Early onset horizontal gaze palsy and progressive scoliosis due to a noncanonical splicing‐site variant and a missense variant in the ROBO3 gene

Abstract Background Homozygous or compound heterozygous ROBO3 gene mutations cause horizontal gaze palsy with progressive scoliosis (HGPPS). This is an autosomal recessive disorder that is characterized by congenital absence or severe restriction of horizontal gaze and progressive scoliosis. To date...

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Main Authors: Sheng Yi, Zailong Qin, Xunzhao Zhou, Junjie Chen, Shang Yi, Qiuli Chen, Limei Huang, Qinle Zhang, Biyan Chen, Jingsi Luo
Format: Article
Language:English
Published: Wiley 2023-09-01
Series:Molecular Genetics & Genomic Medicine
Subjects:
Online Access:https://doi.org/10.1002/mgg3.2215
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author Sheng Yi
Zailong Qin
Xunzhao Zhou
Junjie Chen
Shang Yi
Qiuli Chen
Limei Huang
Qinle Zhang
Biyan Chen
Jingsi Luo
author_facet Sheng Yi
Zailong Qin
Xunzhao Zhou
Junjie Chen
Shang Yi
Qiuli Chen
Limei Huang
Qinle Zhang
Biyan Chen
Jingsi Luo
author_sort Sheng Yi
collection DOAJ
description Abstract Background Homozygous or compound heterozygous ROBO3 gene mutations cause horizontal gaze palsy with progressive scoliosis (HGPPS). This is an autosomal recessive disorder that is characterized by congenital absence or severe restriction of horizontal gaze and progressive scoliosis. To date, almost 100 patients with HGPPS have been reported and 55 ROBO3 mutations have been identified. Methods We described an HGPPS patient and performed whole‐exome sequencing (WES) to identify the causative gene. Results We identified a missense variant and a splice‐site variant in the ROBO3 gene in the proband. Sanger sequencing of cDNA revealed the presence of an aberrant transcript with retention of 700 bp from intron 17, which was caused by a variation in the noncanonical splicing site. We identified five additional ROBO3 variants, which were likely pathogenic, and estimated the overall allele frequency in the southern Chinese population to be 9.44 × 10−4, by a review of our in‐house database. Conclusion This study has broadened the mutation spectrum of the ROBO3 gene and has expanded our knowledge of variants in noncanonical splicing sites. The results could help to provide more accurate genetic counseling to affected families and prospective couples. We suggest that the ROBO3 gene should be included in the local screening strategy.
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spelling doaj.art-e38971df665f4890b1bf7887add536962023-09-12T09:57:07ZengWileyMolecular Genetics & Genomic Medicine2324-92692023-09-01119n/an/a10.1002/mgg3.2215Early onset horizontal gaze palsy and progressive scoliosis due to a noncanonical splicing‐site variant and a missense variant in the ROBO3 geneSheng Yi0Zailong Qin1Xunzhao Zhou2Junjie Chen3Shang Yi4Qiuli Chen5Limei Huang6Qinle Zhang7Biyan Chen8Jingsi Luo9Genetic and Metabolic Central Laboratory Guangxi Birth Defects Research and Prevention Institute, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region Nanning ChinaGenetic and Metabolic Central Laboratory Guangxi Birth Defects Research and Prevention Institute, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region Nanning ChinaGenetic and Metabolic Central Laboratory Guangxi Birth Defects Research and Prevention Institute, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region Nanning ChinaDepartment of Radiology Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region Nanning ChinaGenetic and Metabolic Central Laboratory Guangxi Birth Defects Research and Prevention Institute, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region Nanning ChinaGenetic and Metabolic Central Laboratory Guangxi Birth Defects Research and Prevention Institute, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region Nanning ChinaGenetic and Metabolic Central Laboratory Guangxi Birth Defects Research and Prevention Institute, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region Nanning ChinaGenetic and Metabolic Central Laboratory Guangxi Birth Defects Research and Prevention Institute, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region Nanning ChinaGenetic and Metabolic Central Laboratory Guangxi Birth Defects Research and Prevention Institute, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region Nanning ChinaGenetic and Metabolic Central Laboratory Guangxi Birth Defects Research and Prevention Institute, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region Nanning ChinaAbstract Background Homozygous or compound heterozygous ROBO3 gene mutations cause horizontal gaze palsy with progressive scoliosis (HGPPS). This is an autosomal recessive disorder that is characterized by congenital absence or severe restriction of horizontal gaze and progressive scoliosis. To date, almost 100 patients with HGPPS have been reported and 55 ROBO3 mutations have been identified. Methods We described an HGPPS patient and performed whole‐exome sequencing (WES) to identify the causative gene. Results We identified a missense variant and a splice‐site variant in the ROBO3 gene in the proband. Sanger sequencing of cDNA revealed the presence of an aberrant transcript with retention of 700 bp from intron 17, which was caused by a variation in the noncanonical splicing site. We identified five additional ROBO3 variants, which were likely pathogenic, and estimated the overall allele frequency in the southern Chinese population to be 9.44 × 10−4, by a review of our in‐house database. Conclusion This study has broadened the mutation spectrum of the ROBO3 gene and has expanded our knowledge of variants in noncanonical splicing sites. The results could help to provide more accurate genetic counseling to affected families and prospective couples. We suggest that the ROBO3 gene should be included in the local screening strategy.https://doi.org/10.1002/mgg3.2215allele frequencyHGPPSnoncanonical splicing siteROBO3screening strategy
spellingShingle Sheng Yi
Zailong Qin
Xunzhao Zhou
Junjie Chen
Shang Yi
Qiuli Chen
Limei Huang
Qinle Zhang
Biyan Chen
Jingsi Luo
Early onset horizontal gaze palsy and progressive scoliosis due to a noncanonical splicing‐site variant and a missense variant in the ROBO3 gene
Molecular Genetics & Genomic Medicine
allele frequency
HGPPS
noncanonical splicing site
ROBO3
screening strategy
title Early onset horizontal gaze palsy and progressive scoliosis due to a noncanonical splicing‐site variant and a missense variant in the ROBO3 gene
title_full Early onset horizontal gaze palsy and progressive scoliosis due to a noncanonical splicing‐site variant and a missense variant in the ROBO3 gene
title_fullStr Early onset horizontal gaze palsy and progressive scoliosis due to a noncanonical splicing‐site variant and a missense variant in the ROBO3 gene
title_full_unstemmed Early onset horizontal gaze palsy and progressive scoliosis due to a noncanonical splicing‐site variant and a missense variant in the ROBO3 gene
title_short Early onset horizontal gaze palsy and progressive scoliosis due to a noncanonical splicing‐site variant and a missense variant in the ROBO3 gene
title_sort early onset horizontal gaze palsy and progressive scoliosis due to a noncanonical splicing site variant and a missense variant in the robo3 gene
topic allele frequency
HGPPS
noncanonical splicing site
ROBO3
screening strategy
url https://doi.org/10.1002/mgg3.2215
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