Pre-T cell receptor-α immunodeficiency detected exclusively using whole genome sequencing

Abstract Maturation of αβ lineage T cells in the thymus relies on the formation and cell surface expression of a pre-T cell receptor (TCR) complex, composed of TCRβ chain and pre-TCRα (pTCRα) chain heterodimers, giving rise to a diverse T cell repertoire. Genetic aberrations in key molecules involve...

Full description

Saved in:
Bibliographic Details
Main Authors: Daniele Merico, Nigel Sharfe, Harjit Dadi, Bhooma Thiruvahindrapuram, Jill de Rijke, Zakia Dahi, Mehdi Zarrei, Abdulrahman Al Ghamdi, Azhar Al Shaqaq, Linda Vong, Stephen W. Scherer, Chaim M. Roifman
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:npj Genomic Medicine
Online Access:https://doi.org/10.1038/s41525-024-00453-5
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832594592251248640
author Daniele Merico
Nigel Sharfe
Harjit Dadi
Bhooma Thiruvahindrapuram
Jill de Rijke
Zakia Dahi
Mehdi Zarrei
Abdulrahman Al Ghamdi
Azhar Al Shaqaq
Linda Vong
Stephen W. Scherer
Chaim M. Roifman
author_facet Daniele Merico
Nigel Sharfe
Harjit Dadi
Bhooma Thiruvahindrapuram
Jill de Rijke
Zakia Dahi
Mehdi Zarrei
Abdulrahman Al Ghamdi
Azhar Al Shaqaq
Linda Vong
Stephen W. Scherer
Chaim M. Roifman
author_sort Daniele Merico
collection DOAJ
description Abstract Maturation of αβ lineage T cells in the thymus relies on the formation and cell surface expression of a pre-T cell receptor (TCR) complex, composed of TCRβ chain and pre-TCRα (pTCRα) chain heterodimers, giving rise to a diverse T cell repertoire. Genetic aberrations in key molecules involved in T cell development lead to profound T cell immunodeficiency. Definitive genetic diagnosis guides treatment choices and counseling. In this study, we describe the role of whole genome sequencing (WGS) in providing a definitive diagnosis for a child with T cell deficiency, where targeted panel sequencing of SCID genes and whole exome sequencing had failed. A novel homozygous 8kb deletion in PTCRA, encoding pTCRα, was identified. To date, use of WGS remains restricted and for many geographical regions, is clinically unavailable.
format Article
id doaj-art-f4705ebc751746b182f80da21f045925
institution Kabale University
issn 2056-7944
language English
publishDate 2025-01-01
publisher Nature Portfolio
record_format Article
series npj Genomic Medicine
spelling doaj-art-f4705ebc751746b182f80da21f0459252025-01-19T12:33:35ZengNature Portfolionpj Genomic Medicine2056-79442025-01-0110111110.1038/s41525-024-00453-5Pre-T cell receptor-α immunodeficiency detected exclusively using whole genome sequencingDaniele Merico0Nigel Sharfe1Harjit Dadi2Bhooma Thiruvahindrapuram3Jill de Rijke4Zakia Dahi5Mehdi Zarrei6Abdulrahman Al Ghamdi7Azhar Al Shaqaq8Linda Vong9Stephen W. Scherer10Chaim M. Roifman11The Centre for Applied Genomics (TCAG), Program in Genetics and Genome Biology, The Hospital for Sick ChildrenDivision of Immunology and Allergy, Department of Paediatrics, The Hospital for Sick Children and the University of TorontoDivision of Immunology and Allergy, Department of Paediatrics, The Hospital for Sick Children and the University of TorontoThe Centre for Applied Genomics (TCAG), Program in Genetics and Genome Biology, The Hospital for Sick ChildrenThe Centre for Applied Genomics (TCAG), Program in Genetics and Genome Biology, The Hospital for Sick ChildrenThe Centre for Applied Genomics (TCAG), Program in Genetics and Genome Biology, The Hospital for Sick ChildrenThe Centre for Applied Genomics (TCAG), Program in Genetics and Genome Biology, The Hospital for Sick ChildrenDivision of Immunology and Allergy, Department of Paediatrics, The Hospital for Sick Children and the University of TorontoDivision of Immunology and Allergy, Department of Paediatrics, The Hospital for Sick Children and the University of TorontoDivision of Immunology and Allergy, Department of Paediatrics, The Hospital for Sick Children and the University of TorontoThe Centre for Applied Genomics (TCAG), Program in Genetics and Genome Biology, The Hospital for Sick ChildrenDivision of Immunology and Allergy, Department of Paediatrics, The Hospital for Sick Children and the University of TorontoAbstract Maturation of αβ lineage T cells in the thymus relies on the formation and cell surface expression of a pre-T cell receptor (TCR) complex, composed of TCRβ chain and pre-TCRα (pTCRα) chain heterodimers, giving rise to a diverse T cell repertoire. Genetic aberrations in key molecules involved in T cell development lead to profound T cell immunodeficiency. Definitive genetic diagnosis guides treatment choices and counseling. In this study, we describe the role of whole genome sequencing (WGS) in providing a definitive diagnosis for a child with T cell deficiency, where targeted panel sequencing of SCID genes and whole exome sequencing had failed. A novel homozygous 8kb deletion in PTCRA, encoding pTCRα, was identified. To date, use of WGS remains restricted and for many geographical regions, is clinically unavailable.https://doi.org/10.1038/s41525-024-00453-5
spellingShingle Daniele Merico
Nigel Sharfe
Harjit Dadi
Bhooma Thiruvahindrapuram
Jill de Rijke
Zakia Dahi
Mehdi Zarrei
Abdulrahman Al Ghamdi
Azhar Al Shaqaq
Linda Vong
Stephen W. Scherer
Chaim M. Roifman
Pre-T cell receptor-α immunodeficiency detected exclusively using whole genome sequencing
npj Genomic Medicine
title Pre-T cell receptor-α immunodeficiency detected exclusively using whole genome sequencing
title_full Pre-T cell receptor-α immunodeficiency detected exclusively using whole genome sequencing
title_fullStr Pre-T cell receptor-α immunodeficiency detected exclusively using whole genome sequencing
title_full_unstemmed Pre-T cell receptor-α immunodeficiency detected exclusively using whole genome sequencing
title_short Pre-T cell receptor-α immunodeficiency detected exclusively using whole genome sequencing
title_sort pre t cell receptor α immunodeficiency detected exclusively using whole genome sequencing
url https://doi.org/10.1038/s41525-024-00453-5
work_keys_str_mv AT danielemerico pretcellreceptoraimmunodeficiencydetectedexclusivelyusingwholegenomesequencing
AT nigelsharfe pretcellreceptoraimmunodeficiencydetectedexclusivelyusingwholegenomesequencing
AT harjitdadi pretcellreceptoraimmunodeficiencydetectedexclusivelyusingwholegenomesequencing
AT bhoomathiruvahindrapuram pretcellreceptoraimmunodeficiencydetectedexclusivelyusingwholegenomesequencing
AT jillderijke pretcellreceptoraimmunodeficiencydetectedexclusivelyusingwholegenomesequencing
AT zakiadahi pretcellreceptoraimmunodeficiencydetectedexclusivelyusingwholegenomesequencing
AT mehdizarrei pretcellreceptoraimmunodeficiencydetectedexclusivelyusingwholegenomesequencing
AT abdulrahmanalghamdi pretcellreceptoraimmunodeficiencydetectedexclusivelyusingwholegenomesequencing
AT azharalshaqaq pretcellreceptoraimmunodeficiencydetectedexclusivelyusingwholegenomesequencing
AT lindavong pretcellreceptoraimmunodeficiencydetectedexclusivelyusingwholegenomesequencing
AT stephenwscherer pretcellreceptoraimmunodeficiencydetectedexclusivelyusingwholegenomesequencing
AT chaimmroifman pretcellreceptoraimmunodeficiencydetectedexclusivelyusingwholegenomesequencing