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Primary Ciliary Dyskinesia-Causing Mutations in Amish and Mennonite Communities - 23/07/13

Doi : 10.1016/j.jpeds.2013.01.061 
Thomas W. Ferkol, MD 1, , Erik G. Puffenberger 2, Hauw Lie 1, Cynthia Helms 1, Kevin A. Strauss 2, Anne Bowcock 1, John L. Carson 3, Milan Hazucha 3, D. Holmes Morton 2, Anand C. Patel 1, Margaret W. Leigh 3, Michael R. Knowles 3, Maimoona A. Zariwala 3
1 Departments of Pediatrics and Genetics, Washington University in St Louis, St Louis, MO 
2 Clinic for Special Children, Strasburg, PA 
3 Departments of Pediatrics, Internal Medicine, and Pathology and Laboratory Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 

Reprint requests: Thomas W. Ferkol, MD, Division of Pediatric Allergy, Immunology, and Pulmonary Medicine, Department of Pediatrics, 660 South Euclid Ave, Mailbox 8116, St Louis, MO 63110.

Abstract

Objective

To determine whether individuals with primary ciliary dyskinesia (PCD) from unrelated Amish and Mennonite families harbor a single and unique founder mutation.

Study design

Subjects from Amish and Mennonite communities in several states were enrolled in the study. All subjects were clinically characterized, and nasal nitric oxide levels were measured. Nasal epithelial scrapings were collected from several subjects for ciliary ultrastructural analyses. DNA was isolated from patients with PCD and their unaffected first- and second-degree relatives. Genome-wide homozygosity mapping, linkage analyses, targeted mutation analyses, and exome sequencing were performed.

Results

All subjects from Old-Order Amish communities from Pennsylvania were homozygous for a nonsense mutant DNAH5 allele, c.4348C>T (p.Q1450X). Two affected siblings from an unrelated Mennonite family in Arkansas were homozygous for the same nonsense DNAH5 mutation. Children with PCD from an Amish family from Wisconsin had biallelic DNAH5 mutations, c.4348C>T (p.Q1450X) and c.10815delT (p.P3606HfsX23), and mutations in other genes associated with PCD were also identified in this community.

Conclusion

The Amish and Mennonite subjects from geographically dispersed and socially isolated communities had the same founder DNAH5 mutation, owing to the common heritage of these populations. However, disease-causing mutations in other PCD-associated genes were also found in affected individuals in these communities, illustrating the genetic heterogeneity in this consanguineous population.

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Keyword : NO, PCD


Esquema


 Supported by the Children's Discovery Institute (to T.F.) and the National Institutes of Health (NIH; R21 HL082657 [to T.F.], R01 HL071798 [to M.K. and M.Z.], and U54 HL096458 [to T.F., J.C., M.L., M.K., and M.Z.]). The last grant supports Genetic Disorders of Mucociliary Clearance Consortium (part of NIH Rare Diseases Clinical Research Network), which receives programmatic support from the National Heart, Lung, and Blood Institute and the NIH Office of Rare Diseases Research. The views expressed do not necessarily reflect the official policies of the Department of Health and Human Services; mention of trade names, commercial practices, or organizations does not imply endorsement by the US government. The authors declare no conflicts of interest.


© 2013  Mosby, Inc. Reservados todos los derechos.
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Vol 163 - N° 2

P. 383-387 - août 2013 Regresar al número
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