A de novo homozygous missense mutation of the GUSB gene leads to mucopolysaccharidosis type VII identification in a family with twice adverse pregnancy outcomes due to non-immune hydrops fetalis

Non-immune hydrops fetalis (NIHF) is a common and severe manifestation of many genetic disorders. The ultrasound is an ideal method for diagnosing hydrops fetalis during pregnancy. Since most NIHFs do not have an identifiable cause, determining the underlying etiology remains a challenge for prenata...

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Main Authors: Runxuan Du, Haishen Tian, Bingyi Zhao, Xuedong Shi, Yanmei Sun, Bo Qiu, Yali Li
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:Molecular Genetics and Metabolism Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214426923000794
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author Runxuan Du
Haishen Tian
Bingyi Zhao
Xuedong Shi
Yanmei Sun
Bo Qiu
Yali Li
author_facet Runxuan Du
Haishen Tian
Bingyi Zhao
Xuedong Shi
Yanmei Sun
Bo Qiu
Yali Li
author_sort Runxuan Du
collection DOAJ
description Non-immune hydrops fetalis (NIHF) is a common and severe manifestation of many genetic disorders. The ultrasound is an ideal method for diagnosing hydrops fetalis during pregnancy. Since most NIHFs do not have an identifiable cause, determining the underlying etiology remains a challenge for prenatal counseling. Due to advancements in exome sequencing, the diagnostic rates of NIHF have recently increased. As reported here, DNA was extracted from the amniotic fluid of a pregnant woman who was prenatally diagnosed with a NIHF type of unclear origin. Amniocentesis sampling demonstrated a normal female karyotype and copy number variation(CNVs) without alterations. Tri-whole exome sequencing (WES) was conducted to identify possible causative variants. In the fetus, a de novo genetic mutation was identified as a homozygous form. The mutation was located on the glucuronidase beta (GUSB) gene: NM_000181.3: c.1324G > A; p. Ala442Thr; Chr7:65439349, which leads to mucopolysaccharidosis type VII. This mutation was inherited from the parents and was first reported to be related to NIHF. We conclude that the use of WES is beneficial for NIHF cases whose prognosis has not been explained by standard genetic testing.
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spelling doaj.art-a73794be80284e0d87441b5243d61da82024-02-26T04:15:33ZengElsevierMolecular Genetics and Metabolism Reports2214-42692024-03-0138101033A de novo homozygous missense mutation of the GUSB gene leads to mucopolysaccharidosis type VII identification in a family with twice adverse pregnancy outcomes due to non-immune hydrops fetalisRunxuan Du0Haishen Tian1Bingyi Zhao2Xuedong Shi3Yanmei Sun4Bo Qiu5Yali Li6Department of Reproduction and Genetics, Hebei General Hospital, Hebei Provincial, Shijiazhuang, ChinaDepartment of Reproduction and Genetics, Hebei General Hospital, Hebei Provincial, Shijiazhuang, ChinaDepartment of Reproduction and Genetics, Hebei General Hospital, Hebei Provincial, Shijiazhuang, ChinaDepartment of Reproduction and Genetics, Hebei General Hospital, Hebei Provincial, Shijiazhuang, ChinaDepartment of Reproduction and Genetics, Hebei General Hospital, Hebei Provincial, Shijiazhuang, ChinaDepartment of pharmacy, Hebei General Hospital, Hebei Provincial, Shijiazhuang, ChinaDepartment of Reproduction and Genetics, Hebei General Hospital, Hebei Provincial, Shijiazhuang, China; Corresponding author.Non-immune hydrops fetalis (NIHF) is a common and severe manifestation of many genetic disorders. The ultrasound is an ideal method for diagnosing hydrops fetalis during pregnancy. Since most NIHFs do not have an identifiable cause, determining the underlying etiology remains a challenge for prenatal counseling. Due to advancements in exome sequencing, the diagnostic rates of NIHF have recently increased. As reported here, DNA was extracted from the amniotic fluid of a pregnant woman who was prenatally diagnosed with a NIHF type of unclear origin. Amniocentesis sampling demonstrated a normal female karyotype and copy number variation(CNVs) without alterations. Tri-whole exome sequencing (WES) was conducted to identify possible causative variants. In the fetus, a de novo genetic mutation was identified as a homozygous form. The mutation was located on the glucuronidase beta (GUSB) gene: NM_000181.3: c.1324G > A; p. Ala442Thr; Chr7:65439349, which leads to mucopolysaccharidosis type VII. This mutation was inherited from the parents and was first reported to be related to NIHF. We conclude that the use of WES is beneficial for NIHF cases whose prognosis has not been explained by standard genetic testing.http://www.sciencedirect.com/science/article/pii/S2214426923000794Whole exome sequencingNon-immune hydrops fetalisMucopolysaccharidosis type VIIGUSB geneCase report
spellingShingle Runxuan Du
Haishen Tian
Bingyi Zhao
Xuedong Shi
Yanmei Sun
Bo Qiu
Yali Li
A de novo homozygous missense mutation of the GUSB gene leads to mucopolysaccharidosis type VII identification in a family with twice adverse pregnancy outcomes due to non-immune hydrops fetalis
Molecular Genetics and Metabolism Reports
Whole exome sequencing
Non-immune hydrops fetalis
Mucopolysaccharidosis type VII
GUSB gene
Case report
title A de novo homozygous missense mutation of the GUSB gene leads to mucopolysaccharidosis type VII identification in a family with twice adverse pregnancy outcomes due to non-immune hydrops fetalis
title_full A de novo homozygous missense mutation of the GUSB gene leads to mucopolysaccharidosis type VII identification in a family with twice adverse pregnancy outcomes due to non-immune hydrops fetalis
title_fullStr A de novo homozygous missense mutation of the GUSB gene leads to mucopolysaccharidosis type VII identification in a family with twice adverse pregnancy outcomes due to non-immune hydrops fetalis
title_full_unstemmed A de novo homozygous missense mutation of the GUSB gene leads to mucopolysaccharidosis type VII identification in a family with twice adverse pregnancy outcomes due to non-immune hydrops fetalis
title_short A de novo homozygous missense mutation of the GUSB gene leads to mucopolysaccharidosis type VII identification in a family with twice adverse pregnancy outcomes due to non-immune hydrops fetalis
title_sort de novo homozygous missense mutation of the gusb gene leads to mucopolysaccharidosis type vii identification in a family with twice adverse pregnancy outcomes due to non immune hydrops fetalis
topic Whole exome sequencing
Non-immune hydrops fetalis
Mucopolysaccharidosis type VII
GUSB gene
Case report
url http://www.sciencedirect.com/science/article/pii/S2214426923000794
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