Novel biallelic SASS6 variants associated with primary microcephaly and fetal growth restriction

Xiangtian Kong1, Jian Xu2, Honggang Yin3

  • 1Department of Medical Genetics and Prenatal Diagnosis, Affiliated Maternity and Child Health Care Hospital of Nantong University, Nantong, China.

Insights

Genetic variants in the SASS6 gene cause primary microcephaly, a condition of small head size. This study identifies new SASS6 variants linked to microcephaly and fetal growth restriction (FGR).

Area of Science:

  • Genetics
  • Developmental Biology
  • Human Pathologies

Background:

  • Primary microcephaly is a neurodevelopmental disorder defined by a significantly smaller head circumference than typical.
  • Genetic mutations are a known cause of primary microcephaly, with several SASS6 gene variants previously identified.
  • The SASS6 gene plays a crucial role in brain development and ciliogenesis.

Observation:

  • This study investigated a nonconsanguineous Chinese couple experiencing microcephaly and fetal growth restriction (FGR) in their pregnancy.
  • Trio whole-exome sequencing identified compound heterozygous variants in the SASS6 gene of the affected fetus.
  • Specific variants found were a frameshift variant (c.450_453del) and a splice region variant (c.1674+3A>G).

Findings:

  • The splice region variant (c.1674+3A>G) was shown to cause exon 14 skipping, resulting in an in-frame deletion.
  • These SASS6 gene variants are associated with both primary microcephaly and fetal growth restriction (FGR).
  • This expands the known phenotypic spectrum and mutation landscape for SASS6-related microcephaly.

Implications:

  • The findings underscore the critical role of the SASS6 gene in human brain development.
  • This research highlights a previously unreported association between SASS6 mutations and fetal growth restriction.
  • Understanding these genetic underpinnings can aid in diagnosing and potentially managing microcephaly and associated growth disorders.

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