Homozygosity for the c.428delG variant in KIAA0586 in a healthy individual: implications for molecular testing in patients with Joubert syndrome

Item Type:	Article
Title:	Homozygosity for the c.428delG variant in KIAA0586 in a healthy individual: implications for molecular testing in patients with Joubert syndrome
Creators Name:	Pauli, S. and Altmüller, J. and Schröder, S. and Ohlenbusch, A. and Dreha-Kulaczewski, S. and Bergmann, C. and Nürnberg, P. and Thiele, H. and Li, Y. and Wollnik, B. and Brockmann, K.
Abstract:	BACKGROUND: Joubert syndrome (JBTS) is a rare neurodevelopmental disorder with marked phenotypic variability and genetic heterogeneity. Homozygous or compound heterozygous mutations in the KIAA0586 gene on chromosome 14q23 are known to be associated with JBTS-23. The frameshift variant c.428delG is the most frequent KIAA0586 variant reported in JBTS-23; yet, homozygosity of this variant was observed in two patients with JBTS-23. However, homozygosity of the c.428delG variant was recently reported as well in one healthy individual. OBJECTIVE: To clarify whether the frameshift variant c.428delG in KIAA0586 is pathogenic in the homozygous state. METHODS: Whole-exome sequencing as well as RNA analysis were performed. RESULTS: We identified biallelic mutations, including the variant c.428delG and a splice site variant c.1413-1G>C, in KIAA0586 in two siblings with clinical and MRI features of JBTS. The c.1413-1G>C variant was inherited from the healthy father. The c.428delG variant was found in the healthy mother in a homozygous state in blood lymphocytes, hair root cells and buccal epithelial cells. RNA analysis revealed that the transcript harbouring the c.428delG variant was expressed in blood cells from the healthy mother, indicating that transcripts harbouring this variant elude the mechanism of nonsense-mediated mRNA decay. CONCLUSION: Considering this and the high allele frequency of 0.003117 in the gnomAD database, we conclude that c.428delG represents a JBTS disease-causing variant only if present in compound heterozygous state with a more severe KIAA0586 variant, but not in a homozygous situation.
Keywords:	Clinical Genetics, Joubert Syndrome, kiaa0586, Neurology
Source:	Journal of Medical Genetics
ISSN:	1468-6244
Publisher:	BMJ Publishing Group
Volume:	56
Number:	4
Page Range:	261-264
Date:	April 2019
Official Publication:	https://doi.org/10.1136/jmedgenet-2018-105470
PubMed:	View item in PubMed

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