SLABÁ, Kateřina, Hana NOSKOVÁ, Petra VESELÁ, Jana TUČKOVÁ, Hana JIČÍNSKÁ, Tomáš HONZÍK, Hana HANSÍKOVÁ, Petra KLEIBLOVÁ, Petr ŠTOURAČ, Petr JABANDŽIEV, Ondřej SLABÝ and Dagmar PROCHÁZKOVÁ. Novel Splicing Variant in the PMM2 Gene in a Patient With PMM2-CDG Syndrome Presenting With Pericardial Effusion: A Case Report. Frontiers in Genetics. Lausanne: Frontiers, 2020, vol. 11, October 2020, p. 1-7. ISSN 1664-8021. Available from: https://dx.doi.org/10.3389/fgene.2020.561054.
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Basic information
Original name Novel Splicing Variant in the PMM2 Gene in a Patient With PMM2-CDG Syndrome Presenting With Pericardial Effusion: A Case Report
Authors SLABÁ, Kateřina (203 Czech Republic, belonging to the institution), Hana NOSKOVÁ (203 Czech Republic, belonging to the institution), Petra VESELÁ (203 Czech Republic, belonging to the institution), Jana TUČKOVÁ (203 Czech Republic, belonging to the institution), Hana JIČÍNSKÁ (203 Czech Republic, belonging to the institution), Tomáš HONZÍK (203 Czech Republic), Hana HANSÍKOVÁ (203 Czech Republic), Petra KLEIBLOVÁ (203 Czech Republic), Petr ŠTOURAČ (203 Czech Republic, belonging to the institution), Petr JABANDŽIEV (203 Czech Republic, belonging to the institution), Ondřej SLABÝ (203 Czech Republic, belonging to the institution) and Dagmar PROCHÁZKOVÁ (203 Czech Republic, guarantor, belonging to the institution).
Edition Frontiers in Genetics, Lausanne, Frontiers, 2020, 1664-8021.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30101 Human genetics
Country of publisher Switzerland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 4.599
RIV identification code RIV/00216224:14110/20:00116714
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.3389/fgene.2020.561054
UT WoS 000581419100001
Keywords in English PMM2-CDG; pericardial effusion; whole exome sequencing; novel splicing variant; phosphomannomutase 2
Tags 14110317, 14110322, 14110323, 14110513, CF GEN, podil, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 26/3/2021 08:29.
Abstract
Congenital disorders of glycosylation (CDG) are a rapidly growing family of genetic diseases with the phosphomannomutase 2 (PMM2)-CDG being the most common form of CDG. Most of these monogenic diseases are autosomal recessive and have multi-systemic manifestations, mainly psychomotor retardation, facial dysmorphisms, characteristic distribution of the fat pads, and variable coagulation abnormalities. The association of fetal hydrops with CDG has been reported, and pericardial effusion was also rarely observed in patients with PMM2-CDG. Here we describe an infant boy with PMM2-CDG. The diagnosis was suspected based on inverted nipples, fat pads, and combined coagulopathy. However, the primary symptom was progressive pericardial effusion leading to patient death at the age of 3 months. Screening for CDG performed by the use of isoelectric focusing of serum transferrin showed a typical PMM2-CDG pattern. Exome sequencing revealed one common pathogenic variant (c.691G > A/p.Val231Met) and one novel variant (c.447 + 3dupA) in the PMM2 gene. Both PMM2 variants were further confirmed by Sanger sequencing in both the proband and the parents' DNA. The novel variant was predicted to result in loss of donor splice site, and the analysis at mRNA level confirmed that it leads to exon five skipping (r.348_447del) and causes premature termination of translation to the protein (p.G117Kfs*4), therefore is classified as likely pathogenic. Although there is no curative therapy for the PMM2-CDG at the moment, the other supportive care options are available to be offered. The definite diagnosis of PMM2-CDG can also assist in the process of genetic counseling, family planning, and preimplantation genetic diagnosis.
Links
LM2015091, research and development projectName: Národní centrum lékařské genomiky (Acronym: NCLG)
Investor: Ministry of Education, Youth and Sports of the CR
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