New Insights on the Genetic Basis Underlying SHILCA Syndrome: Characterization of the NMNAT1 Pathological Alterations Due to Compound Heterozygous Mutations and Identification of a Novel Alternative Isoform.
This study aims to genetically characterize a two-year-old patient suffering from multiple systemic abnormalities, including skeletal, nervous and developmental involvements and Leber congenital amaurosis (LCA). Genetic screening by next-generation sequencing identified two heterozygous pathogenic variants in nicotinamide mononucleotide adenylyltransferase 1 (NMNAT1) as the molecular cause of the disease: c.439+5G>T and c.299+526_*968dup.This splice variant has never been reported to date, whereas pathogenic duplication has recently been associated with cases displaying an autosomal recessive disorder that includes a severe form of spondylo-epiphyseal dysplasia, sensorineural hearing loss, intellectual disability and LCA (SHILCA), as well as some brain anomalies. Our patient presented clinical manifestations which correlated strongly with this reported syndrome. To further study the possible transcriptional alterations resulting from these mutations, mRNA expression assays were performed in the patient and her father. The obtained results detected aberrant alternative transcripts and unbalanced levels of expression, consistent with severe systemic involvement. Moreover, these analyses also detected a novel NMNAT1 isoform, which is variably expressed in healthy human tissues. Altogether, these findings represent new evidence of the correlation of NMNAT1 and SHILCA syndrome, and provide additional insights into the healthy and pathogenic expression of this gene.
['Abad-Morales|Víctor|V|0000-0001-7684-956X', 'Wert|Ana|A|0000-0001-9426-2412', 'Ruiz Gómez|María Ángeles|MÁ|', 'Navarro|Rafael|R|', 'Pomares|Esther|E|0000-0002-3818-3303']
D002675:Child, Preschool D005260:Female D006319:Hearing Loss, Sensorineural D006579:Heterozygote D006801:Humans D008607:Intellectual Disability D057130:Leber Congenital Amaurosis D008297:Male D009154:Mutation D009612:Nicotinamide-Nucleotide Adenylyltransferase D010009:Osteochondrodysplasias D010375:Pedigree D020033:Protein Isoforms
Leber congenital amaurosis (LCA) nicotinamide mononucleotide adenylyltransferase 1 (NMNAT1) spondylo-epiphyseal dysplasia sensorineural hearing loss transcriptional alteration developmental delay hypomyelination inherited retinal diseases macular coloboma spondylo-epiphyseal dysplasia, sensorineural hearing loss, intellectual disability and Leber congenital amaurosis (SHILCA)