Truncated SPAG9 as a novel candidate gene for a new syndrome: Coarse facial features, albinism, cataract and developmental delay (CACD syndrome)

Abstract Sperm-associated antigen 9 (SPAG9) is a member of cancer-testis antigen, having characteristics of a scaffold protein, which is involved in the c-Jun N-terminal kinase JNK signaling pathway, suggesting its key involvement in different physiological processes, such as survival, apoptosis, tu...

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Main Authors: Majid Alfadhel, Bashayr S. Alhubayshi, Muhammad Umair, Ahmed Alfaidi, Deemah Alwadaani, Essra Aloyouni, Safdar Abbas, Abdulkareem Al Abdulrahman, Mohammed Aldrees, Abeer Al Tuwaijri, Ruaa S. Alharithy, Abdulaziz Alajlan, Abdulrahman Alswaid, Saad Almohrij, Sultan Al-Khenaizan
Format: Article
Language:English
Published: Sociedade Brasileira de Genética 2025-01-01
Series:Genetics and Molecular Biology
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-47572025000100102&lng=en&tlng=en
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author Majid Alfadhel
Bashayr S. Alhubayshi
Muhammad Umair
Ahmed Alfaidi
Deemah Alwadaani
Essra Aloyouni
Safdar Abbas
Abdulkareem Al Abdulrahman
Mohammed Aldrees
Abeer Al Tuwaijri
Ruaa S. Alharithy
Abdulaziz Alajlan
Abdulrahman Alswaid
Saad Almohrij
Sultan Al-Khenaizan
author_facet Majid Alfadhel
Bashayr S. Alhubayshi
Muhammad Umair
Ahmed Alfaidi
Deemah Alwadaani
Essra Aloyouni
Safdar Abbas
Abdulkareem Al Abdulrahman
Mohammed Aldrees
Abeer Al Tuwaijri
Ruaa S. Alharithy
Abdulaziz Alajlan
Abdulrahman Alswaid
Saad Almohrij
Sultan Al-Khenaizan
author_sort Majid Alfadhel
collection DOAJ
description Abstract Sperm-associated antigen 9 (SPAG9) is a member of cancer-testis antigen, having characteristics of a scaffold protein, which is involved in the c-Jun N-terminal kinase JNK signaling pathway, suggesting its key involvement in different physiological processes, such as survival, apoptosis, tumorigenesis, and cell proliferation. We identified two families (A and B) having multisystem features like coarse facial features, albinism, cataracts, skeletal abnormalities, and developmental delay. Whole genome sequencing (WGS) in families A and B revealed a homozygous frameshift variant (c.903del; p.Phe301Leufs*2) in the SPAG9 gene. Sanger sequencing of both families revealed perfect segregation of the identified variant in all family members. 3D protein modeling revealed substantial changes in the protein’s secondary structure. Furthermore, RT-qPCR revealed a substantial reduction of SPAG9 gene expression at the mRNA level in the affected individuals of both families, thus supporting the pathogenic nature of the identified variant. For the first time in the literature, biallelic SPAG9 gene variation was linked to multisystem-exhibiting features like coarse facial features, albinism, cataracts, skeletal abnormalities, and developmental delay. Thus, this data supports the notion that SPAG9 plays an important role in a multisystemic disorder in humans.
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spelling doaj-art-f3fa9de39bd9450ca8861ef33fd5910d2025-01-21T07:45:02ZengSociedade Brasileira de GenéticaGenetics and Molecular Biology1678-46852025-01-0148110.1590/1678-4685-gmb-2024-0094Truncated SPAG9 as a novel candidate gene for a new syndrome: Coarse facial features, albinism, cataract and developmental delay (CACD syndrome)Majid Alfadhelhttps://orcid.org/0000-0002-9427-7240Bashayr S. AlhubayshiMuhammad UmairAhmed AlfaidiDeemah AlwadaaniEssra AloyouniSafdar AbbasAbdulkareem Al AbdulrahmanMohammed AldreesAbeer Al TuwaijriRuaa S. AlharithyAbdulaziz AlajlanAbdulrahman AlswaidSaad AlmohrijSultan Al-KhenaizanAbstract Sperm-associated antigen 9 (SPAG9) is a member of cancer-testis antigen, having characteristics of a scaffold protein, which is involved in the c-Jun N-terminal kinase JNK signaling pathway, suggesting its key involvement in different physiological processes, such as survival, apoptosis, tumorigenesis, and cell proliferation. We identified two families (A and B) having multisystem features like coarse facial features, albinism, cataracts, skeletal abnormalities, and developmental delay. Whole genome sequencing (WGS) in families A and B revealed a homozygous frameshift variant (c.903del; p.Phe301Leufs*2) in the SPAG9 gene. Sanger sequencing of both families revealed perfect segregation of the identified variant in all family members. 3D protein modeling revealed substantial changes in the protein’s secondary structure. Furthermore, RT-qPCR revealed a substantial reduction of SPAG9 gene expression at the mRNA level in the affected individuals of both families, thus supporting the pathogenic nature of the identified variant. For the first time in the literature, biallelic SPAG9 gene variation was linked to multisystem-exhibiting features like coarse facial features, albinism, cataracts, skeletal abnormalities, and developmental delay. Thus, this data supports the notion that SPAG9 plays an important role in a multisystemic disorder in humans.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-47572025000100102&lng=en&tlng=enSPAG9oculocutaneous albinismintellectual disabilitycataractframeshift variant
spellingShingle Majid Alfadhel
Bashayr S. Alhubayshi
Muhammad Umair
Ahmed Alfaidi
Deemah Alwadaani
Essra Aloyouni
Safdar Abbas
Abdulkareem Al Abdulrahman
Mohammed Aldrees
Abeer Al Tuwaijri
Ruaa S. Alharithy
Abdulaziz Alajlan
Abdulrahman Alswaid
Saad Almohrij
Sultan Al-Khenaizan
Truncated SPAG9 as a novel candidate gene for a new syndrome: Coarse facial features, albinism, cataract and developmental delay (CACD syndrome)
Genetics and Molecular Biology
SPAG9
oculocutaneous albinism
intellectual disability
cataract
frameshift variant
title Truncated SPAG9 as a novel candidate gene for a new syndrome: Coarse facial features, albinism, cataract and developmental delay (CACD syndrome)
title_full Truncated SPAG9 as a novel candidate gene for a new syndrome: Coarse facial features, albinism, cataract and developmental delay (CACD syndrome)
title_fullStr Truncated SPAG9 as a novel candidate gene for a new syndrome: Coarse facial features, albinism, cataract and developmental delay (CACD syndrome)
title_full_unstemmed Truncated SPAG9 as a novel candidate gene for a new syndrome: Coarse facial features, albinism, cataract and developmental delay (CACD syndrome)
title_short Truncated SPAG9 as a novel candidate gene for a new syndrome: Coarse facial features, albinism, cataract and developmental delay (CACD syndrome)
title_sort truncated spag9 as a novel candidate gene for a new syndrome coarse facial features albinism cataract and developmental delay cacd syndrome
topic SPAG9
oculocutaneous albinism
intellectual disability
cataract
frameshift variant
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-47572025000100102&lng=en&tlng=en
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