Abstract
Objectives
To determine the demographic, clinical, and genetic profile of Turkish Caucasian PCD cases.
Methods
Targeted next-generation sequencing (t-NGS) of 46 nuclear genes was performed in 21 unrelated PCD cases. Sanger sequencing confirmed of potentially disease-related variations, and genotype–phenotype correlations were evaluated.
Results
Disease-related variations were identified in eight different genes (CCDC39, CCDC40, CCDC151, DNAAF2, DNAAF4, DNAH11, HYDIN, RSPH4A) in 52.4% (11/21) of the cases. The frequency of variations for CCDC151, DNAH11, and DNAAF2 genes which were highly mutated genes in the cohort was 18% in 11 patients. Each of the remaining gene variations was detected once (9%) in different patients. The variants, p.R482fs*12 in CCDC151, p.E216* in DNAAF2, p.I317* in DNAAF4, p.L318P and p.R1865* in DNAH11, and p.N1505D and p.L1167P in HYDIN gene were identified as novel variations. Interestingly, varying phenotypic findings were identified even in patients with the same mutation, which once again confirmed that PCD has a high phenotypic heterogeneity and shows individual differences.
Conclusion
This t-NGS panel is potentially helpful for exact and rapid identification of reported/novel PCD-disease–causing variants to establish the molecular diagnosis of ciliary diseases.
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Data Availability
On request.
References
Hogg C. Primary ciliary dyskinesia: when to suspect the diagnosis and how to confirm it. Paediatr Respir Rev. 2009;10:44–50.
Olcese C, Patel MP, Shoemark A, et al. X-linked primary ciliary dyskinesia due to mutations in the cytoplasmic axonemal dynein assembly factor PIH1D3. Nat Commun. 2017;8:14279.
Bush A, Chodhari R, Collins N, et al. Primary ciliary dyskinesia: current state of the art. Arch Dis Child. 2007;92:1136–40.
Kuehni CE, Frischer T, Strippoli MP, et al. Factors influencing age at diagnosis of primary ciliary dyskinesia in European children. Eur Respir J. 2010;36:1248–58.
O’Callaghan C, Chetcuti P, Moya E. High prevalence of primary ciliary dyskinesia in a British Asian population. Arch Dis Child. 2010;95:51–2.
Dalrymple RA, Kenia P. European Respiratory Society guidelines for the diagnosis of primary ciliary dyskinesia: a guideline review. Arch Dis Child Educ Pract Ed. 2019;104:265–9.
Lee L. Mechanisms of mammalian ciliary motility: Insights from primary ciliary dyskinesia genetics. Gene. 2011;473:57–66.
Zariwala MA, Knowles MR, Leigh MW. Primary Ciliary Dyskinesia. In: Adam MP, Ardinger HH, Pagon RA, et al., eds. GeneReviews®. Seattle (WA): University of Washington. 2019. Available at: https://www.ncbi.nlm.nih.gov/books/NBK1122/. Accessed on 20 Nov 2021.
Lucas JS, Barbato A, Collins SA, et al. European Respiratory Society guidelines for the diagnosis of primary ciliary dyskinesia. Eur Respir J. 2017;49:1601090.
Lucas JS, Davis SD, Omran H, Shoemark A. Primary ciliary dyskinesia in the genomics age. Lancet Respir Med. 2020;8:202–16.
Lahiri DK, Nurnberger JI Jr. A rapid non-enzymatic me thod for the preparation of HMW DNA from blood for RFLP studies. Nucleic Acids Res. 1991;19:5444.
Antony D, Becker-Heck A, Zariwala MA, et al. Mutations in CCDC39 and CCDC40 are the major cause of primary ciliary dyskinesia with axonemal disorganization and absent inner dynein arms. Hum Mutat. 2013;34:462–72.
Becker-Heck A, Zohn IE, Okabe N, et al. The coiled-coil domain containing protein CCDC40 is essential for motile cilia function and left-right axis formation. Nat Genet. 2011;43:79–84.
Xiong HY, Alipanahi B, Lee LJ, et al. RNA splicing. the human splicing code reveals new insights into the genetic determinants of disease. Science. 2015;347:1254806.
Omran H, Kobayashi D, Olbrich H, et al. Ktu/PF13 is required for cytoplasmic pre-assembly of axonemal dyneins. Nature. 2008;456:611–6.
Frommer A, Hjeij R, Loges NT, et al. Immunofluorescence analysis and diagnosis of primary ciliary dyskinesia with radial spoke defects. Am J Respir Cell Mol Biol. 2015;53:563–73.
Adams DR, Eng CM. Next-generation sequencing to diagnose suspected genetic disorders. N Engl J Med. 2018;379:1353–62.
Horani A, Ferkol TW. Advances in the genetics of primary ciliary dyskinesia: clinical implications. Chest. 2018;154:645–52.
Richards S, Aziz N, Bale S, et al. Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the american college of medical genetics and genomics and the association for molecular pathology. Genet Med. 2015;17:405–24.
Boaretto F, Snijders D, Salvoro C, et al. Diagnosis of primary ciliary dyskinesia by a targeted next-generation sequencing panel: molecular and clinical findings in italian patients. J Mol Diagn. 2016;18:912–22.
Takeuchi K, Kitano M, Kiyotoshi H, et al. A targeted next-generation sequencing panel reveals novel mutations in Japanese patients with primary ciliary dyskinesia. Auris Nasus Larynx. 2018;45:585–91.
Emiralioglu N, Taskiran EZ, Kosukcu C, et al. Genotype and phenotype evaluation of patients with primary ciliary dyskinesia: first results from Turkey. Pediatr Pulmonol. 2020;55:383–93.
Xia H, Huang X, Deng S, et al. DNAH11 compound heterozygous variants cause heterotaxy and congenital heart disease. PLoS One. 2021;16:e0252786.
Acknowledgements
The authors would like to thank all families for their valuable participation; Burcu Coban Taner, Cihan Erdinc Gulsev, and Nazli Kocaefe for their kind technical assistance, and Martha Knight and Lynn P. Chorich for language editing.
Funding
This research was supported by Akdeniz University Scientific Research Projects Council (TSA-2018–3522) and TUBITAK 2209/A (project#1919B01100081), Turkey.
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DDE, EY, and OMA designed the study; DDE, EY, GE performed molecular genetic studies; AEB, BN, EM, and AB did patient evaluation; EY, DDE, GE, and OMA performed data analyses; EY, DDE, and OMA wrote the paper. OMA will act as the guarantor for this paper.
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All procedures carried out in the study comply with the ethical standards of the institutional and/or national research ethics committee [protocol number 70904504/58 dated Feb 02, 2015] and the 1964 Helsinki Declaration and its subsequent changes or comparable standards of ethics.
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Informed consent was obtained from all individuals included in this study.
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Durkadin Demir Eksi and Elanur Yilmaz are joint first authors
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Demir Eksi, D., Yilmaz, E., Basaran, A.E. et al. Novel Gene Variants Associated with Primary Ciliary Dyskinesia. Indian J Pediatr 89, 682–691 (2022). https://doi.org/10.1007/s12098-022-04098-z
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DOI: https://doi.org/10.1007/s12098-022-04098-z