Abstract
Spinal muscular atrophy (SMA) is an autosomal recessive neuromuscular disorder caused by deletion or subtle variant of survival motor neuron 1 (SMN1) gene. By multiplex ligation-dependent probe amplification, genomic sequencing, and T-A cloning on cDNA level, we identified one novel SMN1 subtle variant c.835G>C (p.Gly279Arg) in a non-homozygous patient with type 1 SMA. Full-length SMN1 (fl-SMN1) transcripts in the peripheral bloods of the patient were significantly decreased compared with those in healthy individuals and the carries (p < 0.05). And two fragments of SMN1 transcripts including fl-SMN1 and △7-SMN1 were observed by RT-PCR, which indicated Exon 7 skipping of SMN1 gene. To further evaluate its splicing effects on Exon 7, we performed ex vivo splicing analysis, which showed that the mutant mini gene with c.835G>C reduced Exon 7 inclusion to 54%. In addition, self-oligomerization between mutant SMN protein with the c.835G>C (p.Gly279Arg) and wild SMN was decreased in self-interaction assays. Our study clearly demonstrates that the c.835G>C (p.Gly279Arg) variant can lead to a decrease in fl-SMN1 transcripts by interrupting correct splicing of SMN1. What is more, the variant also affects SMN self-oligomerization via amino acid substitution from Gly to Arg at amino acid position of 279. This work presents the first evidence that it does exit double-hit events for the novel variant, which is crucial to understanding a severe SMA phenotype (type 1).
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Acknowledgments
We are grateful to the SMA family for their cooperation in our study.
Funding
This work was supported by the National Natural Science Foundation of China (Project Nos. 81501850, 81470056 and 81509719), the Beijing Municipal Administration of Hospitals’ Youth Program (QML20161303), the CAMS Initiative for Innovative Medicine (CAMS-I2M), the National Key Research and Development Program of China (No. 2016YFC0901505), and the Research Foundation of Capital Institute of Pediatrics (No. FX-2020-01).
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Bai, J., Qu, Y., Song, F. et al. Dual Mechanism of a New SMN1 Variant (c.835G>C, p.Gly279Arg) by Interrupting Exon 7 Skipping and YG Oligomerization in Causation of Spinal Muscular Atrophy. J Mol Neurosci 71, 112–121 (2021). https://doi.org/10.1007/s12031-020-01631-7
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DOI: https://doi.org/10.1007/s12031-020-01631-7