Abstract
Purpose
Hereditary hemorrhagic telangiectasia (HHT) is a dominantly inherited disorder that involves epistaxis, mucocutaneous telangiectases, and visceral arteriovenous malformations (AVMs). This study aims to investigate the genetic causes in a Chinese family with HHT.
Methods
HHT was confirmed according to Curaçao’s diagnostic criteria. Three patients diagnosed with HHT and healthy members were recruited. Whole-exome sequencing (WES) and sanger sequencing were performed to define the patient’s genetically pathogenic factor.
Results
The proband presented with recurrent epistaxis, hepatopulmonary arteriovenous malformation, and adenocarcinoma. A novel frameshift mutation (c.1376_1377delAC, p.H459Lfs*41) of the ENG gene was revealed in affected individuals by WES. There was no report of this variant and predicted to be highly damaging by causing truncation of the ENG protein.
Conclusion
We report a novel variant in the ENG gene in Chinese that extends the mutational and phenotypic spectra of the ENG gene, and also demonstrates the feasibility of WES in the application of genetic diagnosis of HHT.
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Data availability
The data sets for this article are not publicly available due to concerns regarding participant/patient anonymity. Requests to access the data sets should be directed to the corresponding author.
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Funding
The study was supported by the National Natural Science Foundation of China [Grant Numbers 32200629] and Shandong Provincial Natural Science Foundation, China [Grant Numbers ZR2020QH047, ZR2021QH268].
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PL and HL helped to gather all of the necessary materials and were responsible for writing the manuscript. CG, YW, and DS conducted the study and analyzed the data. XZ designed the study and revised the manuscript. LL, YY, and QS performed the research. All authors contributed to manuscript revision, read, and approved the submitted version.
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The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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The ethics committee of the Linyi People’s Hospital approved the research protocol, and written informed consent was obtained from every participant.
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Li, P., Gao, C., Wei, Y. et al. A novel frameshift mutation of the endoglin(ENG) gene causes hereditary hemorrhagic telangiectasia in a Chinese family. Eur Arch Otorhinolaryngol 281, 237–243 (2024). https://doi.org/10.1007/s00405-023-08186-4
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DOI: https://doi.org/10.1007/s00405-023-08186-4