A +3 variant at a donor splice site leads to a skipping of the MYH11 exon 32, a recurrent RNA defect causing Heritable Thoracic Aortic Aneurysm and Dissection and/or Patent Ductus Arteriosus

Abstract Background Pathogenic variants in MYH11 are associated with either heritable thoracic aortic aneurysm and dissection (HTAAD), patent ductus arteriosus (PDA) syndrome, or megacystis‐microcolon‐intestinal hypoperistalsis syndrome (MMIHS). Methods and Results We report a family referred for mo...

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Autores principales: Bertrand Chesneau, Aurélie Plancke, Guillaume Rolland, Bertrand Marcheix, Yves Dulac, Thomas Edouard, Julie Plaisancié, Marion Aubert‐Mucca, Sophie Julia, Maud Langeois, Thierry Lavabre‐Bertrand, Philippe Khau Van Kien
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Publicado: Wiley 2021
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spelling oai:doaj.org-article:7dfbe9dc055d409dac473c9c0a3607fc2021-11-21T19:38:53ZA +3 variant at a donor splice site leads to a skipping of the MYH11 exon 32, a recurrent RNA defect causing Heritable Thoracic Aortic Aneurysm and Dissection and/or Patent Ductus Arteriosus2324-926910.1002/mgg3.1814https://doaj.org/article/7dfbe9dc055d409dac473c9c0a3607fc2021-11-01T00:00:00Zhttps://doi.org/10.1002/mgg3.1814https://doaj.org/toc/2324-9269Abstract Background Pathogenic variants in MYH11 are associated with either heritable thoracic aortic aneurysm and dissection (HTAAD), patent ductus arteriosus (PDA) syndrome, or megacystis‐microcolon‐intestinal hypoperistalsis syndrome (MMIHS). Methods and Results We report a family referred for molecular diagnosis with HTAAD/PDA phenotype in which we found a variant at a non‐conserved position of the 5’ donor splice site of intron 32 of MYH11 potentially altering splicing (NM_002474.3:c.4578+3A>C). Although its cosegregation with disease was observed, it remained of unknown significance. Later, aortic surgery in the proband gave us the opportunity to perform a transcript analysis. This showed a skipping of the exon 32, an RNA defect previously reported to be translated to an in‐frame loss of 71 amino acids and a dominant‐negative effect in the smooth muscle myosin rod. This RNA defect is also reported in 3 other HTAAD/PDA pedigrees. Conclusion This report confirms that among rare variants in MYH11, skipping of exon 32 is recurrent. This finding is of particular interest to establish complex genotype–phenotype correlations where some alleles are associated with autosomal dominant HTAAD/PDA, while others result in recessive or dominant visceral myopathies.Bertrand ChesneauAurélie PlanckeGuillaume RollandBertrand MarcheixYves DulacThomas EdouardJulie PlaisanciéMarion Aubert‐MuccaSophie JuliaMaud LangeoisThierry Lavabre‐BertrandPhilippe Khau Van KienWileyarticlegenotype–phenotype correlationheritable aortic aneurysm syndromeMYH11patent ductus arteriosussplicingGeneticsQH426-470ENMolecular Genetics & Genomic Medicine, Vol 9, Iss 11, Pp n/a-n/a (2021)
institution DOAJ
collection DOAJ
language EN
topic genotype–phenotype correlation
heritable aortic aneurysm syndrome
MYH11
patent ductus arteriosus
splicing
Genetics
QH426-470
spellingShingle genotype–phenotype correlation
heritable aortic aneurysm syndrome
MYH11
patent ductus arteriosus
splicing
Genetics
QH426-470
Bertrand Chesneau
Aurélie Plancke
Guillaume Rolland
Bertrand Marcheix
Yves Dulac
Thomas Edouard
Julie Plaisancié
Marion Aubert‐Mucca
Sophie Julia
Maud Langeois
Thierry Lavabre‐Bertrand
Philippe Khau Van Kien
A +3 variant at a donor splice site leads to a skipping of the MYH11 exon 32, a recurrent RNA defect causing Heritable Thoracic Aortic Aneurysm and Dissection and/or Patent Ductus Arteriosus
description Abstract Background Pathogenic variants in MYH11 are associated with either heritable thoracic aortic aneurysm and dissection (HTAAD), patent ductus arteriosus (PDA) syndrome, or megacystis‐microcolon‐intestinal hypoperistalsis syndrome (MMIHS). Methods and Results We report a family referred for molecular diagnosis with HTAAD/PDA phenotype in which we found a variant at a non‐conserved position of the 5’ donor splice site of intron 32 of MYH11 potentially altering splicing (NM_002474.3:c.4578+3A>C). Although its cosegregation with disease was observed, it remained of unknown significance. Later, aortic surgery in the proband gave us the opportunity to perform a transcript analysis. This showed a skipping of the exon 32, an RNA defect previously reported to be translated to an in‐frame loss of 71 amino acids and a dominant‐negative effect in the smooth muscle myosin rod. This RNA defect is also reported in 3 other HTAAD/PDA pedigrees. Conclusion This report confirms that among rare variants in MYH11, skipping of exon 32 is recurrent. This finding is of particular interest to establish complex genotype–phenotype correlations where some alleles are associated with autosomal dominant HTAAD/PDA, while others result in recessive or dominant visceral myopathies.
format article
author Bertrand Chesneau
Aurélie Plancke
Guillaume Rolland
Bertrand Marcheix
Yves Dulac
Thomas Edouard
Julie Plaisancié
Marion Aubert‐Mucca
Sophie Julia
Maud Langeois
Thierry Lavabre‐Bertrand
Philippe Khau Van Kien
author_facet Bertrand Chesneau
Aurélie Plancke
Guillaume Rolland
Bertrand Marcheix
Yves Dulac
Thomas Edouard
Julie Plaisancié
Marion Aubert‐Mucca
Sophie Julia
Maud Langeois
Thierry Lavabre‐Bertrand
Philippe Khau Van Kien
author_sort Bertrand Chesneau
title A +3 variant at a donor splice site leads to a skipping of the MYH11 exon 32, a recurrent RNA defect causing Heritable Thoracic Aortic Aneurysm and Dissection and/or Patent Ductus Arteriosus
title_short A +3 variant at a donor splice site leads to a skipping of the MYH11 exon 32, a recurrent RNA defect causing Heritable Thoracic Aortic Aneurysm and Dissection and/or Patent Ductus Arteriosus
title_full A +3 variant at a donor splice site leads to a skipping of the MYH11 exon 32, a recurrent RNA defect causing Heritable Thoracic Aortic Aneurysm and Dissection and/or Patent Ductus Arteriosus
title_fullStr A +3 variant at a donor splice site leads to a skipping of the MYH11 exon 32, a recurrent RNA defect causing Heritable Thoracic Aortic Aneurysm and Dissection and/or Patent Ductus Arteriosus
title_full_unstemmed A +3 variant at a donor splice site leads to a skipping of the MYH11 exon 32, a recurrent RNA defect causing Heritable Thoracic Aortic Aneurysm and Dissection and/or Patent Ductus Arteriosus
title_sort +3 variant at a donor splice site leads to a skipping of the myh11 exon 32, a recurrent rna defect causing heritable thoracic aortic aneurysm and dissection and/or patent ductus arteriosus
publisher Wiley
publishDate 2021
url https://doaj.org/article/7dfbe9dc055d409dac473c9c0a3607fc
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