Identification and Computational Analysis of Novel Pathogenic Variants in Pakistani Families with Diverse Epidermolysis Bullosa Phenotypes

Autor: Muhammad Naeem, Sakina Rehman, Muhammad Erfan, Uzma Ali, Fehmida Farid Khan, Naima Khan, Amir Ejaz, Zubair M. Ahmed
Rok vydání: 2021
Předmět:
Zdroj: Biomolecules
Biomolecules, Vol 11, Iss 620, p 620 (2021)
Volume 11
Issue 5
ISSN: 2218-273X
Popis: Epidermolysis bullosa (EB) includes a group of rare gesnodermatoses that result in blistering and erosions of the skin and mucous membranes. Genetically, pathogenic variants in around 20 genes are known to alter the structural and functional integrity of intraepidermal adhesion and dermo-epidermal anchorage, leading to four different types of EB. Here we report the underlying genetic causes of EB phenotypes segregating in seven large consanguineous families, recruited from different regions of Pakistan. Whole exome sequencing, followed by segregation analysis of candidate variants through Sanger sequencing, identified eight pathogenic variants, including three novel (ITGB4: c.1285G>
T, and c.3373G>
A
PLEC: c.1828A>
G) and five previously reported variants (COL7A1: c.6209G>
A, and c.1573C>
T
FERMT1: c.676insC
LAMA3: c.151insG
LAMB3: c.1705C>
T). All identified variants were either absent or had very low frequencies in the control databases. Our in-silico analyses and 3-dimensional (3D) molecular modeling support the deleterious impact of these variants on the encoded proteins. Intriguingly, we report the first case of a recessively inherited form of rare EBS-Ogna associated with a homozygous variant in the PLEC gene. Our study highlights the clinical and genetic diversity of EB in the Pakistani population and expands the mutation spectrum of EB
it could also be useful for prenatal diagnosis and genetic counseling of the affected families.
Databáze: OpenAIRE