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Effect of semaphorin 3C gene variants in multifactorial Hirschsprung disease
Gunadi1, Fiko Ryantono1, Raman Sethi2
1Pediatric Surgery Division, Department of Surgery/Genetics Working Group, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr. Sardjito Hospital, Yogyakarta, Indonesia.
Insights
This study screened the SEMA3C gene in Indonesian Hirschsprung disease (HSCR) patients, identifying a rare variant (rs1527482) as a potential risk factor. This finding contributes to understanding HSCR genetics in Asian populations.
Area of Science:
- Genetics and Genomics
- Developmental Biology
- Medical Genetics
Background:
- Class 3 semaphorins (SEMA3), including SEMA3C, are implicated in Hirschsprung disease (HSCR) development in Caucasian populations.
- Genetic variations in SEMA3C may contribute to HSCR pathogenesis in diverse ethnic groups.
Purpose of the Study:
- To investigate rare and common variants within the SEMA3C gene in Indonesian patients diagnosed with HSCR.
- To assess the potential role of SEMA3C variants in the etiology of HSCR among an Asian population.
Main Methods:
- Prospective clinical study involving 55 HSCR patients.
- DNA sequencing of the SEMA3C gene.
- Bioinformatics analyses to predict variant impact on protein function.
Main Results:
- Two SEMA3C variants identified: p.Val337Met (rs1527482) and p.Val579= (rs2272351).
- The rare variant rs1527482 showed significant overrepresentation in HSCR patients compared to South Asian controls.
- Bioinformatics predicted rs1527482 to be conserved and functionally damaging to SEMA3C protein; rs2272351 is synonymous and likely benign.
Conclusions:
- This study provides the first comprehensive analysis of SEMA3C variants in Asian HSCR patients.
- The SEMA3C variant rs1527482 is identified as a potential risk allele for HSCR in this population.
- Findings highlight the importance of SEMA3C in HSCR pathogenesis across different ancestries.
Objective:
Cluster genes, specifically the class 3 semaphorins (SEMA3) including SEMA3C, have been associated with the development of Hirschsprung disease (HSCR) in Caucasian populations. We aimed to screen for rare and common variants in SEMA3C in Indonesian patients with HSCR.
Methods:
In this prospective clinical study, we analyzed SEMA3C gene variants in 55 patients with HSCR through DNA sequencing and bioinformatics analyses.
Results:
Two variants in SEMA3C were found: p.Val337Met (rs1527482) and p.Val579 = (rs2272351). The rare variant rs1527482 (A) was significantly overrepresented in our HSCR patients (9.1%) compared with South Asian controls in the 1000 Genomes (4.7%) and Exome Aggregation Consortium (ExAC; 3.5%) databases. Our analysis using bioinformatics tools predicted this variant to be evolutionarily conserved and damaging to SEMA3C protein function. Although the frequency of the other variant, rs2272351 (G), also differed significantly in Indonesian patients with HSCR (27.3%) from that in South Asian controls in 1000 Genomes (6.2%) and ExAC (4.6%), it is a synonymous variant and not likely to affect protein function.
Conclusions:
This is the first comprehensive report of SEMA3C screening in patients of Asian ancestry with HSCR and identifies rs1527482 as a possible disease risk allele in this population.
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