The clinical and genetic profiles of spinal muscular atrophy with respiratory distress type 1 and identification of a novel mutation in IGHMBP2 in China

BackgroundSpinal muscular atrophy with respiratory distress type 1 (SMARD1, OMIM #604320) is a rare autosomal recessive hereditary degenerative motor neuron disease caused by mutations in IGHMBP2. There is a lack of data from China. This study investigated the clinical characteristics and genetic ro...

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Main Authors: Yanjun Wang, Ya Yang, Jingjing Wang, Qian Han, Nana Zhai, Shufang Xiao
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Genetics
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Online Access:https://www.frontiersin.org/articles/10.3389/fgene.2025.1594265/full
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author Yanjun Wang
Ya Yang
Jingjing Wang
Qian Han
Nana Zhai
Shufang Xiao
author_facet Yanjun Wang
Ya Yang
Jingjing Wang
Qian Han
Nana Zhai
Shufang Xiao
author_sort Yanjun Wang
collection DOAJ
description BackgroundSpinal muscular atrophy with respiratory distress type 1 (SMARD1, OMIM #604320) is a rare autosomal recessive hereditary degenerative motor neuron disease caused by mutations in IGHMBP2. There is a lack of data from China. This study investigated the clinical characteristics and genetic roots of SMARD1 patients.MethodsRoutine detailed clinical assessments, laboratory examinations, and imaging assays were performed. Genetic variations in the families were investigated using whole-exome sequencing and Sanger sequencing, and then bioinformatic analyses were performed on the identified variant.ResultsHere, we describe three female patients with SMARD1 from three unrelated families carrying compound heterozygous mutations in the IGHMBP2 gene, which were inherited from both parents. Six mutations including a novel one (c.716T>C/p.L239P) were identified. Multiple lines of bioinformatic evidence suggested that the novel mutation was a likely detrimental variant. The c.1060G>A/p.G354S mutation was detected in both P1 and P3 and may be a hotspot in the Chinese population. Clinical presentations included delay in development, respiratory failure, hypotonia, distal limb muscle weakness, and diaphragm eventration or paralysis. Additionally, the variants identified in this study were compiled from relevant literature to analyze disease etiology, finding a distinctive distribution of genotypes across the severity of disease manifestations.ConclusionThis study broadened the knowledge on the genetic profile of SMARD1, improved pediatricians’ awareness of early identification and diagnosis, and offers useful data for patient clinical management.
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spelling doaj-art-b96754ad8d40429b9aeab9afa5e93b632025-08-20T02:44:23ZengFrontiers Media S.A.Frontiers in Genetics1664-80212025-07-011610.3389/fgene.2025.15942651594265The clinical and genetic profiles of spinal muscular atrophy with respiratory distress type 1 and identification of a novel mutation in IGHMBP2 in ChinaYanjun WangYa YangJingjing WangQian HanNana ZhaiShufang XiaoBackgroundSpinal muscular atrophy with respiratory distress type 1 (SMARD1, OMIM #604320) is a rare autosomal recessive hereditary degenerative motor neuron disease caused by mutations in IGHMBP2. There is a lack of data from China. This study investigated the clinical characteristics and genetic roots of SMARD1 patients.MethodsRoutine detailed clinical assessments, laboratory examinations, and imaging assays were performed. Genetic variations in the families were investigated using whole-exome sequencing and Sanger sequencing, and then bioinformatic analyses were performed on the identified variant.ResultsHere, we describe three female patients with SMARD1 from three unrelated families carrying compound heterozygous mutations in the IGHMBP2 gene, which were inherited from both parents. Six mutations including a novel one (c.716T>C/p.L239P) were identified. Multiple lines of bioinformatic evidence suggested that the novel mutation was a likely detrimental variant. The c.1060G>A/p.G354S mutation was detected in both P1 and P3 and may be a hotspot in the Chinese population. Clinical presentations included delay in development, respiratory failure, hypotonia, distal limb muscle weakness, and diaphragm eventration or paralysis. Additionally, the variants identified in this study were compiled from relevant literature to analyze disease etiology, finding a distinctive distribution of genotypes across the severity of disease manifestations.ConclusionThis study broadened the knowledge on the genetic profile of SMARD1, improved pediatricians’ awareness of early identification and diagnosis, and offers useful data for patient clinical management.https://www.frontiersin.org/articles/10.3389/fgene.2025.1594265/fullSMARD1whole-exome sequencingIGHMBP2mutation spectrumclinical profiles
spellingShingle Yanjun Wang
Ya Yang
Jingjing Wang
Qian Han
Nana Zhai
Shufang Xiao
The clinical and genetic profiles of spinal muscular atrophy with respiratory distress type 1 and identification of a novel mutation in IGHMBP2 in China
Frontiers in Genetics
SMARD1
whole-exome sequencing
IGHMBP2
mutation spectrum
clinical profiles
title The clinical and genetic profiles of spinal muscular atrophy with respiratory distress type 1 and identification of a novel mutation in IGHMBP2 in China
title_full The clinical and genetic profiles of spinal muscular atrophy with respiratory distress type 1 and identification of a novel mutation in IGHMBP2 in China
title_fullStr The clinical and genetic profiles of spinal muscular atrophy with respiratory distress type 1 and identification of a novel mutation in IGHMBP2 in China
title_full_unstemmed The clinical and genetic profiles of spinal muscular atrophy with respiratory distress type 1 and identification of a novel mutation in IGHMBP2 in China
title_short The clinical and genetic profiles of spinal muscular atrophy with respiratory distress type 1 and identification of a novel mutation in IGHMBP2 in China
title_sort clinical and genetic profiles of spinal muscular atrophy with respiratory distress type 1 and identification of a novel mutation in ighmbp2 in china
topic SMARD1
whole-exome sequencing
IGHMBP2
mutation spectrum
clinical profiles
url https://www.frontiersin.org/articles/10.3389/fgene.2025.1594265/full
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