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Published on: August 15, 2019
Novel homozygous mutations in TXNDC15 causing Meckel syndrome
1Reproductive Medical Center, Shenzhen Maternity & Child Healthcare Hospital, Shenzhen, People's Republic of China.
Background:
Meckel syndrome (MKS) is the most severe form of an autosomal recessive ciliopathy and is clinically characterized by occipital encephalocele, severely polycystic kidneys, and postaxial polydactyly (toes). The association of TXNDC15-related MKS has been reported. We report the case of a homozygous mutation in the TXNDC15 gene, causing MKS14 in the Chinese population.
Methods:
The fetal skin tissue and parental peripheral blood were retained for whole-exome sequencing and Sanger sequencing, which investigated the potential pathogenic variants associated with MKS.
Results:
The fetus was homozygous for a mutation in the TXNDC15 gene (NM_024715.3), specifically c.560delA (p.Asn187llefsTer4), and both parents were heterozygous for this mutation.
Conclusion:
Our study identified a new mutation that adds to the mutational landscape of MKS, which provide a basis for genetic counseling and the selection of reproductive options.
Insights
Meckel syndrome (MKS) is a severe ciliopathy. A new homozygous mutation in the TXNDC15 gene was identified in a Chinese family, causing MKS14 and aiding genetic counseling.
Area of Science:
- Genetics
- Molecular Biology
- Developmental Biology
Background:
- Meckel syndrome (MKS) is a severe autosomal recessive ciliopathy.
- Clinical features include occipital encephalocele, polycystic kidneys, and polydactyly.
- TXNDC15 gene mutations are associated with MKS.
Observation:
- A Chinese family presented with a fetus exhibiting MKS characteristics.
- Whole-exome and Sanger sequencing were performed on fetal tissue and parental blood.
- Genetic analysis aimed to identify pathogenic variants linked to MKS.
Findings:
- The fetus was homozygous for a novel TXNDC15 gene mutation (c.560delA).
- Both parents were heterozygous carriers of the identified TXNDC15 mutation.
- This mutation leads to MKS14, a specific subtype of Meckel syndrome.
Implications:
- Identifies a new mutation contributing to the genetic diversity of MKS.
- Provides crucial information for genetic counseling in affected families.
- Supports reproductive decision-making for individuals at risk of MKS.
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