A Novel Splice-Site Mutation in MSH2 Is Associated With the Development of Lynch Syndrome

Lynch syndrome (LS) is an inherited autosomal dominant disorder caused by germline mutations of mismatch repair (MMR) genes, including MSH2, MSH6, PMS2, and MLH1. This study aimed to analyze the molecular defects and clinical manifestations of an affected family and propose appropriate individual pr...

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Main Authors: Juyi Li, Yuanyuan Li, Haichun Ni, Zhibin Yang, Jian Chen, Yarong Li, Sheng Ding, Xiaowan Jiang, Mengjie Wang, Li Li, Xiaoyu Lv, Xiaoyun Ruan, Qian Jiang, Zhang Lei, Yong Cheng, Juan Huang, Aiping Deng
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-06-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fonc.2020.00983/full
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author Juyi Li
Yuanyuan Li
Haichun Ni
Zhibin Yang
Jian Chen
Yarong Li
Sheng Ding
Xiaowan Jiang
Mengjie Wang
Li Li
Xiaoyu Lv
Xiaoyun Ruan
Qian Jiang
Zhang Lei
Yong Cheng
Juan Huang
Aiping Deng
author_facet Juyi Li
Yuanyuan Li
Haichun Ni
Zhibin Yang
Jian Chen
Yarong Li
Sheng Ding
Xiaowan Jiang
Mengjie Wang
Li Li
Xiaoyu Lv
Xiaoyun Ruan
Qian Jiang
Zhang Lei
Yong Cheng
Juan Huang
Aiping Deng
author_sort Juyi Li
collection DOAJ
description Lynch syndrome (LS) is an inherited autosomal dominant disorder caused by germline mutations of mismatch repair (MMR) genes, including MSH2, MSH6, PMS2, and MLH1. This study aimed to analyze the molecular defects and clinical manifestations of an affected family and propose appropriate individual prevention strategies for all mutation carriers. A novel splicing mutation (c.1661+2 T>G) was identified in the MSH2 gene, which was found to co-segregate among affected family members by Whole exome sequencing (WES). RT-PCR analysis confirmed that c.1661+2 T>G could produce 3 transcripts, including 1 normal transcript and 2 aberrant transcripts. The 2 aberrant transcripts resulted in premature termination at the 6th nucleotide codon of MSH2 exon 11, so that the predicted products of the mutant MSH2 mRNAs were truncated proteins of 505 amino acids (with all of exon 10 deleted) and 528 amino acids (with a deletion of 82-nucleotides in exon 10), resulting in the loss of the interaction domain, the ATP domain and post-translationally modified residues. Quantitative RT-PCR (qRT-PCR) analysis showed that MSH2 mRNA levels in all patients were reduced to only 1/4 of the control levels. Our study reveals that a novel splicing mutation (c.1661+2 T>G) in the MSH2 gene causes LS and reaffirms the importance of genetic testing for LS.
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spelling doaj.art-f1065cd2ed5c42f3b9c17f5a90ce85aa2022-12-22T02:34:34ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2020-06-011010.3389/fonc.2020.00983523012A Novel Splice-Site Mutation in MSH2 Is Associated With the Development of Lynch SyndromeJuyi Li0Yuanyuan Li1Haichun Ni2Zhibin Yang3Jian Chen4Yarong Li5Sheng Ding6Xiaowan Jiang7Mengjie Wang8Li Li9Xiaoyu Lv10Xiaoyun Ruan11Qian Jiang12Zhang Lei13Yong Cheng14Juan Huang15Aiping Deng16Department of Pharmacy, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Pharmacy, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Pathology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Information, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Information, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Endocrinology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Endocrinology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Endocrinology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Endocrinology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Endocrinology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Endocrinology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Pharmacy, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Pharmacy, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Oncology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Gastrointestinal Surgery, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Personnel, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Pharmacy, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaLynch syndrome (LS) is an inherited autosomal dominant disorder caused by germline mutations of mismatch repair (MMR) genes, including MSH2, MSH6, PMS2, and MLH1. This study aimed to analyze the molecular defects and clinical manifestations of an affected family and propose appropriate individual prevention strategies for all mutation carriers. A novel splicing mutation (c.1661+2 T>G) was identified in the MSH2 gene, which was found to co-segregate among affected family members by Whole exome sequencing (WES). RT-PCR analysis confirmed that c.1661+2 T>G could produce 3 transcripts, including 1 normal transcript and 2 aberrant transcripts. The 2 aberrant transcripts resulted in premature termination at the 6th nucleotide codon of MSH2 exon 11, so that the predicted products of the mutant MSH2 mRNAs were truncated proteins of 505 amino acids (with all of exon 10 deleted) and 528 amino acids (with a deletion of 82-nucleotides in exon 10), resulting in the loss of the interaction domain, the ATP domain and post-translationally modified residues. Quantitative RT-PCR (qRT-PCR) analysis showed that MSH2 mRNA levels in all patients were reduced to only 1/4 of the control levels. Our study reveals that a novel splicing mutation (c.1661+2 T>G) in the MSH2 gene causes LS and reaffirms the importance of genetic testing for LS.https://www.frontiersin.org/article/10.3389/fonc.2020.00983/fullLynch syndromehereditary non-polyposis colorectal cancerMSH2microsatellite instabilityaberrant splicinggenetic counseling
spellingShingle Juyi Li
Yuanyuan Li
Haichun Ni
Zhibin Yang
Jian Chen
Yarong Li
Sheng Ding
Xiaowan Jiang
Mengjie Wang
Li Li
Xiaoyu Lv
Xiaoyun Ruan
Qian Jiang
Zhang Lei
Yong Cheng
Juan Huang
Aiping Deng
A Novel Splice-Site Mutation in MSH2 Is Associated With the Development of Lynch Syndrome
Frontiers in Oncology
Lynch syndrome
hereditary non-polyposis colorectal cancer
MSH2
microsatellite instability
aberrant splicing
genetic counseling
title A Novel Splice-Site Mutation in MSH2 Is Associated With the Development of Lynch Syndrome
title_full A Novel Splice-Site Mutation in MSH2 Is Associated With the Development of Lynch Syndrome
title_fullStr A Novel Splice-Site Mutation in MSH2 Is Associated With the Development of Lynch Syndrome
title_full_unstemmed A Novel Splice-Site Mutation in MSH2 Is Associated With the Development of Lynch Syndrome
title_short A Novel Splice-Site Mutation in MSH2 Is Associated With the Development of Lynch Syndrome
title_sort novel splice site mutation in msh2 is associated with the development of lynch syndrome
topic Lynch syndrome
hereditary non-polyposis colorectal cancer
MSH2
microsatellite instability
aberrant splicing
genetic counseling
url https://www.frontiersin.org/article/10.3389/fonc.2020.00983/full
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