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Expanding the spectrum of clinical and genetic characteristics of distal arthrogryposis type 5 caused by heterozygous variants in the PIEZO2 gene

https://doi.org/10.17650/2222-8721-2024-14-2-25-37

Abstract

Pathogenic heterozygous variants in the PIEZO2 gene cause distal arthrogryposis type 5 – a rare autosomal dominant disease, which is characterized by the development of congenital contractures, ophthalmoparesis, ptosis and restrictive respiratory disorders. We have presented clinical and genetic characteristics of seven Russian patients with distal arthrogryposis type 5  caused by previously described and newly identified nucleotide variants in the PIEZO2 gene. It was shown that the most severe clinical manifestations were found in patients with newly identified nucleotide variants c.8238G>A (p.Trp274Ter) and c.7095G>T (p.Trp2365Cys), while in patients with other previously described variants c.8181_8183delAGA (p.Glu2727del) and c.2134A>G (p.Met712Val) the clinical phenotype is more moderately expressed. The dynamics of phenotype formation were also noted. It has been shown that the disease progression may occur as the child grows and requires monitoring of this group of patients.

About the Authors

E. L. Dadali
Research Centre for Medical Genetics
Russian Federation

1 Moskvorechye St., Moscow 115522



T. V. Markova
Research Centre for Medical Genetics
Russian Federation

1 Moskvorechye St., Moscow 115522



E. A. Melnik
Research Centre for Medical Genetics
Russian Federation

Evgeniya Aleksandrovna Melnik 

1 Moskvorechye St., Moscow 115522



S. S. Nikitin
Research Centre for Medical Genetics
Russian Federation

1 Moskvorechye St., Moscow 115522



I. V. Sharkova
Research Centre for Medical Genetics
Russian Federation

1 Moskvorechye St., Moscow 115522



O. V. Khalanskaya
Research Centre for Medical Genetics
Russian Federation

1 Moskvorechye St., Moscow 115522



L. A. Bessonov
Research Centre for Medical Genetics
Russian Federation

1 Moskvorechye St., Moscow 115522



E. A. Shestopalova
Research Centre for Medical Genetics
Russian Federation

1 Moskvorechye St., Moscow 115522



O. P. Ryzhkova
Research Centre for Medical Genetics
Russian Federation

1 Moskvorechye St., Moscow 115522



S. I. Trofimova
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Russian Federation

64–68 Parkovaya St., Pushkin,  Saint Petersburg 196603



O. E. Agranovich
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Russian Federation

64–68 Parkovaya St., Pushkin,  Saint Petersburg 196603



S. I. Kutsev
Research Centre for Medical Genetics
Russian Federation

1 Moskvorechye St., Moscow 115522



References

1. Coste B., Mathur J., Schmidt M. et al. Piezo1 and Piezo2 are essential components of distinct mechanically activated cation channels. Science 2010; 330(6000):55–60. DOI: 10.1126/science.1193270

2. Coste B., Xiao B., Santos J.S. et al. Piezo proteins are pore-forming subunits of mechanically activated channels. Nature 2012;483(7388):176–81. DOI: 10.1038/nature10812

3. Wang L., Zhou H., Zhang M. et al. Structure and mechanogating of the mammalian tactile channel PIEZO2. Nature 2019;573(7773):225–9. DOI: 10.1038/s41586-019-1505-8

4. Guo Y.R., MacKinnon R. Structure-based membrane dome mechanism for Piezo mechanosensitivity. Elife 2017;6:e33660. DOI: 10.7554/eLife.33660

5. Kefauver J.M., Ward A.B., Patapoutian A. Discoveries in structure and physiology of mechanically activated ion channels. Nature 2020;587(7835):567–76. DOI: 10.1038/s41586-020-2933-1

6. Felsenthal N., Zelzer E. Mechanical regulation of musculoskeletal system development. Development 2017;144:4271–83. DOI: 10.1242/dev.151266

7. McMillin M.J., Beck A.E., Chong J.X. et al. Mutations in PIEZO2 cause Gordon syndrome, Marden–Walker syndrome, and distal arthrogryposis type 5. Am J Hum Genet 2014;94(5):734–44.

8. Desai D., Stiene D., Song T., Sadayappan S. Distal arthrogryposis and lethal congenital contracture syndrome – an overview. Front Physiol 2020;11:689. DOI: 10.3389/fphys.2020.00689

9. Coste B., Houge G., Murray M.F. et al. Gain-of-function mutations in the mechanically activated ion channel PIEZO2 cause a subtype of distal athrogryposis. Proc Natl Acad Sci USA 2013;110(12):4667–72. DOI: 10.1073/pnas.1221400110

10. Markova T.V., Dadali E.L., Nikitin S.S. et al. Clinical and genetic chara-cteristics of distal arthrogryposis caused by mutations in the PIEZO2 gene. Nervno-myshechnye bolezni = Neuromuscular Diseases 2021;11(2):48–55. (In Russ.). DOI: 10.17650/2222-8721-2021-11-2-48-55

11. Sherlaw-Sturrock C.A., Willis T., Kiely N. et al. PIEZO2-related distal arthrogryposis type 5: Longitudinal follow-up of a threegeneration family broadens phenotypic spectrum, complications, and health surveillance recommendations for this patient group. Am J Med Genet A 2022;188(9):2790–5. DOI: 10.1002/ajmg.a.62868

12. Xiong H., Yang J., Guo J. et al. Mechanosensitive Piezo channels mediate the physiological and pathophysiological changes in the respiratory system. Respir Res 2022;23(1):196. DOI: 10.1186/s12931-022-02122-6

13. Ma Y., Zhao Y., Cai Z., Hao X. Mutations in PIEZO2 contribute to Gordon syndrome, Marden–Walker syndrome, and distal arthrogryposis: A bioinformatics analysis of mechanisms. Exp Ther Med 2019; 17(5):3518–24. DOI: 10.3892/etm.2019.7381

14. Monies D., Abouelhoda M., Assoum M. et al. Lessons learned from large-scale, first-tier clinical exome sequencing in a highly consanguineous population. Am J Hum Genet 2019;104(6):1182–201. DOI: 10.1016/j.ajhg.2019.04.011

15. Haliloglu G., Becker K., Temucin C. et al. Recessive PIEZO2 stop mutation causes distal arthrogryposis with distal muscle weakness, scoliosis and proprioception defects. J Hum Genet 2017;62(4):497–501. DOI: 10.1038/jhg.2016.153

16. Delle Vedove A., Storbeck M., Heller R. et al. Biallelic loss of proprioception-related PIEZO2 causes muscular atrophy with perinatal respiratory distress, arthrogryposis, and scoliosis. Am J Hum Genet 2016;99(5):1206–16. DOI: 10.1016/j.ajhg.2016.09.019


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For citations:


Dadali E.L., Markova T.V., Melnik E.A., Nikitin S.S., Sharkova I.V., Khalanskaya O.V., Bessonov L.A., Shestopalova E.A., Ryzhkova O.P., Trofimova S.I., Agranovich O.E., Kutsev S.I. Expanding the spectrum of clinical and genetic characteristics of distal arthrogryposis type 5 caused by heterozygous variants in the PIEZO2 gene. Neuromuscular Diseases. 2024;14(2):25‑37. https://doi.org/10.17650/2222-8721-2024-14-2-25-37

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ISSN 2222-8721 (Print)
ISSN 2413-0443 (Online)