Incomplete penetrance for isolated congenital asplenia in humans with mutations in translated and untranslated RPSA exons

Isolated congenital asplenia (ICA) is the only known human developmental defect exclusively affecting a lymphoid organ. In 2013, we showed that private deleterious mutations in the protein-coding region of RPSA, encoding ribosomal protein SA, caused ICA by haploinsufficiency with complete penetrance...

Full description

Bibliographic Details
Main Authors: Bolze, A, Boisson, B, Bosch, B, Antipenko, A, Bouaziz, M, Sackstein, P, Chaker-Margot, M, Barlogis, V, Briggs, T, Colino, E, Elmore, A, Fischer, A, Genel, F, Hewlett, A, Jedidi, M, Kelecic, J, Krüger, R, Ku, C, Kumararatne, D, Lefevre-Utile, A, Loughlin, S, Mahlaoui, N, Markus, S, Garcia, J, Nizon, M, Oleastro, M, Pac, M, Picard, C, Pollard, A, Rodriguez-Gallego, C, Thomas, C, Von Bernuth, H, Worth, A, Meyts, I, Risolino, M, Selleri, L, Puel, A, Klinge, S, Abel, L, Casanova, J
Format: Journal article
Language:English
Published: National Academy of Sciences 2018
_version_ 1797081146467549184
author Bolze, A
Boisson, B
Bosch, B
Antipenko, A
Bouaziz, M
Sackstein, P
Chaker-Margot, M
Barlogis, V
Briggs, T
Colino, E
Elmore, A
Fischer, A
Genel, F
Hewlett, A
Jedidi, M
Kelecic, J
Krüger, R
Ku, C
Kumararatne, D
Lefevre-Utile, A
Loughlin, S
Mahlaoui, N
Markus, S
Garcia, J
Nizon, M
Oleastro, M
Pac, M
Picard, C
Pollard, A
Rodriguez-Gallego, C
Thomas, C
Von Bernuth, H
Worth, A
Meyts, I
Risolino, M
Selleri, L
Puel, A
Klinge, S
Abel, L
Casanova, J
author_facet Bolze, A
Boisson, B
Bosch, B
Antipenko, A
Bouaziz, M
Sackstein, P
Chaker-Margot, M
Barlogis, V
Briggs, T
Colino, E
Elmore, A
Fischer, A
Genel, F
Hewlett, A
Jedidi, M
Kelecic, J
Krüger, R
Ku, C
Kumararatne, D
Lefevre-Utile, A
Loughlin, S
Mahlaoui, N
Markus, S
Garcia, J
Nizon, M
Oleastro, M
Pac, M
Picard, C
Pollard, A
Rodriguez-Gallego, C
Thomas, C
Von Bernuth, H
Worth, A
Meyts, I
Risolino, M
Selleri, L
Puel, A
Klinge, S
Abel, L
Casanova, J
author_sort Bolze, A
collection OXFORD
description Isolated congenital asplenia (ICA) is the only known human developmental defect exclusively affecting a lymphoid organ. In 2013, we showed that private deleterious mutations in the protein-coding region of RPSA, encoding ribosomal protein SA, caused ICA by haploinsufficiency with complete penetrance. We reported seven heterozygous protein-coding mutations in 8 of the 23 kindreds studied, including 6 of the 8 multiplex kindreds. We have since enrolled 33 new kindreds, 5 of which are multiplex. We describe here 11 new heterozygous ICA-causing RPSA protein-coding mutations, and the first two mutations in the 5′-UTR of this gene, which disrupt mRNA splicing. Overall, 40 of the 73 ICA patients (55%) and 23 of the 56 kindreds (41%) carry mutations located in translated or untranslated exons of RPSA. Eleven of the 43 kindreds affected by sporadic disease (26%) carry RPSA mutations, whereas 12 of the 13 multiplex kindreds (92%) carry RPSA mutations. We also report that 6 of 18 (33%) protein-coding mutations and the two (100%) 5′-UTR mutations display incomplete penetrance. Three mutations were identified in two independent kindreds, due to a hotspot or a founder effect. Finally, RPSA ICA-causing mutations were demonstrated to be de novo in 7 of the 23 probands. Mutations in RPSA exons can affect the translated or untranslated regions and can underlie ICA with complete or incomplete penetrance.
first_indexed 2024-03-07T01:10:24Z
format Journal article
id oxford-uuid:8ccdba3e-046b-41e1-a0ed-28363edfec95
institution University of Oxford
language English
last_indexed 2024-03-07T01:10:24Z
publishDate 2018
publisher National Academy of Sciences
record_format dspace
spelling oxford-uuid:8ccdba3e-046b-41e1-a0ed-28363edfec952022-03-26T22:46:58ZIncomplete penetrance for isolated congenital asplenia in humans with mutations in translated and untranslated RPSA exonsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:8ccdba3e-046b-41e1-a0ed-28363edfec95EnglishSymplectic Elements at OxfordNational Academy of Sciences2018Bolze, ABoisson, BBosch, BAntipenko, ABouaziz, MSackstein, PChaker-Margot, MBarlogis, VBriggs, TColino, EElmore, AFischer, AGenel, FHewlett, AJedidi, MKelecic, JKrüger, RKu, CKumararatne, DLefevre-Utile, ALoughlin, SMahlaoui, NMarkus, SGarcia, JNizon, MOleastro, MPac, MPicard, CPollard, ARodriguez-Gallego, CThomas, CVon Bernuth, HWorth, AMeyts, IRisolino, MSelleri, LPuel, AKlinge, SAbel, LCasanova, JIsolated congenital asplenia (ICA) is the only known human developmental defect exclusively affecting a lymphoid organ. In 2013, we showed that private deleterious mutations in the protein-coding region of RPSA, encoding ribosomal protein SA, caused ICA by haploinsufficiency with complete penetrance. We reported seven heterozygous protein-coding mutations in 8 of the 23 kindreds studied, including 6 of the 8 multiplex kindreds. We have since enrolled 33 new kindreds, 5 of which are multiplex. We describe here 11 new heterozygous ICA-causing RPSA protein-coding mutations, and the first two mutations in the 5′-UTR of this gene, which disrupt mRNA splicing. Overall, 40 of the 73 ICA patients (55%) and 23 of the 56 kindreds (41%) carry mutations located in translated or untranslated exons of RPSA. Eleven of the 43 kindreds affected by sporadic disease (26%) carry RPSA mutations, whereas 12 of the 13 multiplex kindreds (92%) carry RPSA mutations. We also report that 6 of 18 (33%) protein-coding mutations and the two (100%) 5′-UTR mutations display incomplete penetrance. Three mutations were identified in two independent kindreds, due to a hotspot or a founder effect. Finally, RPSA ICA-causing mutations were demonstrated to be de novo in 7 of the 23 probands. Mutations in RPSA exons can affect the translated or untranslated regions and can underlie ICA with complete or incomplete penetrance.
spellingShingle Bolze, A
Boisson, B
Bosch, B
Antipenko, A
Bouaziz, M
Sackstein, P
Chaker-Margot, M
Barlogis, V
Briggs, T
Colino, E
Elmore, A
Fischer, A
Genel, F
Hewlett, A
Jedidi, M
Kelecic, J
Krüger, R
Ku, C
Kumararatne, D
Lefevre-Utile, A
Loughlin, S
Mahlaoui, N
Markus, S
Garcia, J
Nizon, M
Oleastro, M
Pac, M
Picard, C
Pollard, A
Rodriguez-Gallego, C
Thomas, C
Von Bernuth, H
Worth, A
Meyts, I
Risolino, M
Selleri, L
Puel, A
Klinge, S
Abel, L
Casanova, J
Incomplete penetrance for isolated congenital asplenia in humans with mutations in translated and untranslated RPSA exons
title Incomplete penetrance for isolated congenital asplenia in humans with mutations in translated and untranslated RPSA exons
title_full Incomplete penetrance for isolated congenital asplenia in humans with mutations in translated and untranslated RPSA exons
title_fullStr Incomplete penetrance for isolated congenital asplenia in humans with mutations in translated and untranslated RPSA exons
title_full_unstemmed Incomplete penetrance for isolated congenital asplenia in humans with mutations in translated and untranslated RPSA exons
title_short Incomplete penetrance for isolated congenital asplenia in humans with mutations in translated and untranslated RPSA exons
title_sort incomplete penetrance for isolated congenital asplenia in humans with mutations in translated and untranslated rpsa exons
work_keys_str_mv AT bolzea incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT boissonb incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT boschb incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT antipenkoa incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT bouazizm incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT sacksteinp incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT chakermargotm incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT barlogisv incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT briggst incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT colinoe incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT elmorea incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT fischera incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT genelf incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT hewletta incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT jedidim incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT kelecicj incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT krugerr incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT kuc incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT kumararatned incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT lefevreutilea incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT loughlins incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT mahlaouin incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT markuss incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT garciaj incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT nizonm incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT oleastrom incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT pacm incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT picardc incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT pollarda incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT rodriguezgallegoc incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT thomasc incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT vonbernuthh incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT wortha incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT meytsi incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT risolinom incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT selleril incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT puela incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT klinges incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT abell incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons
AT casanovaj incompletepenetranceforisolatedcongenitalaspleniainhumanswithmutationsintranslatedanduntranslatedrpsaexons