Exome sequencing reveals IFT172 variants in patients with non-syndromic cholestatic liver disease.

<h4>Background and aim</h4>Gene defects contribute to the aetiology of intrahepatic cholestasis. We aimed to explore the outcome of whole-exome sequencing (WES) in a cohort of 51 patients with this diagnosis.<h4>Patients and methods</h4>Both paediatric (n = 33) and adult (n =...

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Main Authors: Magdaléna Neřoldová, Elżbieta Ciara, Janka Slatinská, Soňa Fraňková, Petra Lišková, Radana Kotalová, Janka Globinovská, Markéta Šafaříková, Lucie Pfeiferová, Hana Zůnová, Lenka Mrázová, Viktor Stránecký, Alena Vrbacká, Ondřej Fabián, Eva Sticová, Daniela Skanderová, Jan Šperl, Marta Kalousová, Tomáš Zima, Milan Macek, Joanna Pawlowska, A S Knisely, Stanislav Kmoch, Milan Jirsa
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0288907&type=printable
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author Magdaléna Neřoldová
Elżbieta Ciara
Janka Slatinská
Soňa Fraňková
Petra Lišková
Radana Kotalová
Janka Globinovská
Markéta Šafaříková
Lucie Pfeiferová
Hana Zůnová
Lenka Mrázová
Viktor Stránecký
Alena Vrbacká
Ondřej Fabián
Eva Sticová
Daniela Skanderová
Jan Šperl
Marta Kalousová
Tomáš Zima
Milan Macek
Joanna Pawlowska
A S Knisely
Stanislav Kmoch
Milan Jirsa
author_facet Magdaléna Neřoldová
Elżbieta Ciara
Janka Slatinská
Soňa Fraňková
Petra Lišková
Radana Kotalová
Janka Globinovská
Markéta Šafaříková
Lucie Pfeiferová
Hana Zůnová
Lenka Mrázová
Viktor Stránecký
Alena Vrbacká
Ondřej Fabián
Eva Sticová
Daniela Skanderová
Jan Šperl
Marta Kalousová
Tomáš Zima
Milan Macek
Joanna Pawlowska
A S Knisely
Stanislav Kmoch
Milan Jirsa
author_sort Magdaléna Neřoldová
collection DOAJ
description <h4>Background and aim</h4>Gene defects contribute to the aetiology of intrahepatic cholestasis. We aimed to explore the outcome of whole-exome sequencing (WES) in a cohort of 51 patients with this diagnosis.<h4>Patients and methods</h4>Both paediatric (n = 33) and adult (n = 18) patients with cholestatic liver disease of unknown aetiology were eligible. WES was used for reassessment of 34 patients (23 children) without diagnostic genotypes in ABCB11, ATP8B1, ABCB4 or JAG1 demonstrable by previous Sanger sequencing, and for primary assessment of additional 17 patients (10 children). Nasopharyngeal swab mRNA was analysed to address variant pathogenicity in two families.<h4>Results</h4>WES revealed biallelic variation in 3 ciliopathy genes (PKHD1, TMEM67 and IFT172) in 4 clinically unrelated index subjects (3 children and 1 adult), heterozygosity for a known variant in PPOX in one adult index subject, and homozygosity for an unreported splice-site variation in F11R in one child. Whereas phenotypes of the index patients with mutated PKHD1, TMEM67, and PPOX corresponded with those elsewhere reported, how F11R variation underlies liver disease remains unclear. Two unrelated patients harboured different novel biallelic variants in IFT172, a gene implicated in short-rib thoracic dysplasia 10 and Bardet-Biedl syndrome 20. One patient, a homozygote for IFT172 rs780205001 c.167A>C p.(Lys56Thr) born to first cousins, had liver disease, interpreted on biopsy aged 4y as glycogen storage disease, followed by adult-onset nephronophthisis at 25y. The other, a compound heterozygote for novel frameshift variant IFT172 NM_015662.3 c.2070del p.(Met690Ilefs*11) and 2 syntenic missense variants IFT172 rs776310391 c.157T>A p.(Phe53Ile) and rs746462745 c.164C>G p.(Thr55Ser), had a severe 8mo cholestatic episode in early infancy, with persisting hyperbilirubinemia and fibrosis on imaging studies at 17y. No patient had skeletal malformations.<h4>Conclusion</h4>Our findings suggest association of IFT172 variants with non-syndromic cholestatic liver disease.
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spelling doaj-art-6323603b02e54de1911ce31cb220105f2025-02-05T05:32:39ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01187e028890710.1371/journal.pone.0288907Exome sequencing reveals IFT172 variants in patients with non-syndromic cholestatic liver disease.Magdaléna NeřoldováElżbieta CiaraJanka SlatinskáSoňa FraňkováPetra LiškováRadana KotalováJanka GlobinovskáMarkéta ŠafaříkováLucie PfeiferováHana ZůnováLenka MrázováViktor StráneckýAlena VrbackáOndřej FabiánEva SticováDaniela SkanderováJan ŠperlMarta KalousováTomáš ZimaMilan MacekJoanna PawlowskaA S KniselyStanislav KmochMilan Jirsa<h4>Background and aim</h4>Gene defects contribute to the aetiology of intrahepatic cholestasis. We aimed to explore the outcome of whole-exome sequencing (WES) in a cohort of 51 patients with this diagnosis.<h4>Patients and methods</h4>Both paediatric (n = 33) and adult (n = 18) patients with cholestatic liver disease of unknown aetiology were eligible. WES was used for reassessment of 34 patients (23 children) without diagnostic genotypes in ABCB11, ATP8B1, ABCB4 or JAG1 demonstrable by previous Sanger sequencing, and for primary assessment of additional 17 patients (10 children). Nasopharyngeal swab mRNA was analysed to address variant pathogenicity in two families.<h4>Results</h4>WES revealed biallelic variation in 3 ciliopathy genes (PKHD1, TMEM67 and IFT172) in 4 clinically unrelated index subjects (3 children and 1 adult), heterozygosity for a known variant in PPOX in one adult index subject, and homozygosity for an unreported splice-site variation in F11R in one child. Whereas phenotypes of the index patients with mutated PKHD1, TMEM67, and PPOX corresponded with those elsewhere reported, how F11R variation underlies liver disease remains unclear. Two unrelated patients harboured different novel biallelic variants in IFT172, a gene implicated in short-rib thoracic dysplasia 10 and Bardet-Biedl syndrome 20. One patient, a homozygote for IFT172 rs780205001 c.167A>C p.(Lys56Thr) born to first cousins, had liver disease, interpreted on biopsy aged 4y as glycogen storage disease, followed by adult-onset nephronophthisis at 25y. The other, a compound heterozygote for novel frameshift variant IFT172 NM_015662.3 c.2070del p.(Met690Ilefs*11) and 2 syntenic missense variants IFT172 rs776310391 c.157T>A p.(Phe53Ile) and rs746462745 c.164C>G p.(Thr55Ser), had a severe 8mo cholestatic episode in early infancy, with persisting hyperbilirubinemia and fibrosis on imaging studies at 17y. No patient had skeletal malformations.<h4>Conclusion</h4>Our findings suggest association of IFT172 variants with non-syndromic cholestatic liver disease.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0288907&type=printable
spellingShingle Magdaléna Neřoldová
Elżbieta Ciara
Janka Slatinská
Soňa Fraňková
Petra Lišková
Radana Kotalová
Janka Globinovská
Markéta Šafaříková
Lucie Pfeiferová
Hana Zůnová
Lenka Mrázová
Viktor Stránecký
Alena Vrbacká
Ondřej Fabián
Eva Sticová
Daniela Skanderová
Jan Šperl
Marta Kalousová
Tomáš Zima
Milan Macek
Joanna Pawlowska
A S Knisely
Stanislav Kmoch
Milan Jirsa
Exome sequencing reveals IFT172 variants in patients with non-syndromic cholestatic liver disease.
PLoS ONE
title Exome sequencing reveals IFT172 variants in patients with non-syndromic cholestatic liver disease.
title_full Exome sequencing reveals IFT172 variants in patients with non-syndromic cholestatic liver disease.
title_fullStr Exome sequencing reveals IFT172 variants in patients with non-syndromic cholestatic liver disease.
title_full_unstemmed Exome sequencing reveals IFT172 variants in patients with non-syndromic cholestatic liver disease.
title_short Exome sequencing reveals IFT172 variants in patients with non-syndromic cholestatic liver disease.
title_sort exome sequencing reveals ift172 variants in patients with non syndromic cholestatic liver disease
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0288907&type=printable
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