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Deep Intronic Mutation in SERPING1 Caused Hereditary Angioedema Through Pseudoexon Activation

Hujová, Pavla ; Souček, Přemysl ; Grodecká, Lucie ; Grombiříková, Hana ; Ravčuková, Barbora ; Kuklínek, Pavel ; Hakl, Roman ; Litzman, Jiří ; Freiberger, Tomáš

Journal of clinical immunology, 2020-04, Vol.40 (3), p.435-446 [Periódico revisado por pares]

New York: Springer US

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  • Título:
    Deep Intronic Mutation in SERPING1 Caused Hereditary Angioedema Through Pseudoexon Activation
  • Autor: Hujová, Pavla ; Souček, Přemysl ; Grodecká, Lucie ; Grombiříková, Hana ; Ravčuková, Barbora ; Kuklínek, Pavel ; Hakl, Roman ; Litzman, Jiří ; Freiberger, Tomáš
  • Assuntos: Angioedema ; Biomedical and Life Sciences ; Biomedicine ; Complement component C1 ; Edema ; Exons ; Genetic analysis ; Immunology ; Infectious Diseases ; Internal Medicine ; Medical Microbiology ; Mutation ; Original Article
  • É parte de: Journal of clinical immunology, 2020-04, Vol.40 (3), p.435-446
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
  • Descrição: Purpose Hereditary angioedema (HAE) is a rare autosomal dominant life-threatening disease characterized by low levels of C1 inhibitor (type I HAE) or normal levels of ineffective C1 inhibitor (type II HAE), typically occurring as a consequence of a SERPING1 mutation. In some cases, a causal mutation remains undetected after using a standard molecular genetic analysis. Results Here we show a long methodological way to the final discovery of c.1029 + 384A > G, a novel deep intronic mutation in intron 6 which is responsible for HAE type I in a large family and has not been identified by a conventional diagnostic approach. This mutation results in de novo donor splice site creation and subsequent pseudoexon inclusion, the mechanism firstly described to occur in SERPING1 in this study. We additionally discovered that the proximal part of intron 6 is a region potentially prone to pseudoexon-activating mutations, since natural alternative exons and additional cryptic sites occur therein. Indeed, we confirmed the existence of at least two different alternative exons in this region not described previously. Conclusions In conclusion, our results suggest that detecting aberrant transcripts, which are often low abundant because of nonsense-mediated decay, requires a modified methodological approach. We suggest SERPING1 intron 6 sequencing and/or tailored mRNA analysis to be routinely used in HAE patients with no mutation identified in the coding sequence.
  • Editor: New York: Springer US
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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