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Published on: August 8, 2022
[Clinical and ASS1 gene variant analysis of three Chinese pedigrees affected with Citrullinemia type I]
Rui Dong1, Kaihui Zhang, Hui Guo
1Institute of Pediatric Research, Children's Hospital Affiliated to Shandong University, Jinan, Shandong 250022, China. liuyi-ly@126.com.
Insights
This study analyzed three Chinese families with Citrullinemia type I (CTLN1), identifying novel ASS1 gene variants. These findings expand the known mutation spectrum for CTLN1 in Chinese populations.
Area of Science:
- Biochemistry
- Genetics
- Pediatrics
Context:
- Citrullinemia type I (CTLN1) is an autosomal recessive urea cycle disorder.
- Genetic heterogeneity contributes to the diverse clinical presentations of CTLN1.
- Understanding the genetic basis of CTLN1 is crucial for diagnosis and management.
Purpose:
- To investigate the clinical and genetic profiles of three Chinese pedigrees with Citrullinemia type I.
- To identify and validate novel pathogenic variants in the ASS1 gene associated with CTLN1.
- To contribute to the understanding of the genetic diversity of CTLN1 in the Chinese population.
Summary:
- Three pediatric patients diagnosed with CTLN1 were studied using next-generation sequencing and Sanger sequencing.
- Compound heterozygous variants in the ASS1 gene were identified in the probands and confirmed to be inherited from their parents.
- Newly identified variants, c.207_209delGGA and c.364-1G>A, expand the known mutational spectrum of the ASS1 gene.
Impact:
- The study expands the known spectrum of ASS1 gene mutations in Citrullinemia type I.
- It highlights the genetic heterogeneity of CTLN1 in Chinese patients.
- Findings aid in genetic counseling and potentially inform diagnostic strategies for urea cycle disorders.
Objective:
To analyze the clinical and genetic characteristics of three Chinese pedigrees affected with Citrullinemia type I (CTLN1).
Methods:
Three children diagnosed at the Children's Hospital Affiliated to Shandong University from 2017 to 2020 were selected as the study subjects. Genomic DNA was extracted from peripheral blood samples of the probands and their parents. Next generation sequencing (NGS) was carried out to detect pathological variants of the probands. Sanger sequencing was used for validating the candidate variant among the pedigrees.
Results:
The probands have respectively carried compound heterozygous variants of c.207_209delGGA and c.1168G>A, c.349G>A and c.364-1G>A, c.470G>A and c.970G>A of the ASS1 gene, which were respectively inherited from their parents.
Conclusion:
The newly discovered c.207_209delGGA and c.364-1G>A variants have enriched the mutational spectrum of the ASS1 gene. And the mutation spectrum of Chinese CTLN1 patients is heterogeneous.
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