Abstract
Cohen syndrome (CS) is an autosomal recessive congenital disorder characterized by mutation in the vacuolar protein sorting 13 homolog B (VPS13B; formerly COH1) gene. In the current study, a Chinese family has two young sibling cases having a developmental delay, physical obesity, high myopia, and a special face, which suspected to be CS. The purpose of the study was to identify variants and further analyze their pathogenicity for CS. Next-generation sequencing (NGS) revealed a compound heterozygous mutation in VPS13B gene in the proband, which comprises a frameshift mutation in NM_017890.4: c.10076_10077delCA (p.T3359fs*29) and a putative splice site mutation in c.6940 + 1G > T. Both Minigene assay in vitro and splicing assay in vivo confirmed that the splicing mutation in c.6940 + 1G > T generates a frameshift transcript with whole exon 38 skipping. Eventually, quantitative real-time PCR demonstrated that either of the two mutations can lead to degradation of the VPS13B gene at the transcriptional level. Functional studies of variants identified in CS patients are essential for their subsequent genetic counseling and prenatal diagnoses and could also be the start point for new therapeutic approaches, currently based only on symptomatic treatment.
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Abbreviations
- VPS13B:
-
vacuolar protein sorting 13, yeast, homolog of B
- CS:
-
Cohen syndrome
- NGS:
-
Next-generation sequencing
- CMA:
-
chromosomal microarray analysis
References
Cohen MMJ, Hall BD, Smith DW, Graham CB, Lampert KJ (1973) New syndrome with hypotonia, obesity, mental deficiency and facial, oral, ocular and limb anomalies. J Pediatr 83:280–284
Duplomb L, Duvet S, Picot D, Jego G, El Chehadeh-Djebbar S, Marle N, Gigot N, Aral B, Carmignac V, Thevenon J (2014) Cohen syndrome is associated with major glycosylation defects. Hum Mol Genet 23:2391–2399
El Chehadeh S, Aral B, Gigot N, Thauvin-Robinet C, Donzel A, Delrue MA, Lacombe D, David A, Burglen L, Philip N et al (2010) Search for the best indicators for the presence of a VPS13B gene mutation and confirmation of diagnostic criteria in a series of 34 patients genotyped for suspected Cohen syndrome. J Med Genet 47:549–553
Falk MJ, Feiler HS, Neilson DE, Maxwell K, Lee JV, Segall SK, Robin NH, Wilhelmsen KC, Träskelin AL, Kolehmainen J, Lehesjoki AE, Wiznitzer M, Warman ML (2004) Cohen syndrome in the Ohio Amish. Am J Med Genet A 128A:23–28
Hennies HC, Rauch A, Seifert W, Schumi C, Moser E, Al-Taji E, Tariverdian G, Chrzanowska KH, Krajewska-Walasek M, Rajab A et al (2004) Allelic heterogeneity in the COH1 gene explains clinical variability in Cohen syndrome. Am J Hum Genet 75(1):138–145
Katzaki E, Pescucci C, Uliana V, Papa FT, Ariani F, Meloni I, Priolo M, Selicorni A, Milani D, Fischetto R, Celle ME, Grasso R, Dallapiccola B, Brancati F, Bordignon M, Tenconi R, Federico A, Mari F, Renieri A, Longo I (2007) Clinical and molecular characterization of Italian patients affected by Cohen syndrome. J Hum Genet 52:1011–1017
Kolehmainen J, Black GC, Saarinen A, Chandler K, Clayton-Smith J, Träskelin AL, Perveen R, Kivitie-Kallio S, Norio R, Warburg M et al. Cohen syndrome is caused by mutations in a novel gene, COH1, encoding a transmembrane protein with a presumed role in vesicle-mediated sorting and intracellular protein transport. Am J Hum Genet 2003;72:1359–1369.
Kolehmainen J, Wilkinson R, Lehesjoki AE, Chandler K, Kivitie-Kallio S, Clayton-Smith J, Träskelin AL, Waris L, Saarinen A, Khan J, Gross-Tsur V, Traboulsi EI, Warburg M, Fryns JP, Norio R, C. M. Black G, D. C. Manson F (2004) Delineation of Cohen syndrome following a large-scale genotype-phenotype screen. Am J Hum Genet 75:122–127
Nagy E, Maquat LE (1998) A rule for termination-codon position within intron-containing genes: when nonsense affects RNA abundance. Trends Biochem Sci 23:198–199
Parri V, Katzaki E, Uliana V, Scionti F, Tita R, Artuso R, Longo I, Boschloo R, Vijzelaar R, Selicorni A, Brancati F, Dallapiccola B, Zelante L, Hamel CP, Sarda P, Lalani SR, Grasso R, Buoni S, Hayek J, Servais L, de Vries BBA, Georgoudi N, Nakou S, Petersen MB, Mari F, Renieri A, Ariani F (2010) High frequency of COH1 intragenic deletions and duplications detected by MLPA in patients with Cohen syndrome. Eur J Hum Genet 18:1133–1140
Rodrigues JM, Fernandes HD, Caruthers C, Braddock SR, Knutsen AP (2018) Cohen syndrome: review of the literature. Cureus 10:e3330
Seifert W, Kühnisch J, Maritzen T, Horn D, Haucke V, Hennies HC (2011) Cohen syndrome-associated protein, COH1, is a novel, giant Golgi matrix protein required for Golgi integrity. J Biol Chem 286:37665–37675
Trcek T, Sato H, Singer RH, Maquat LE (2013) Temporal and spatial characterization of nonsense-mediated mRNA decay. Genes Dev 27:541–551
Yang C, Hou M, Li Y, Sun D, Guo Y, Liu P, Liu Y, Song J, Zhang N, Wei W, Chen Z (2018) Gene analysis: a rare gene disease of intellectual deficiency-Cohen syndrome. Int J Dev Neurosci 68:83–88
Zhang F, Shi XY, Liu LY, Liu YT, Zou LP (2018) Psychomotor retardation with neutropenia for more than one year in a toddler. Zhongguo Dang Dai Er Ke Za Zhi 20:497–500
Zhao S, Luo Z, Xiao Z, Li L, Zhao R, Yang Y, Zhong Y (2019) Case report: two novel VPS13B mutations in a Chinese family with Cohen syndrome and hyperlinear palms. BMC Med Genet 20:187
Acknowledgments
We thank the studied family for their understanding and cooperation.
Funding
National Natural Science Foundation of China , Grant/Award Numbers: 31401103; National Natural Science Foundation of Henan Province, Grant/Award Numbers:172102310296; The Technology Innovation Committee of Grant/Award Numbers:172102310296.
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Yuanyin Zhao designed the analyzed data and co-wrote the paper. Guiyu Lou performed experiments, analyzed data, and co-wrote the paper. Yang Ke and Yuwei Zhang performed experiments. Samaa Abdelmonem Shama: Writing modification;
Na Qi and Litao Qin: bioinformatic analyses. Liangjie Guo: clinic data collection.
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Highlight
A compound heterozygous mutation in VPS13B gene was identified in a Chinese Cohen syndrome family.
This splice site variant generates a frameshift transcript with whole exon skipping.
Either of the two mutations can lead to degradation of the VPS13B gene at the transcriptional level in vivo.
Splice site variant in NM_017890.4: c.6940 + 1G > T detected in three sporadically Chinese CS families could be a recurrent mutation for CS in Chinese population.
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Lou, G., Ke, Y., Zhang, Y. et al. Functional Analysis of a Compound Heterozygous Mutation in the VPS13B Gene in a Chinese Pedigree with Cohen Syndrome. J Mol Neurosci 71, 943–952 (2021). https://doi.org/10.1007/s12031-020-01713-6
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DOI: https://doi.org/10.1007/s12031-020-01713-6