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New mutations in non-syndromic primary ovarian insufficiency patients identified via whole-exome sequencing
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Patiño, Liliana Catherine
Beau, Isabelle
Carlosama, Carolina
Buitrago, July Constanza
González, Ronald
Suarez Martinez, Carlos Fernando
Patarroyo, Manuel A.
Delemer, Brigitte
Young, Jacques
Binart, Nadine
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2017
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Oxford University Press
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Abstract
STUDY QUESTION Is it possible to identify new mutations potentially associated with non-syndromic primary ovarian insufficiency (POI) via whole-exome sequencing (WES)? SUMMARY ANSWER WES is an efficient tool to study genetic causes of POI as we have identified new mutations, some of which lead to protein destablization potentially contributing to the disease etiology. WHAT IS KNOWN ALREADY POI is a frequently occurring complex pathology leading to infertility. Mutations in only few candidate genes, mainly identified by Sanger sequencing, have been definitively related to the pathogenesis of the disease. STUDY DESIGN, SIZE, DURATION This is a retrospective cohort study performed on 69 women affected by POI. PARTICIPANTS/MATERIALS, SETTING, METHODS WES and an innovative bioinformatics analysis were used on non-synonymous sequence variants in a subset of 420 selected POI candidate genes. Mutations in BMPR1B and GREM1 were modeled by using fragment molecular orbital analysis. MAIN RESULTS AND THE ROLE OF CHANCE Fifty-five coding variants in 49 genes potentially related to POI were identified in 33 out of 69 patients (48%). These genes participate in key biological processes in the ovary, such as meiosis, follicular development, granulosa cell differentiation/proliferation and ovulation. The presence of at least two mutations in distinct genes in 42% of the patients argued in favor of a polygenic nature of POI. LIMITATIONS, REASONS FOR CAUTION It is possible that regulatory regions, not analyzed in the present study, carry further variants related to POI. WIDER IMPLICATIONS OF THE FINDINGS WES and the in silico analyses presented here represent an efficient approach for mapping variants associated with POI etiology. Sequence variants presented here represents potential future genetic biomarkers. STUDY FUNDING/COMPETING INTEREST(S) This study was supported by the Universidad del Rosario and Colciencias (Grants CS/CIGGUR-ABN062-2016 and 672-2014). Colciencias supported Liliana Catherine Patiñós work (Fellowship: 617, 2013). The authors declare no conflict of interest. © The Author 2017. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved.
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Keywords
Estradiol , type i , Luteinizing hormone , Bmpr1b protein , Bone morphogenetic protein receptor 1 , Grem1 protein , Signal peptide , Adolescent , Adult , Article , Bioinformatics , Bmpr1b gene , Cell differentiation , Cell proliferation , Cohort analysis , Female , Frameshift mutation , Gene , Gene frequency , Gene locus , Gene mapping , Gene mutation , Genetic variability , Granulosa cell , Grem1 gene , Human , Major clinical study , Meiosis , Missense mutation , Nonsense mutation , Ovary follicle development , Ovary insufficiency , Ovulation , Retrospective study , Whole exome sequencing , Young adult , Amino acid substitution , Biology , Chemistry , Clinical trial , Expert system , France , Genetic predisposition , Genetics , Genome-wide association study , Metabolism , Molecular dynamics , Molecular model , Multicenter study , Mutation , Patient referral , Premature ovarian failure , Protein stability , Single nucleotide polymorphism , Whole exome sequencing , Adult , Amino acid substitution , Bone morphogenetic protein receptors , Cohort studies , Computational biology , Expert systems , Female , France , Genetic predisposition to disease , Genome-wide association study , Humans , Intercellular signaling peptides and proteins , Models , Molecular dynamics simulation , Mutation , Polymorphism , Primary ovarian insufficiency , Protein stability , Referral and consultation , Retrospective studies , Whole exome sequencing , Young adult , Female infertility , Molecular etiology , Polygenic disease , Primary ovarian insufficiency , Whole-exome sequencing
