A novel homozygous frameshift mutation in the FUCA1 gene causes both severe and mild fucosidosis

J Clin Pathol. 2018 Sep;71(9):821-824. doi: 10.1136/jclinpath-2018-205074. Epub 2018 Mar 27.

Abstract

Aims: Fucosidosis is a rare autosomal recessive lysosomal storage disorder caused by α-L-fucosidase deficiency as a result of FUCA1 gene mutations. Here, we studied clinical features and the molecular basis of fucosidosis in a family from Iran, including two probands and nine family members.

Methods: DNA sample of two probands were screened for gene defects using a next generation sequencing technique. The sequencing processes were performed on an Illumina Hiseq 4000 platform. Sequence reads were analysed using BWA-GATK.

Results: Next generation sequencing revealed a frameshift mutation caused by 2 bp deletion (c.837_838 delTG; p.Cys279) in the FUCA1 gene. The identified mutation was tested in all participants. Homozygous patients had almost all the complications associated with fucosidosis, while heterozygous carriers were unaffected.

Conclusions: The variant c.837_838 delTG; p.Cys279 has not been reported previously and is predicted to be pathogenic due to a premature stop codon.

Keywords: Dna; brain; chromosomes; genetics.

MeSH terms

  • Child, Preschool
  • Codon, Nonsense
  • DNA Mutational Analysis
  • Female
  • Frameshift Mutation*
  • Fucosidosis / diagnosis
  • Fucosidosis / enzymology
  • Fucosidosis / genetics*
  • Genetic Predisposition to Disease
  • High-Throughput Nucleotide Sequencing
  • Homozygote*
  • Humans
  • Infant
  • Iran
  • Male
  • Pedigree
  • Phenotype
  • Severity of Illness Index
  • Young Adult
  • alpha-L-Fucosidase / genetics*

Substances

  • Codon, Nonsense
  • FUCA1 protein, human
  • alpha-L-Fucosidase