Evaluation of common COL2A1 gene variants in Iranian patients suspected with Stickler syndrome type I

Background: Stickler syndrome, also known as hereditary progressive arthro-ophthalmopathy, is a connective tissue disorder that arises from mutations in multiple genes, each with distinct hereditary patterns. Stickler syndrome type I, which is inherited in an autosomal dominant manner, is specifical...

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Main Authors: Fatemeh Abolhasani, Hossein Abdali, Mohammad Kazemi, Bijan Movahedian Attar, Fatemeh Derakhshandeh, Majid Hosseinzadeh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Journal of Research in Medical Sciences
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Online Access:https://journals.lww.com/10.4103/jrms.jrms_447_24
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author Fatemeh Abolhasani
Hossein Abdali
Mohammad Kazemi
Bijan Movahedian Attar
Fatemeh Derakhshandeh
Majid Hosseinzadeh
author_facet Fatemeh Abolhasani
Hossein Abdali
Mohammad Kazemi
Bijan Movahedian Attar
Fatemeh Derakhshandeh
Majid Hosseinzadeh
author_sort Fatemeh Abolhasani
collection DOAJ
description Background: Stickler syndrome, also known as hereditary progressive arthro-ophthalmopathy, is a connective tissue disorder that arises from mutations in multiple genes, each with distinct hereditary patterns. Stickler syndrome type I, which is inherited in an autosomal dominant manner, is specifically linked to mutations in the COL2A1 gene. The objective of this study is to investigate the prevalence of common variants of the COL2A1 gene among individuals suspected of having Stickler syndrome type I. Materials and Methods: Twenty-six Iranian patients suspected of having Stickler syndrome type I referring to Al-Zahra Hospital of Isfahan were employed in this cross-sectional study. The DNA was extracted from the patient’s peripheral blood samples, and the selected exons of the COL2A1 gene were amplified by polymerase chain reaction. Subsequently, the purified amplicons were subjected to Sanger sequencing to identify common variants associated with Stickler syndrome type I. Results: All patients exhibit cleft abnormalities (palate, lip, and alveolar), 84.6% of patients exhibit ocular abnormalities, 53.8% of patients exhibit hearing abnormalities, and 34.6% of patients exhibit skeletal abnormalities. As the data displays, the highest phenotype presentation prevalence rate was related to cleft lip and palate, while hemiparesis was the lowest clinical finding among the patients. Molecular analysis which conducted to screen the COL2A1 gene of patients, identified two different variants, including a novel nonsense variant, (c.1030C>T), consistent with dominantly inherited Stickler syndrome type I, also synonymous mutation (c.213C>T) affecting in exon 2, which have been reported in database. Conclusion: Genetic analysis of Twenty-six unrelated families with Stickler syndrome type I disorder discovered one novel pathogenic variant in the COL2A1 gene in a patient with Stickler syndrome type I. Genetic analysis is helpful for the diagnosis of this clinically variable and genetically heterogeneous disorder.
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1735-7136
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spelling doaj-art-9c517e3388ad4880b7eb98e36f5067192025-02-06T09:56:28ZengWolters Kluwer Medknow PublicationsJournal of Research in Medical Sciences1735-19951735-71362025-01-013016610.4103/jrms.jrms_447_24Evaluation of common COL2A1 gene variants in Iranian patients suspected with Stickler syndrome type IFatemeh AbolhasaniHossein AbdaliMohammad KazemiBijan Movahedian AttarFatemeh DerakhshandehMajid HosseinzadehBackground: Stickler syndrome, also known as hereditary progressive arthro-ophthalmopathy, is a connective tissue disorder that arises from mutations in multiple genes, each with distinct hereditary patterns. Stickler syndrome type I, which is inherited in an autosomal dominant manner, is specifically linked to mutations in the COL2A1 gene. The objective of this study is to investigate the prevalence of common variants of the COL2A1 gene among individuals suspected of having Stickler syndrome type I. Materials and Methods: Twenty-six Iranian patients suspected of having Stickler syndrome type I referring to Al-Zahra Hospital of Isfahan were employed in this cross-sectional study. The DNA was extracted from the patient’s peripheral blood samples, and the selected exons of the COL2A1 gene were amplified by polymerase chain reaction. Subsequently, the purified amplicons were subjected to Sanger sequencing to identify common variants associated with Stickler syndrome type I. Results: All patients exhibit cleft abnormalities (palate, lip, and alveolar), 84.6% of patients exhibit ocular abnormalities, 53.8% of patients exhibit hearing abnormalities, and 34.6% of patients exhibit skeletal abnormalities. As the data displays, the highest phenotype presentation prevalence rate was related to cleft lip and palate, while hemiparesis was the lowest clinical finding among the patients. Molecular analysis which conducted to screen the COL2A1 gene of patients, identified two different variants, including a novel nonsense variant, (c.1030C>T), consistent with dominantly inherited Stickler syndrome type I, also synonymous mutation (c.213C>T) affecting in exon 2, which have been reported in database. Conclusion: Genetic analysis of Twenty-six unrelated families with Stickler syndrome type I disorder discovered one novel pathogenic variant in the COL2A1 gene in a patient with Stickler syndrome type I. Genetic analysis is helpful for the diagnosis of this clinically variable and genetically heterogeneous disorder.https://journals.lww.com/10.4103/jrms.jrms_447_24col2a1 genehereditary arthro-ophthalmopathystickler syndrome type istickler syndrome vitreous type i
spellingShingle Fatemeh Abolhasani
Hossein Abdali
Mohammad Kazemi
Bijan Movahedian Attar
Fatemeh Derakhshandeh
Majid Hosseinzadeh
Evaluation of common COL2A1 gene variants in Iranian patients suspected with Stickler syndrome type I
Journal of Research in Medical Sciences
col2a1 gene
hereditary arthro-ophthalmopathy
stickler syndrome type i
stickler syndrome vitreous type i
title Evaluation of common COL2A1 gene variants in Iranian patients suspected with Stickler syndrome type I
title_full Evaluation of common COL2A1 gene variants in Iranian patients suspected with Stickler syndrome type I
title_fullStr Evaluation of common COL2A1 gene variants in Iranian patients suspected with Stickler syndrome type I
title_full_unstemmed Evaluation of common COL2A1 gene variants in Iranian patients suspected with Stickler syndrome type I
title_short Evaluation of common COL2A1 gene variants in Iranian patients suspected with Stickler syndrome type I
title_sort evaluation of common col2a1 gene variants in iranian patients suspected with stickler syndrome type i
topic col2a1 gene
hereditary arthro-ophthalmopathy
stickler syndrome type i
stickler syndrome vitreous type i
url https://journals.lww.com/10.4103/jrms.jrms_447_24
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