High-throughput splicing assays identify known and novel WT1 exon 9 variants in nephrotic syndrome
نویسندگان
چکیده
IntroductionFrasier Syndrome (FS) is a rare Mendelian form of nephrotic syndrome caused by variants which disrupt the proper splicing WT1. This key transcription factor gene alternatively spliced at exon 9 to produce two isoforms (“KTS+” and “KTS-”), are normally expressed in kidney ∼2:1 (KTS+:KTS-) ratio. FS results from that reduce this ratio disrupting splice donor KTS+ isoform. extremely rare, it unclear whether any beyond eight already known could cause FS.MethodsTo prospectively identify other splicing-disruptive variants, we leveraged massively parallel assay. We tested every possible single nucleotide variant (n=519) around WT1 for effects upon inclusion KTS+/- ratio.ResultsSplice disruptive made up 11% point overall were tightly concentrated near canonical acceptor alternate donors. Our map successfully identified all or focal segmental glomerulosclerosis 16 additional novel comparably these pathogenic variants. also 19 that, conversely, increased KTS+/KTS- ratio, observed unrelated individuals with 46,XX ovotesticular disorder sex development (46,XX OTDSD).ConclusionsThis effect can serve as functional evidence guide clinical interpretation newly 9.
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ژورنال
عنوان ژورنال: Kidney International Reports
سال: 2023
ISSN: ['2468-0249']
DOI: https://doi.org/10.1016/j.ekir.2023.07.033