Next-generation sequencing for identifying a novel/de novo pathogenic variant in a Mexican patient with cystic fibrosis: a case report

Abstract Background Mexico is among the countries showing the highest heterogeneity of CFTR variants. However, no de novo variants have previously been reported in Mexican patients with cystic fibrosis (CF). Case presentation Here, we report the first case of a novel/de novo variant in a Mexican pat...

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Main Authors: Angélica Martínez-Hernández, Julieta Larrosa, Francisco Barajas-Olmos, Humberto García-Ortíz, Elvia C. Mendoza-Caamal, Cecilia Contreras-Cubas, Elaheh Mirzaeicheshmeh, José Luis Lezana, Lorena Orozco
Format: Article
Language:English
Published: BMC 2019-05-01
Series:BMC Medical Genomics
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Online Access:http://link.springer.com/article/10.1186/s12920-019-0528-1
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author Angélica Martínez-Hernández
Julieta Larrosa
Francisco Barajas-Olmos
Humberto García-Ortíz
Elvia C. Mendoza-Caamal
Cecilia Contreras-Cubas
Elaheh Mirzaeicheshmeh
José Luis Lezana
Lorena Orozco
author_facet Angélica Martínez-Hernández
Julieta Larrosa
Francisco Barajas-Olmos
Humberto García-Ortíz
Elvia C. Mendoza-Caamal
Cecilia Contreras-Cubas
Elaheh Mirzaeicheshmeh
José Luis Lezana
Lorena Orozco
author_sort Angélica Martínez-Hernández
collection DOAJ
description Abstract Background Mexico is among the countries showing the highest heterogeneity of CFTR variants. However, no de novo variants have previously been reported in Mexican patients with cystic fibrosis (CF). Case presentation Here, we report the first case of a novel/de novo variant in a Mexican patient with CF. Our patient was an 8-year-old male who had exhibited the clinical onset of CF at one month of age, with steatorrhea, malabsorption, poor weight gain, anemia, and recurrent respiratory tract infections. Complete sequencing of the CFTR gene by next generation sequencing (NGS) revealed two different variants in trans, including the previously reported CF-causing variant c.3266G > A (p.Trp1089*, W1089*), that was inherited from the mother, and the novel/de novo CFTR variant c.1762G > T (p.Glu588*). Conclusion Our results demonstrate the efficiency of targeted NGS for making a rapid and precise diagnosis in patients with clinically suspected CF. This method can enable the provision of accurate genetic counselling, and improve our understanding of the molecular basis of genetic diseases.
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spelling doaj.art-ca333fa5007340e2aff4ed106ac1cee82022-12-21T23:12:35ZengBMCBMC Medical Genomics1755-87942019-05-011211410.1186/s12920-019-0528-1Next-generation sequencing for identifying a novel/de novo pathogenic variant in a Mexican patient with cystic fibrosis: a case reportAngélica Martínez-Hernández0Julieta Larrosa1Francisco Barajas-Olmos2Humberto García-Ortíz3Elvia C. Mendoza-Caamal4Cecilia Contreras-Cubas5Elaheh Mirzaeicheshmeh6José Luis Lezana7Lorena Orozco8Laboratorio de Inmunogenómica y enfermedades metabólicas, Instituto Nacional de Medicina Genómica,SSLaboratorio de Inmunogenómica y enfermedades metabólicas, Instituto Nacional de Medicina Genómica, SS, CDMX, Mexico y Posgrado en Ciencias Biológicas, Universidad Nacional Autónoma de MéxicoLaboratorio de Inmunogenómica y enfermedades metabólicas, Instituto Nacional de Medicina Genómica,SSLaboratorio de Inmunogenómica y enfermedades metabólicas, Instituto Nacional de Medicina Genómica,SSArea Clínica, Instituto Nacional de Medicina Genómica, SSLaboratorio de Inmunogenómica y enfermedades metabólicas, Instituto Nacional de Medicina Genómica,SSLaboratorio de Inmunogenómica y enfermedades metabólicas, Instituto Nacional de Medicina Genómica,SSClinica de Fibrosis Quística y Laboratorio de Fisiologia Pulmonar Hospital Infantil de México Federico Gómez. Asociación Mexicana de Fibrosis Quística, A. CLaboratorio de Inmunogenómica y enfermedades metabólicas, Instituto Nacional de Medicina Genómica,SSAbstract Background Mexico is among the countries showing the highest heterogeneity of CFTR variants. However, no de novo variants have previously been reported in Mexican patients with cystic fibrosis (CF). Case presentation Here, we report the first case of a novel/de novo variant in a Mexican patient with CF. Our patient was an 8-year-old male who had exhibited the clinical onset of CF at one month of age, with steatorrhea, malabsorption, poor weight gain, anemia, and recurrent respiratory tract infections. Complete sequencing of the CFTR gene by next generation sequencing (NGS) revealed two different variants in trans, including the previously reported CF-causing variant c.3266G > A (p.Trp1089*, W1089*), that was inherited from the mother, and the novel/de novo CFTR variant c.1762G > T (p.Glu588*). Conclusion Our results demonstrate the efficiency of targeted NGS for making a rapid and precise diagnosis in patients with clinically suspected CF. This method can enable the provision of accurate genetic counselling, and improve our understanding of the molecular basis of genetic diseases.http://link.springer.com/article/10.1186/s12920-019-0528-1Cystic fibrosisNext generation sequencingP.Trp1089*P.Glu588*Novel/de novo variant
spellingShingle Angélica Martínez-Hernández
Julieta Larrosa
Francisco Barajas-Olmos
Humberto García-Ortíz
Elvia C. Mendoza-Caamal
Cecilia Contreras-Cubas
Elaheh Mirzaeicheshmeh
José Luis Lezana
Lorena Orozco
Next-generation sequencing for identifying a novel/de novo pathogenic variant in a Mexican patient with cystic fibrosis: a case report
BMC Medical Genomics
Cystic fibrosis
Next generation sequencing
P.Trp1089*
P.Glu588*
Novel/de novo variant
title Next-generation sequencing for identifying a novel/de novo pathogenic variant in a Mexican patient with cystic fibrosis: a case report
title_full Next-generation sequencing for identifying a novel/de novo pathogenic variant in a Mexican patient with cystic fibrosis: a case report
title_fullStr Next-generation sequencing for identifying a novel/de novo pathogenic variant in a Mexican patient with cystic fibrosis: a case report
title_full_unstemmed Next-generation sequencing for identifying a novel/de novo pathogenic variant in a Mexican patient with cystic fibrosis: a case report
title_short Next-generation sequencing for identifying a novel/de novo pathogenic variant in a Mexican patient with cystic fibrosis: a case report
title_sort next generation sequencing for identifying a novel de novo pathogenic variant in a mexican patient with cystic fibrosis a case report
topic Cystic fibrosis
Next generation sequencing
P.Trp1089*
P.Glu588*
Novel/de novo variant
url http://link.springer.com/article/10.1186/s12920-019-0528-1
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