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A novel COMP mutation in a pseudoachondroplasia family of Chinese origin
Li Dai1, Liang Xie, Yanping Wang
1National Center for Birth Defects Monitoring, West China Second University Hospital, Sichuan University, 20 Ren Min Nan Lu Section 3, Chengdu 610041, China. daili@scu.edu.cn
Insights
Pseudoachondroplasia (PSACH) is a genetic disorder caused by COMP gene mutations. A novel mutation in COMP was identified in a Chinese family, leading to severe short stature in patients.
Area of Science:
- Genetics
- Molecular Biology
- Skeletal Dysplasias
Background:
- Pseudoachondroplasia (PSACH) is exclusively caused by mutations in the cartilage oligomeric matrix protein (COMP) gene.
- Limited research exists on the genetic basis and clinical presentation of PSACH in Chinese populations.
Observation:
- A four-generation Chinese Han pedigree with PSACH was studied.
- Clinical evaluation showed severe disproportionate short stature (<-10SD) in affected individuals.
- Molecular genetic analysis was performed on patients and unaffected relatives.
Findings:
- A novel heterozygous insertion (c.1352_1353insTGTCCCTGG) was identified in exon 13 of the COMP gene in PSACH patients.
- This mutation leads to a three-amino-acid insertion (451V_452P ins VPG) in the COMP protein's sixth calmodulin-like repeat.
- The identified mutation was absent in unaffected individuals within the pedigree.
Implications:
- This finding identifies a new mutation responsible for severe familial PSACH.
- Further research into COMP mutations can improve understanding and diagnosis of PSACH.
- This expands the known spectrum of COMP mutations causing PSACH in diverse populations.
Background:
Pseudoachondroplasia (PSACH) is caused exclusively by mutations in the gene for cartilage oligomeric matrix protein (COMP). Only a small number of studies have documented the clinical phenotype and genetic basis in Chinese PSACH patients.
Case Presentation:
We investigated a four-generation PSACH pedigree of Chinese Han origin. Two patients and two unaffected individuals were recruited for clinical evaluation and molecular genetic analysis. The genomic DNA was extracted from peripheral blood leukocytes. Polymerase chain reaction (PCR) was adopted to amplify the 8-19 exons of COMP gene. Then the products were sequenced bi-directionally for screening mutation. Clinical evaluation revealed that PSACH patients in this pedigree had a severe disproportionate short stature (-10SD). A heterozygous TGTCCCTGG insertion in exon 13, between nucleotide 1352T and 1353G, were identified in the patients except the unaffected individuals, which resulted in a three-amino-acid insertion (451V_452P ins VPG) in the sixth calmodulin-like repeat of the COMP protein.
Conclusion:
This c. 1352_1353ins TGTCCCTGG is a novel mutation responsible for severe familial PSACH.
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