A novel mutation in the COL4A5 gene in the Yakut family with Alport syndrome
https://doi.org/10.25789/YMJ.2022.80.05
Abstract
Alport syndrome is a hereditary progressive kidney disease associated with sensorineural hearing loss and vision abnormalities, which is caused by mutations in the COL4A3, COL4A4, and COL4A5 genes encoding the α3, α4, and α5 type IV collagen chains. This paper presents a case with a novel hemizygous mutation in the COL4A5 gene in a Yakut family with Alport syndrome. The study involved 228 GJB2-negative patients with varying degrees of hearing loss and deafness living in the Republic of Sakha (Yakutia). Brothers were selected from this sample with a history of similar hearing and kidney impairments. For one of the sibs, a complete exome sequencing was performed, which resulted in the discovery of a new hemizygous mutation c.2375delA p.(Asp792fs) in exon 29 of the COL4A5 gene on the long arm of the X chromosome (Xq22). This mutation was also detected in sibling using PCR-RFLP analysis
About the Authors
A. M. CherdonovaRussian Federation
Cherdonova Alexandra Matveyevna – postgraduate student
N. A. Barashkov
Russian Federation
Barashkov Nikolay Alekseevich – PhD in Biology, external researcher, head of the lab.
F. M. Teryutin
Russian Federation
Teryutin Fedor Mikhailovich – PhD in Medicine, senior researcher
V. G. Pshennikova
Russian Federation
Pshennikova Vera Gennadiyevna – PhD in Biology, external researcher, head of the lab.
T. V. Borisova
Russian Federation
Borisova TuyaraValeryevna – postgraduate student
A. A. Nikanorova
Russian Federation
Nikanorova Alena Afanasyevna – researcher
A. V. Solovyov
Russian Federation
Romanov Georgy Prokopievich – researcher
G. P. Romanov
Russian Federation
Romanov Georgy Prokopievich – researcher
S. A. Fedorova
Russian Federation
Fedorova Sardana Arkadyevna – Doctor of Biology, chief researcher
References
1. Gorokhova A.V., Samsonova E.V., Argunova E.F. [et al.] Sindrom Alporta u rebenka 16 let [Alport syndrome in a 16-year-old child]. Yakut Medical Journal. 2017; 3 (59): 122-123 (In Russ.).]
2. Nozu K., Nakanishi K., Abe Y., [et al.] A review of clinical characteristics and genetic backgrounds in Alport syndrome. Clin Exp Nephrol. 2019; 23(2): 158-168. doi:10.1007/s10157-0181629-4
3. Uliana V., Marcocci E., Mucciolo M., [et al.] Alport syndrome and leiomyomatosis: The first deletion extending beyond COL4A6 intron 2. Pediatric Nephrology. 2011; 26(5): 717–724. https://doi.org/10.1007/s00467010-1693-9
4. Alport A.C. Hereditary familial congenital haemorrhagic nephritis. Br Med J. 1927; 3454: 504-506. doi: 10.1136/bmj.1.3454.504.
5. Cosgrove, D., Liu, S. Collagen IV diseases: A focus on the glomerular basement membrane in Alport syndrome. Matrix Biol. 2017; 57-58: 45-54. doi:10.1016/j.matbio.2016.08.005
6. Flinter, F.A., Chantler, C. The inheritance of Alport's syndrome. In: Spitzer A, Avner ED, eds. Inheritance of kidney and urinary tract diseases. Lancaster: Kluwer Academic Publishers. 1990: 107-120.
7. Hudson, B.G. The molecular basis of Goodpasture and Alport syndromes: beacons for the discovery of the collagen IV family. J Am Soc Nephrol. 2004; 15(10): 2514-2527. doi: 10.1097/01.ASN.0000141462.00630.76.
8. Lyon, M.F. X-chromosome inactivation and human genetic disease. Acta Paediatr Suppl. 2002; 91: 107–112
9. Matthaiou, A., Poulli, T., Deltas, C. Prevalence of clinical, pathological and molecular features of glomerular basement membrane nephropathy caused by COL4A3 or COL4A4 mutations: a systematic review. Clin Kidney J. 2020; 13(6): 1025-1036. doi: 10.1093/ckj/sfz176.
10. Gong W.Y., Liu F.N., Yin L.H., [et al.] Novel Mutations of COL4A5 Identified in Chinese Families with X-Linked Alport Syndrome and Literature Review. Biomed Res Int. 2021; 2021:6664973. doi: 10.1155/2021/6664973.
11. Savige J., Sheth S., Leys A., [et al.] Ocular features in Alport syndrome: pathogenesis and clinical significance. Clin J Am Soc Nephrol. 2015; 10(4): 703-709. doi: 10.2215/CJN.10581014
12. Hicks J., Mierau G., Wartchow E., [et al.]Renal diseases associated with hematuria in children and adolescents: a brief tutorial. Ultrastruct Pathol. 2012; 36(1): 1-18. doi: 10.3109/01913123.2011.620731.
13. Rheault, M.N. Women and Alport syndrome. Pediatr Nephrol. 2012; 27(1): 41-46. doi: 10.1007/s00467-011-1836-7.
14. Guo C, Van Damme B, Vanrenterghem Y. [et al.] Severe alport phenotype in a woman with two missense mutations in the same COL4A5 gene and preponderant inactivation of the X chromosome carrying the normal allele. J Clin Invest. 1995; 95(4): 1832-1837. doi: 10.1172/JCI117862.
15. Boutaud A., Borza D.B., Bondar O. [et al.] Type IV collagen of the glomerular basement membrane. Evidence that the chain specificity of network assembly is encoded by the noncollagenous NC1 domains. J Biol Chem. 2000; 275 (39): 30716-30724. doi: 10.1074/jbc.M004569200.
16. Watson, S., Padala, S.A., Bush, J.S. Alport Syndrome. Available online: https://www.ncbi.nlm.nih.gov/books/NBK470419/ (accessed on 22 February 2022)
17. Vetrie D., Flinter F., Bobrow M. [et al.] X inactivation patterns in females with Alport's syndrome: a means of selecting against a deleterious gene? J Med Genet. 1992; 29(9): 663-666. doi: 10.1136/jmg.29.9.663.
18. Ng K., Pullirsch D., Leeb M. [et al.] Xist and the order of silencing. EMBO Rep. 2007; 8: 34–39 doi: 10.1038/sj.embor.7400871
19. Jais J.P., Knebelmann B., Giatras I., [et al.] X-linked Alport syndrome: natural history and genotype-phenotype correlations in girls and women belonging to 195 families: a "European Community Alport Syndrome Concerted Action" study. J Am Soc Nephrol. 2003; 14(10): 2603-2610. doi: 10.1097/01.asn.0000090034.71205.74.
20. Jais J.P., Knebelmann B, Giatras I. [et al.] X-linked Alport syndrome: natural history in 195 families and genotypephenotype correlations in males. J Am Soc Nephrol. 2000; 11(4): 649–657.
Review
For citations:
Cherdonova A.M., Barashkov N.A., Teryutin F.M., Pshennikova V.G., Borisova T.V., Nikanorova A.A., Solovyov A.V., Romanov G.P., Fedorova S.A. A novel mutation in the COL4A5 gene in the Yakut family with Alport syndrome. Yakut Medical Journal. 2022;(4):20-23. https://doi.org/10.25789/YMJ.2022.80.05