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Determining the Likelihood of Variant Pathogenicity Using Amino Acid-level Signal-to-Noise Analysis of Genetic Variation
Published on: January 16, 2019
Frequency and distribution of FCN2 and FCN3 functional variants among MBL2 genotypes
Helga Bjarnadottir1, Margret Arnardottir2,3, Bjorn Runar Ludviksson2,3
1Department of Immunology, Landspitali-The National University Hospital of Iceland, Hringbraut (Building 14 at Eiriksgata), 101, Reykjavik, Iceland. hbjarna@landspitali.is.
Abstract:
The six types of pattern recognition molecules (PRMs) that initiate complement via the lectin pathway (LP) comprise collectins and ficolins. The importance of having various PRMs to initiate the LP is currently unclear. Mannan-binding lectin (MBL) is a collectin member of the LP PRMs. MBL deficiency is common with mild clinical consequence. Thus, the lack of MBL may be compensated for by the other PRMs. We hypothesized that variants FCN2 + 6424 and FCN3 + 1637delC that cause gene-dose-dependent reduction in ficolin-2 and ficolin-3 levels, respectively, may be rare in MBL-deficient individuals due to the importance of compensation within the LP. The aim of this study was to investigate the distribution and frequency of these variants among MBL2 genotypes in healthy subjects. The allele frequency of FCN2 + 6424 and FCN3 + 1637delC was 0.099 and 0.015, respectively, in the cohort (n = 498). The frequency of FCN2 + 6424 tended to be lower among MBL-deficient subjects (n = 53) than among MBL-sufficient subjects (n = 445) (0.047 versus 0.106, P = 0.057). In addition, individuals who were homozygous for FCN2 + 6424 were sufficient MBL producers. The frequency of FCN3 + 1637delC did not differ between the groups. The frequency of FCN2 + 6424 was similar in FCN3 + 1637delC carriers (n = 15) versus wild type (n = 498). Furthermore, subjects that were heterozygote carriers of both FCN2 + 6424 and FCN3 + 1637delC were sufficient MBL producers. In conclusion, FCN2 + 6424 carriers with MBL deficiency tend to be rare among healthy individuals. MBL-deficient individuals with additional LP PRM defects may be at risk to morbidity.
Insights
Mannan-binding lectin (MBL) deficiency may be compensated by other lectin pathway pattern recognition molecules (PRMs). Ficolin variants FCN2+6424 and FCN3+1637delC were investigated. MBL-deficient individuals rarely carried the FCN2+6424 variant, suggesting compensation.
Area of Science:
- Immunology
- Complement System
- Genetic Epidemiology
Background:
- The lectin pathway (LP) of complement activation relies on pattern recognition molecules (PRMs) like collectins and ficolins.
- Mannan-binding lectin (MBL) deficiency is common, yet clinical consequences are mild, suggesting compensatory mechanisms.
- Ficolin-2 (encoded by FCN2) and Ficolin-3 (encoded by FCN3) are other LP PRMs whose reduced levels are associated with specific genetic variants.
Purpose of the Study:
- To investigate the hypothesis that specific variants in FCN2 and FCN3 genes are rare in MBL-deficient individuals due to compensatory roles within the LP.
- To determine the frequency of FCN2+6424 and FCN3+1637delC variants in relation to MBL2 genotypes in healthy subjects.
Main Methods:
- Genotyping of MBL2, FCN2+6424, and FCN3+1637delC variants in a cohort of 498 healthy individuals.
- Analysis of allele frequencies and comparison between MBL-deficient and MBL-sufficient subgroups.
- Assessment of combined effects of MBL deficiency and ficolin variants.
Main Results:
- The allele frequencies for FCN2+6424 and FCN3+1637delC were 0.099 and 0.015, respectively.
- The FCN2+6424 variant tended to be less frequent in MBL-deficient individuals (0.047) compared to MBL-sufficient individuals (0.106), P=0.057.
- Individuals homozygous for FCN2+6424 or carrying combined heterozygous ficolin variants were sufficient MBL producers; FCN3+1637delC frequency did not differ between groups.
Conclusions:
- The FCN2+6424 variant appears to be rare in MBL-deficient healthy individuals, supporting a compensatory role for ficolin-2.
- MBL-deficient individuals with additional LP PRM defects may face an increased risk of morbidity.
- Further research is warranted to elucidate the clinical implications of combined LP PRM deficiencies.
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