) locates in the C-terminal hot spots region of the RYR1, classified as of uncertain significance. Conclusions We report the first prenatal case of RYR1-related disorders in Chinese population, expanding the variant spectrum of RYR1 in fetuses.
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spelling doaj.art-88785578a6d448738be1e5cb3ed6181c2022-12-22T03:48:00ZengBMCBMC Medical Genomics1755-87942022-09-011511710.1186/s12920-022-01358-xPrenatal diagnosis identifies compound heterozygous variants in RYR1 that causes ultrasound abnormalities in a fetusQiuling Zhao0Xiaoduo Li1Li Liu2Xu Zhang3Xin Pan4Hong Yao5Yongyi Ma6Bo Tan7Department of Gynecology and Obstetrics, The Second Affiliated Hospital of Chongqing Medical UniversityQijiang Maternal and Child Health HospitalDepartment of Gynecology and Obstetrics, The Second Affiliated Hospital of Chongqing Medical UniversityDepartment of Gynecology and Obstetrics, The Second Affiliated Hospital of Chongqing Medical UniversityDepartment of Gynecology and Obstetrics, The Second Affiliated Hospital of Chongqing Medical UniversityDepartment of Gynecology and Obstetrics, The Second Affiliated Hospital of Chongqing Medical UniversityDepartment of Gynecology and Obstetrics, Southwest Hospital, Third Military Medical University (Army Medical University)Department of Gynecology and Obstetrics, The Second Affiliated Hospital of Chongqing Medical UniversityAbstract Objective We presented a non-consanguineous healthy Chinese couple with five pregnancies, three early miscarriages, the fetus II-2 and II-5 with similar abnormal phenotypes of fetal hydrops, scoliosis, fetal akinesia and polyhydramnios. This study aimed to uncover the molecular etiology of this family with a history of multiple adverse pregnancies. Materials and methods DNA extracted from the fifth fetal umbilical cord and parents’ peripheral blood were subjected to SNP-array and whole exome sequencing. The result was verified by Sanger sequencing. Functional characterization of the c.2682G > C (p.Ile860_Pro894del) variant was completed by minigene splicing assay. Results Trio whole-exome sequencing has identified compound heterozygous variants in RYR1 (c.2682G > C; p.Ile860_Pro894del and c.12572G > A; p.Arg4191His) in fetus II-5. The variant c.2682G > C (p.Ile860_Pro894del) comes from the father and the c.12572G > A (p.Arg4191His) comes from the mother. The c.2682G > C (p.Ile860_Pro894del) affects the splice site resulting in exon 21 skipping, therefore is classified as likely pathogenic. The c.12572G > A (p.Arg4191His) locates in the C-terminal hot spots region of the RYR1, classified as of uncertain significance. Conclusions We report the first prenatal case of RYR1-related disorders in Chinese population, expanding the variant spectrum of RYR1 in fetuses.https://doi.org/10.1186/s12920-022-01358-xRyanodine receptor type 1 geneRYR1-related disordersUltrasound abnormalitiesSplice-site variantWhole-exome sequencing
spellingShingle Qiuling Zhao
Xiaoduo Li
Li Liu
Xu Zhang
Xin Pan
Hong Yao
Yongyi Ma
Bo Tan
Prenatal diagnosis identifies compound heterozygous variants in RYR1 that causes ultrasound abnormalities in a fetus
BMC Medical Genomics
Ryanodine receptor type 1 gene
RYR1-related disorders
Ultrasound abnormalities
Splice-site variant
Whole-exome sequencing
title Prenatal diagnosis identifies compound heterozygous variants in RYR1 that causes ultrasound abnormalities in a fetus
title_full Prenatal diagnosis identifies compound heterozygous variants in RYR1 that causes ultrasound abnormalities in a fetus
title_fullStr Prenatal diagnosis identifies compound heterozygous variants in RYR1 that causes ultrasound abnormalities in a fetus
title_full_unstemmed Prenatal diagnosis identifies compound heterozygous variants in RYR1 that causes ultrasound abnormalities in a fetus
title_short Prenatal diagnosis identifies compound heterozygous variants in RYR1 that causes ultrasound abnormalities in a fetus
title_sort prenatal diagnosis identifies compound heterozygous variants in ryr1 that causes ultrasound abnormalities in a fetus
topic Ryanodine receptor type 1 gene
RYR1-related disorders
Ultrasound abnormalities
Splice-site variant
Whole-exome sequencing
url https://doi.org/10.1186/s12920-022-01358-x
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