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Whole-exome sequencing identifies tetratricopeptide repeat domain 7A (TTC7A) mutations for combined immunodeficiency with intestinal atresias.


ABSTRACT:

Background

Combined immunodeficiency with multiple intestinal atresias (CID-MIA) is a rare hereditary disease characterized by intestinal obstructions and profound immune defects.

Objective

We sought to determine the underlying genetic causes of CID-MIA by analyzing the exomic sequences of 5 patients and their healthy direct relatives from 5 unrelated families.

Methods

We performed whole-exome sequencing on 5 patients with CID-MIA and 10 healthy direct family members belonging to 5 unrelated families with CID-MIA. We also performed targeted Sanger sequencing for the candidate gene tetratricopeptide repeat domain 7A (TTC7A) on 3 additional patients with CID-MIA.

Results

Through analysis and comparison of the exomic sequence of the subjects from these 5 families, we identified biallelic damaging mutations in the TTC7A gene, for a total of 7 distinct mutations. Targeted TTC7A gene sequencing in 3 additional unrelated patients with CID-MIA revealed biallelic deleterious mutations in 2 of them, as well as an aberrant splice product in the third patient. Staining of normal thymus showed that the TTC7A protein is expressed in thymic epithelial cells, as well as in thymocytes. Moreover, severe lymphoid depletion was observed in the thymus and peripheral lymphoid tissues from 2 patients with CID-MIA.

Conclusions

We identified deleterious mutations of the TTC7A gene in 8 unrelated patients with CID-MIA and demonstrated that the TTC7A protein is expressed in the thymus. Our results strongly suggest that TTC7A gene defects cause CID-MIA.

SUBMITTER: Chen R 

PROVIDER: S-EPMC3759618 | biostudies-literature | 2013 Sep

REPOSITORIES: biostudies-literature

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Whole-exome sequencing identifies tetratricopeptide repeat domain 7A (TTC7A) mutations for combined immunodeficiency with intestinal atresias.

Chen Rui R   Giliani Silvia S   Lanzi Gaetana G   Mias George I GI   Lonardi Silvia S   Dobbs Kerry K   Manis John J   Im Hogune H   Gallagher Jennifer E JE   Phanstiel Douglas H DH   Euskirchen Ghia G   Lacroute Philippe P   Bettinger Keith K   Moratto Daniele D   Weinacht Katja K   Montin Davide D   Gallo Eleonora E   Mangili Giovanna G   Porta Fulvio F   Notarangelo Lucia D LD   Pedretti Stefania S   Al-Herz Waleed W   Alfahdli Wasmi W   Comeau Anne Marie AM   Traister Russell S RS   Pai Sung-Yun SY   Carella Graziella G   Facchetti Fabio F   Nadeau Kari C KC   Snyder Michael M   Notarangelo Luigi D LD  

The Journal of allergy and clinical immunology 20130704 3


<h4>Background</h4>Combined immunodeficiency with multiple intestinal atresias (CID-MIA) is a rare hereditary disease characterized by intestinal obstructions and profound immune defects.<h4>Objective</h4>We sought to determine the underlying genetic causes of CID-MIA by analyzing the exomic sequences of 5 patients and their healthy direct relatives from 5 unrelated families.<h4>Methods</h4>We performed whole-exome sequencing on 5 patients with CID-MIA and 10 healthy direct family members belong  ...[more]

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