» Articles » PMID: 31827250

Identification of Novel FBN1 Variations Implicated in Congenital Scoliosis

Abstract

Congenital scoliosis (CS) is a form of scoliosis caused by congenital vertebral malformations. Genetic predisposition has been demonstrated in CS. We previously reported that TBX6 loss-of-function causes CS in a compound heterozygous model; however, this model can explain only 10% of CS. Many monogenic and polygenic CS genes remain to be elucidated. In this study, we analyzed exome sequencing (ES) data of 615 Chinese CS from the Deciphering Disorders Involving Scoliosis and COmorbidities (DISCO) project. Cosegregation studies for 103 familial CS identified a novel heterozygous nonsense variant, c.2649G>A (p.Trp883Ter) in FBN1. The association between FBN1 and CS was then analyzed by extracting FBN1 variants from ES data of 574 sporadic CS and 828 controls; 30 novel variants were identified and prioritized for further analyses. A mutational burden test showed that the deleterious FBN1 variants were significantly enriched in CS subjects (OR = 3.9, P = 0.03 by Fisher's exact test). One missense variant, c.2613A>C (p.Leu871Phe) was recurrent in two unrelated CS subjects, and in vitro functional experiments for the variant suggest that FBN1 may contribute to CS by upregulating the transforming growth factor beta (TGF-β) signaling. Our study expanded the phenotypic spectrum of FBN1, and provided nove insights into the genetic etiology of CS.

Citing Articles

Molecular landscape of congenital vertebral malformations: recent discoveries and future directions.

Szoszkiewicz A, Bukowska-Olech E, Jamsheer A Orphanet J Rare Dis. 2024; 19(1):32.

PMID: 38291488 PMC: 10829358. DOI: 10.1186/s13023-024-03040-0.


COL11A2 as a candidate gene for vertebral malformations and congenital scoliosis.

Rebello D, Wohler E, Erfani V, Li G, Aguilera A, Santiago-Cornier A Hum Mol Genet. 2023; 32(19):2913-2928.

PMID: 37462524 PMC: 10508038. DOI: 10.1093/hmg/ddad117.


Exome Sequencing Reveals De Novo Variants in Congenital Scoliosis.

Murakami K, Kikugawa S, Seki S, Terai H, Suzuki T, Nakano M J Pediatr Genet. 2022; 11(4):287-291.

PMID: 36267860 PMC: 9578779. DOI: 10.1055/s-0041-1726282.


Association of LBX1 Gene Methylation Level with Disease Severity in Patients with Idiopathic Scoliosis: Study on Deep Paravertebral Muscles.

Janusz P, Toklowicz M, Andrusiewicz M, Kotwicka M, Kotwicki T Genes (Basel). 2022; 13(9).

PMID: 36140724 PMC: 9498322. DOI: 10.3390/genes13091556.


[Latest advances in the diagnosis and treatment of Marfan syndrome].

Yang S, Luo F Zhongguo Dang Dai Er Ke Za Zhi. 2022; 24(7):826-831.

PMID: 35894201 PMC: 9336618. DOI: 10.7499/j.issn.1008-8830.2203099.


References
1.
Hedequist D, Emans J . Congenital scoliosis: a review and update. J Pediatr Orthop. 2007; 27(1):106-16. DOI: 10.1097/BPO.0b013e31802b4993. View

2.
WYNNE-DAVIES R . Congenital vertebral anomalies: aetiology and relationship to spina bifida cystica. J Med Genet. 1975; 12(3):280-8. PMC: 1013290. DOI: 10.1136/jmg.12.3.280. View

3.
Shen J, Wang Z, Liu J, Xue X, Qiu G . Abnormalities associated with congenital scoliosis: a retrospective study of 226 Chinese surgical cases. Spine (Phila Pa 1976). 2012; 38(10):814-8. DOI: 10.1097/BRS.0b013e31827ed125. View

4.
Pourquie O . Vertebrate segmentation: from cyclic gene networks to scoliosis. Cell. 2011; 145(5):650-63. PMC: 3164975. DOI: 10.1016/j.cell.2011.05.011. View

5.
Sparrow D, Chapman G, Smith A, Mattar M, Major J, OReilly V . A mechanism for gene-environment interaction in the etiology of congenital scoliosis. Cell. 2012; 149(2):295-306. DOI: 10.1016/j.cell.2012.02.054. View