Case Report: Prenatal Diagnosis of Postaxial Polydactyly With Bi-Allelic Variants in Smoothened (SMO)

Postaxial polydactyly is a common congenital malformation which involves complex genetic factors. This retrospective study analyzed the cytogenetic and molecular results of a Chinese fetus diagnosed with postaxial polydactyly of all four limbs. Fetal karyotyping and chromosomal microarray analysis (...

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Main Authors: Lihong Fan, Pengzhen Jin, Yeqing Qian, Guosong Shen, Xueping Shen, Minyue Dong
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Genetics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fgene.2022.887082/full
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author Lihong Fan
Pengzhen Jin
Yeqing Qian
Guosong Shen
Xueping Shen
Minyue Dong
Minyue Dong
author_facet Lihong Fan
Pengzhen Jin
Yeqing Qian
Guosong Shen
Xueping Shen
Minyue Dong
Minyue Dong
author_sort Lihong Fan
collection DOAJ
description Postaxial polydactyly is a common congenital malformation which involves complex genetic factors. This retrospective study analyzed the cytogenetic and molecular results of a Chinese fetus diagnosed with postaxial polydactyly of all four limbs. Fetal karyotyping and chromosomal microarray analysis (CMA) did not find any abnormality while trio whole-exome sequencing (trio-WES) identified bi-allelic variants in smoothened (SMO) and (NM_005631.5: c.1219C > G, NP_005622.1: p. Pro407Ala, and NM_005631.5: c.1619C > T, NP_005622.1: p. Ala540Val). Sanger sequencing validated these variants. The mutations are highly conserved across multiple species. In-depth bioinformatics analysis and familial co-segregation implied the compound heterozygous variants as the likely cause of postaxial polydactyly in this fetus. Our findings provided the basis for genetic counseling and will contribute to a better understanding of the complex genetic mechanism that underlies postaxial polydactyly.
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spelling doaj.art-92f9613d660447a3a2f098aeef624c5e2022-12-22T02:38:57ZengFrontiers Media S.A.Frontiers in Genetics1664-80212022-06-011310.3389/fgene.2022.887082887082Case Report: Prenatal Diagnosis of Postaxial Polydactyly With Bi-Allelic Variants in Smoothened (SMO)Lihong Fan0Pengzhen Jin1Yeqing Qian2Guosong Shen3Xueping Shen4Minyue Dong5Minyue Dong6Center of Prenatal Diagnosis, Huzhou Maternity & Child Health Care Hospital, Huzhou, ChinaWomen’s Hospital, School of Medicine Zhejiang University, Hangzhou, ChinaWomen’s Hospital, School of Medicine Zhejiang University, Hangzhou, ChinaCenter of Prenatal Diagnosis, Huzhou Maternity & Child Health Care Hospital, Huzhou, ChinaCenter of Prenatal Diagnosis, Huzhou Maternity & Child Health Care Hospital, Huzhou, ChinaWomen’s Hospital, School of Medicine Zhejiang University, Hangzhou, ChinaKey Laboratory of Reproductive Genetics (Zhejiang University), Ministry of Education, Hangzhou, ChinaPostaxial polydactyly is a common congenital malformation which involves complex genetic factors. This retrospective study analyzed the cytogenetic and molecular results of a Chinese fetus diagnosed with postaxial polydactyly of all four limbs. Fetal karyotyping and chromosomal microarray analysis (CMA) did not find any abnormality while trio whole-exome sequencing (trio-WES) identified bi-allelic variants in smoothened (SMO) and (NM_005631.5: c.1219C > G, NP_005622.1: p. Pro407Ala, and NM_005631.5: c.1619C > T, NP_005622.1: p. Ala540Val). Sanger sequencing validated these variants. The mutations are highly conserved across multiple species. In-depth bioinformatics analysis and familial co-segregation implied the compound heterozygous variants as the likely cause of postaxial polydactyly in this fetus. Our findings provided the basis for genetic counseling and will contribute to a better understanding of the complex genetic mechanism that underlies postaxial polydactyly.https://www.frontiersin.org/articles/10.3389/fgene.2022.887082/fullpostaxial polydactylywhole-exome sequencingbi-allelic variantssmoothenedgenetic counseling
spellingShingle Lihong Fan
Pengzhen Jin
Yeqing Qian
Guosong Shen
Xueping Shen
Minyue Dong
Minyue Dong
Case Report: Prenatal Diagnosis of Postaxial Polydactyly With Bi-Allelic Variants in Smoothened (SMO)
Frontiers in Genetics
postaxial polydactyly
whole-exome sequencing
bi-allelic variants
smoothened
genetic counseling
title Case Report: Prenatal Diagnosis of Postaxial Polydactyly With Bi-Allelic Variants in Smoothened (SMO)
title_full Case Report: Prenatal Diagnosis of Postaxial Polydactyly With Bi-Allelic Variants in Smoothened (SMO)
title_fullStr Case Report: Prenatal Diagnosis of Postaxial Polydactyly With Bi-Allelic Variants in Smoothened (SMO)
title_full_unstemmed Case Report: Prenatal Diagnosis of Postaxial Polydactyly With Bi-Allelic Variants in Smoothened (SMO)
title_short Case Report: Prenatal Diagnosis of Postaxial Polydactyly With Bi-Allelic Variants in Smoothened (SMO)
title_sort case report prenatal diagnosis of postaxial polydactyly with bi allelic variants in smoothened smo
topic postaxial polydactyly
whole-exome sequencing
bi-allelic variants
smoothened
genetic counseling
url https://www.frontiersin.org/articles/10.3389/fgene.2022.887082/full
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