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Updated: Jun 16, 2025

High-speed Video Microscopy Analysis for First-line Diagnosis of Primary Ciliary Dyskinesia
Published on: January 19, 2022
Two Pediatric Cases of Primary Ciliary Dyskinesia Caused by Loss-of-Function Variants in Oral-Facial-Digital Syndrome
Yifei Xu1, Yuki Tsurinaga2, Tsubasa Matsumoto3
1Department of Otorhinolaryngology-Head and Neck Surgery Mie University Graduate School of Medicine, Tsu, Japan.
Insights
Primary ciliary dyskinesia (PCD) in two boys resulted from novel OFD1 gene variants. These genetic mutations caused recurrent respiratory infections, but not oral-facial-digital syndrome type I.
Area of Science:
- Genetics
- Pediatrics
- Cell Biology
Background:
- Primary ciliary dyskinesia (PCD) is an inherited disorder affecting motile cilia function.
- Genetic defects in motile cilia components cause PCD, leading to chronic respiratory issues.
Observation:
- Two male pediatric patients presented with recurrent respiratory infections, a hallmark of PCD.
- Clinical evaluation revealed no symptoms associated with oral-facial-digital syndrome type I in either case.
Findings:
- Both patients were diagnosed with PCD due to hemizygous pathogenic variants in the OFD1 gene.
- Case 1 harbored the variant NM_003611.3: c.[2789_2793delTAAAA] (p.[Ile930LysfsTer8]).
- Case 2 presented with a previously unreported variant, NM_003611.3: c.[2632_2635delGAAG] (p.[Glu878LysfsTer9]), in the OFD1 gene.
Implications:
- This study expands the known spectrum of OFD1 gene variants associated with PCD.
- Identifying novel variants aids in understanding OFD1's role in ciliary function and PCD pathogenesis.
- Genetic diagnosis of PCD is crucial for appropriate clinical management and genetic counseling.
Abstract:
Primary ciliary dyskinesia (PCD) is a hereditary disease caused by genes related to motile cilia. We report two male pediatric cases of PCD caused by hemizygous pathogenic variants in the OFD1 centriole and centriolar satellite protein (OFD1) gene. The variants were NM_003611.3: c.[2789_2793delTAAAA] (p.[Ile930LysfsTer8]) in Case 1 and c.[2632_2635delGAAG] (p.[Glu878LysfsTer9]) in Case 2. Both cases had characteristic recurrent respiratory infections. Neither case had symptoms of oral-facial-digital syndrome type I. We identified a variant (c.2632_2635delGAAG) that has not been previously reported in any case of OFD1-PCD.
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