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Updated: Jul 17, 2026

Determining the Likelihood of Variant Pathogenicity Using Amino Acid-level Signal-to-Noise Analysis of Genetic Variation
Published on: January 16, 2019
Evolutionary comparison provides evidence for pathogenicity of RMRP mutations
Luisa Bonafé1, Emmanouil T Dermitzakis, Sheila Unger
1Division of Molecular Pediatrics, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland. Luisa.Bonafe@chuv.ch
Cartilage-hair hypoplasia (CHH) is a rare genetic disorder caused by RMRP gene mutations. Identifying novel mutations aids in diagnosis and understanding the disease
Area of Science:
- Genetics
- Molecular Biology
- Human Disease
Background:
- Cartilage-hair hypoplasia (CHH) is a pleiotropic disorder.
- It results from recessive mutations in the RMRP gene.
- CHH presents with diverse symptoms including short stature, sparse hair, immune deficiency, and cancer predisposition.
Purpose of the Study:
- To report novel mutations in the RMRP gene in patients with CHH.
- To describe the phenotypic spectrum associated with these mutations.
- To develop a method for predicting mutation pathogenicity.
Main Methods:
- Genomic sequencing to identify mutations in 36 CHH patients.
- Comparative genomic analysis of RMRP gene sequences across mammals.
- Alignment of genomic sequences to identify conserved and non-conserved regions.
Main Results:
- Identified 20 novel RMRP mutations in 36 patients.
- Established a correlation between mutation location in conserved nucleotides and pathogenicity.
- Observed high mutational heterogeneity and diversity in the RMRP gene.
- Found that CHH may be underdiagnosed due to variable presentation.
Conclusions:
- RMRP molecular testing is valuable for diagnosing CHH.
- Comparative genomics aids in predicting mutation pathogenicity for RMRP variants.
- CHH is likely more common than previously thought and warrants consideration in patients with metaphyseal dysplasia, anemia, or immune dysregulation.
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