Whole genome sequencing identifies novel structural variant in a large Indian family affected with X-linked agammaglobulinemia.

X-linked agammaglobulinemia (XLA, OMIM #300755) is a primary immunodeficiency disorder caused by pathogenic variations in the BTK gene, characterized by failure of development and maturation of B lymphocytes. The estimated prevalence worldwide is 1 in 190,000 male births. Recently, genome sequencing...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Abhinav Jain, Geeta Madathil Govindaraj, Athulya Edavazhippurath, Nabeel Faisal, Rahul C Bhoyar, Vishu Gupta, Ramya Uppuluri, Shiny Padinjare Manakkad, Atul Kashyap, Anoop Kumar, Mohit Kumar Divakar, Mohamed Imran, Sneha Sawant, Aparna Dalvi, Krishnan Chakyar, Manisha Madkaikar, Revathi Raj, Sridhar Sivasubbu, Vinod Scaria
Formato: article
Lenguaje:EN
Publicado: Public Library of Science (PLoS) 2021
Materias:
R
Q
Acceso en línea:https://doaj.org/article/b260bd1f9264470b8851b4de048cbdfb
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:b260bd1f9264470b8851b4de048cbdfb
record_format dspace
spelling oai:doaj.org-article:b260bd1f9264470b8851b4de048cbdfb2021-12-02T20:15:28ZWhole genome sequencing identifies novel structural variant in a large Indian family affected with X-linked agammaglobulinemia.1932-620310.1371/journal.pone.0254407https://doaj.org/article/b260bd1f9264470b8851b4de048cbdfb2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254407https://doaj.org/toc/1932-6203X-linked agammaglobulinemia (XLA, OMIM #300755) is a primary immunodeficiency disorder caused by pathogenic variations in the BTK gene, characterized by failure of development and maturation of B lymphocytes. The estimated prevalence worldwide is 1 in 190,000 male births. Recently, genome sequencing has been widely used in difficult to diagnose and familial cases. We report a large Indian family suffering from XLA with five affected individuals. We performed complete blood count, immunoglobulin assay, and lymphocyte subset analysis for all patients and analyzed Btk expression for one patient and his mother. Whole exome sequencing (WES) for four patients, and whole genome sequencing (WGS) for two patients have been performed. Carrier screening was done for 17 family members using Multiplex Ligation-dependent Probe Amplification (MLPA) and haplotype ancestry mapping using fineSTRUCTURE was performed. All patients had hypogammaglobulinemia and low CD19+ B cells. One patient who underwent Btk estimation had low expression and his mother showed a mosaic pattern. We could not identify any single nucleotide variants or small insertion/ deletions from the WES dataset that correlates with the clinical feature of the patient. Structural variant analysis through WGS data identifies a novel large deletion of 5,296 bp at loci chrX:100,624,323-100,629,619 encompassing exons 3-5 of the BTK gene. Family screening revealed seven carriers for the deletion. Two patients had a successful HSCT. Haplotype mapping revealed a South Asian ancestry. WGS led to identification of the accurate genetic mutation which could help in early diagnosis leading to improved outcomes, prevention of permanent organ damage and improved quality of life, as well as enabling genetic counselling and prenatal diagnosis in the family.Abhinav JainGeeta Madathil GovindarajAthulya EdavazhippurathNabeel FaisalRahul C BhoyarVishu GuptaRamya UppuluriShiny Padinjare ManakkadAtul KashyapAnoop KumarMohit Kumar DivakarMohamed ImranSneha SawantAparna DalviKrishnan ChakyarManisha MadkaikarRevathi RajSridhar SivasubbuVinod ScariaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254407 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Abhinav Jain
Geeta Madathil Govindaraj
Athulya Edavazhippurath
Nabeel Faisal
Rahul C Bhoyar
Vishu Gupta
Ramya Uppuluri
Shiny Padinjare Manakkad
Atul Kashyap
Anoop Kumar
Mohit Kumar Divakar
Mohamed Imran
Sneha Sawant
Aparna Dalvi
Krishnan Chakyar
Manisha Madkaikar
Revathi Raj
Sridhar Sivasubbu
Vinod Scaria
Whole genome sequencing identifies novel structural variant in a large Indian family affected with X-linked agammaglobulinemia.
description X-linked agammaglobulinemia (XLA, OMIM #300755) is a primary immunodeficiency disorder caused by pathogenic variations in the BTK gene, characterized by failure of development and maturation of B lymphocytes. The estimated prevalence worldwide is 1 in 190,000 male births. Recently, genome sequencing has been widely used in difficult to diagnose and familial cases. We report a large Indian family suffering from XLA with five affected individuals. We performed complete blood count, immunoglobulin assay, and lymphocyte subset analysis for all patients and analyzed Btk expression for one patient and his mother. Whole exome sequencing (WES) for four patients, and whole genome sequencing (WGS) for two patients have been performed. Carrier screening was done for 17 family members using Multiplex Ligation-dependent Probe Amplification (MLPA) and haplotype ancestry mapping using fineSTRUCTURE was performed. All patients had hypogammaglobulinemia and low CD19+ B cells. One patient who underwent Btk estimation had low expression and his mother showed a mosaic pattern. We could not identify any single nucleotide variants or small insertion/ deletions from the WES dataset that correlates with the clinical feature of the patient. Structural variant analysis through WGS data identifies a novel large deletion of 5,296 bp at loci chrX:100,624,323-100,629,619 encompassing exons 3-5 of the BTK gene. Family screening revealed seven carriers for the deletion. Two patients had a successful HSCT. Haplotype mapping revealed a South Asian ancestry. WGS led to identification of the accurate genetic mutation which could help in early diagnosis leading to improved outcomes, prevention of permanent organ damage and improved quality of life, as well as enabling genetic counselling and prenatal diagnosis in the family.
format article
author Abhinav Jain
Geeta Madathil Govindaraj
Athulya Edavazhippurath
Nabeel Faisal
Rahul C Bhoyar
Vishu Gupta
Ramya Uppuluri
Shiny Padinjare Manakkad
Atul Kashyap
Anoop Kumar
Mohit Kumar Divakar
Mohamed Imran
Sneha Sawant
Aparna Dalvi
Krishnan Chakyar
Manisha Madkaikar
Revathi Raj
Sridhar Sivasubbu
Vinod Scaria
author_facet Abhinav Jain
Geeta Madathil Govindaraj
Athulya Edavazhippurath
Nabeel Faisal
Rahul C Bhoyar
Vishu Gupta
Ramya Uppuluri
Shiny Padinjare Manakkad
Atul Kashyap
Anoop Kumar
Mohit Kumar Divakar
Mohamed Imran
Sneha Sawant
Aparna Dalvi
Krishnan Chakyar
Manisha Madkaikar
Revathi Raj
Sridhar Sivasubbu
Vinod Scaria
author_sort Abhinav Jain
title Whole genome sequencing identifies novel structural variant in a large Indian family affected with X-linked agammaglobulinemia.
title_short Whole genome sequencing identifies novel structural variant in a large Indian family affected with X-linked agammaglobulinemia.
title_full Whole genome sequencing identifies novel structural variant in a large Indian family affected with X-linked agammaglobulinemia.
title_fullStr Whole genome sequencing identifies novel structural variant in a large Indian family affected with X-linked agammaglobulinemia.
title_full_unstemmed Whole genome sequencing identifies novel structural variant in a large Indian family affected with X-linked agammaglobulinemia.
title_sort whole genome sequencing identifies novel structural variant in a large indian family affected with x-linked agammaglobulinemia.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/b260bd1f9264470b8851b4de048cbdfb
work_keys_str_mv AT abhinavjain wholegenomesequencingidentifiesnovelstructuralvariantinalargeindianfamilyaffectedwithxlinkedagammaglobulinemia
AT geetamadathilgovindaraj wholegenomesequencingidentifiesnovelstructuralvariantinalargeindianfamilyaffectedwithxlinkedagammaglobulinemia
AT athulyaedavazhippurath wholegenomesequencingidentifiesnovelstructuralvariantinalargeindianfamilyaffectedwithxlinkedagammaglobulinemia
AT nabeelfaisal wholegenomesequencingidentifiesnovelstructuralvariantinalargeindianfamilyaffectedwithxlinkedagammaglobulinemia
AT rahulcbhoyar wholegenomesequencingidentifiesnovelstructuralvariantinalargeindianfamilyaffectedwithxlinkedagammaglobulinemia
AT vishugupta wholegenomesequencingidentifiesnovelstructuralvariantinalargeindianfamilyaffectedwithxlinkedagammaglobulinemia
AT ramyauppuluri wholegenomesequencingidentifiesnovelstructuralvariantinalargeindianfamilyaffectedwithxlinkedagammaglobulinemia
AT shinypadinjaremanakkad wholegenomesequencingidentifiesnovelstructuralvariantinalargeindianfamilyaffectedwithxlinkedagammaglobulinemia
AT atulkashyap wholegenomesequencingidentifiesnovelstructuralvariantinalargeindianfamilyaffectedwithxlinkedagammaglobulinemia
AT anoopkumar wholegenomesequencingidentifiesnovelstructuralvariantinalargeindianfamilyaffectedwithxlinkedagammaglobulinemia
AT mohitkumardivakar wholegenomesequencingidentifiesnovelstructuralvariantinalargeindianfamilyaffectedwithxlinkedagammaglobulinemia
AT mohamedimran wholegenomesequencingidentifiesnovelstructuralvariantinalargeindianfamilyaffectedwithxlinkedagammaglobulinemia
AT snehasawant wholegenomesequencingidentifiesnovelstructuralvariantinalargeindianfamilyaffectedwithxlinkedagammaglobulinemia
AT aparnadalvi wholegenomesequencingidentifiesnovelstructuralvariantinalargeindianfamilyaffectedwithxlinkedagammaglobulinemia
AT krishnanchakyar wholegenomesequencingidentifiesnovelstructuralvariantinalargeindianfamilyaffectedwithxlinkedagammaglobulinemia
AT manishamadkaikar wholegenomesequencingidentifiesnovelstructuralvariantinalargeindianfamilyaffectedwithxlinkedagammaglobulinemia
AT revathiraj wholegenomesequencingidentifiesnovelstructuralvariantinalargeindianfamilyaffectedwithxlinkedagammaglobulinemia
AT sridharsivasubbu wholegenomesequencingidentifiesnovelstructuralvariantinalargeindianfamilyaffectedwithxlinkedagammaglobulinemia
AT vinodscaria wholegenomesequencingidentifiesnovelstructuralvariantinalargeindianfamilyaffectedwithxlinkedagammaglobulinemia
_version_ 1718374604119998464