A NOVEL c.973G>T MUTATION IN THE ε-SUBUNIT OF THE ACETYLCHOLINE RECEPTOR CAUSING CONGENITAL MYASTHENIC SYNDROME IN AN IRANIAN FAMILY
Karimzadeh P1,2, Parvizi Omran S3, Ghaedi H4, Omrani MD4,*
*Corresponding Author: Mir Davood Omrani, Ph.D., Department of Medical Genetics, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Koodakyar Street, Daneshjoo Boulevard, Evin, Chamran Highway, Tehran, Islamic Republic of Iran, 1985717443. E-mail: davood_omrani@sbmu.ac.ir
page: 95

RESULTS

Mutation Analysis. Direct sequencing of all 12 exons of the CHRNE gene, including all intron-exon boundaries, revealed the plausible presence of a novel missense mutation in a homozygous state. The mutation was found in exon 11, and substitution of the nucleotide G>T at the position 973 of the cDNA (c.973G>T) [Figure 2(a)]. This results in a substitution of valine to leucine amino acid at position 325 (V325L) of the protein. In addition, the target sequencing of family members revealed that both parents carried the same mutation in the heterozygous state [Figure 2(b)]. This formally confirmed that this patient likely inherited the mutation from each parent. No homozygous or heterozygous mutations were detected in the patient’s siblings. Pathogenicity of a Novel Mutation. We predicted the functional consequences of the newly identified mutation in the CHRNE gene through three in silico prediction tools. Here, the PolyPhen 2 result revealed that the c.973 G>T mutation probably damaged the structure and function of protein with a score of 0.999. According to the MutationTaster, the V325L mutation was predicted to be the causal agent for disease. Moreover, SIFT analysis showed the mutation is deleterious with the score of 0.01. The variant was not annotated in the National Center for Biotechnology Information (NCBI), database for single nucleotide polymorphism (dbSNP) [8], 1000 Genomes Project [9] Exome Variant Server (http://evs.gs.washing ton.edu/EVS) and was also not listed in ClinVar (http:// www.ncbi.nlm.nih.gov/clinvar/). Furthermore, the identified variant was recognized as “likely pathogenic” according to ACMG/AMP recommendations [10].



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