Examination of Molecular Effects of MYLK Deletion in a Patient with Extensive Aortic, Carotid, and Abdominal Dissections That Underlie the Genetic Dysfunction

We describe the phenotype of a patient with extensive aortic, carotid, and abdominal dissections. The proband was found to have a heterozygous deletion of exons 21–34 in MYLK, which is a rare finding, as deletions in this gene have been infrequently reported. We describe this finding following detec...

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Main Authors: Sarah K. Macklin, Katelyn A. Bruno, Charitha Vadlamudi, Haytham Helmi, Ayesha Samreen, Ahmed N. Mohammad, Stephanie Hines, Paldeep S. Atwal, Thomas R. Caulfield
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2020/5108052
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author Sarah K. Macklin
Katelyn A. Bruno
Charitha Vadlamudi
Haytham Helmi
Ayesha Samreen
Ahmed N. Mohammad
Stephanie Hines
Paldeep S. Atwal
Thomas R. Caulfield
author_facet Sarah K. Macklin
Katelyn A. Bruno
Charitha Vadlamudi
Haytham Helmi
Ayesha Samreen
Ahmed N. Mohammad
Stephanie Hines
Paldeep S. Atwal
Thomas R. Caulfield
author_sort Sarah K. Macklin
collection DOAJ
description We describe the phenotype of a patient with extensive aortic, carotid, and abdominal dissections. The proband was found to have a heterozygous deletion of exons 21–34 in MYLK, which is a rare finding, as deletions in this gene have been infrequently reported. We describe this finding following detection in a proband with an extensive history of aortic, carotid, and abdominal dissections. Neoteric molecular modeling techniques to help determine the impact of this deletion on protein function indicated loss of function due to lack of any kinase domain. We also provide the electrostatics calculations from the wild type and mutant variant. Through a combined multiomic approach of clinical, functional, and protein informatics, we arrive at a data fusion for determination of pathogenicity embedded within the genetic code for this particular genetic variant, which, as a platform, continues to broaden its scope across the field of variants of uncertain significance classification.
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spelling doaj-art-0888aed61dc54bf58e1edee6718d328c2025-02-03T05:53:54ZengWileyCase Reports in Medicine1687-96271687-96352020-01-01202010.1155/2020/51080525108052Examination of Molecular Effects of MYLK Deletion in a Patient with Extensive Aortic, Carotid, and Abdominal Dissections That Underlie the Genetic DysfunctionSarah K. Macklin0Katelyn A. Bruno1Charitha Vadlamudi2Haytham Helmi3Ayesha Samreen4Ahmed N. Mohammad5Stephanie Hines6Paldeep S. Atwal7Thomas R. Caulfield8Department of Clinical Genomics, Mayo Clinic, Jacksonville, FL 32224, USAResearch Administration, Mayo Clinic, Jacksonville, FL 32224, USADepartment of Clinical Genomics, Mayo Clinic, Jacksonville, FL 32224, USAResearch Administration, Mayo Clinic, Jacksonville, FL 32224, USADepartment of Clinical Genomics, Mayo Clinic, Jacksonville, FL 32224, USADepartment of Clinical Genomics, Mayo Clinic, Jacksonville, FL 32224, USADepartment of Internal Medicine & Department of Cardiovascular Diseases, Mayo Clinic, Jacksonville, FL 32224, USADepartment of Clinical Genomics, Mayo Clinic, Jacksonville, FL 32224, USADepartment of Clinical Genomics, Mayo Clinic, Jacksonville, FL 32224, USAWe describe the phenotype of a patient with extensive aortic, carotid, and abdominal dissections. The proband was found to have a heterozygous deletion of exons 21–34 in MYLK, which is a rare finding, as deletions in this gene have been infrequently reported. We describe this finding following detection in a proband with an extensive history of aortic, carotid, and abdominal dissections. Neoteric molecular modeling techniques to help determine the impact of this deletion on protein function indicated loss of function due to lack of any kinase domain. We also provide the electrostatics calculations from the wild type and mutant variant. Through a combined multiomic approach of clinical, functional, and protein informatics, we arrive at a data fusion for determination of pathogenicity embedded within the genetic code for this particular genetic variant, which, as a platform, continues to broaden its scope across the field of variants of uncertain significance classification.http://dx.doi.org/10.1155/2020/5108052
spellingShingle Sarah K. Macklin
Katelyn A. Bruno
Charitha Vadlamudi
Haytham Helmi
Ayesha Samreen
Ahmed N. Mohammad
Stephanie Hines
Paldeep S. Atwal
Thomas R. Caulfield
Examination of Molecular Effects of MYLK Deletion in a Patient with Extensive Aortic, Carotid, and Abdominal Dissections That Underlie the Genetic Dysfunction
Case Reports in Medicine
title Examination of Molecular Effects of MYLK Deletion in a Patient with Extensive Aortic, Carotid, and Abdominal Dissections That Underlie the Genetic Dysfunction
title_full Examination of Molecular Effects of MYLK Deletion in a Patient with Extensive Aortic, Carotid, and Abdominal Dissections That Underlie the Genetic Dysfunction
title_fullStr Examination of Molecular Effects of MYLK Deletion in a Patient with Extensive Aortic, Carotid, and Abdominal Dissections That Underlie the Genetic Dysfunction
title_full_unstemmed Examination of Molecular Effects of MYLK Deletion in a Patient with Extensive Aortic, Carotid, and Abdominal Dissections That Underlie the Genetic Dysfunction
title_short Examination of Molecular Effects of MYLK Deletion in a Patient with Extensive Aortic, Carotid, and Abdominal Dissections That Underlie the Genetic Dysfunction
title_sort examination of molecular effects of mylk deletion in a patient with extensive aortic carotid and abdominal dissections that underlie the genetic dysfunction
url http://dx.doi.org/10.1155/2020/5108052
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