Abstract
Spinal muscular atrophy (SMA) is an autosomal recessive genetic disorder caused by survival motor neuron (SMN) protein deficiency leading the loss of motor neurons in the anterior horns of the spinal cord and brainstem. More than 95% of SMA patients are attributed to the homozygous deletion of survival motor neuron 1 (SMN1) gene, and approximately 5% are caused by compound heterozygous with a SMN1 deletion and a subtle mutation. Here, we identified a rare variant c.835-5T>G in intron 6 of SMN1 in a patient affected with type I SMA. We analyzed the functional consequences of this mutation on mRNA splicing in vitro. After transfecting pCI-SMN1, pCI-SMN2, and pCI-SMN1 c.835-5T>G minigenes into HEK293, Neuro-2a, and SHSY5Y cells, reverse transcription polymerase chain reaction (RT-PCR) was performed to compare the splicing effects of these minigenes. Finally, we found that this mutation resulted in the skipping of exon 7 in SMN1, which confirmed the genetic diagnosis of SMA.
Similar content being viewed by others
References
Alias L et al (2009) Mutation update of spinal muscular atrophy in Spain: molecular characterization of 745 unrelated patients and identification of four novel mutations in the SMN1 gene. Hum Genet 125:29–39. https://doi.org/10.1007/s00439-008-0598-1
Clermont O, Burlet P, Benit P, Chanterau D, Saugier-Veber P, Munnich A, Cusin V (2004) Molecular analysis of SMA patients without homozygous SMN1 deletions using a new strategy for identification of SMN1 subtle mutations. Hum Mutat 24:417–427. https://doi.org/10.1002/humu.20092
De Sanctis R et al (2016) Developmental milestones in type I spinal muscular atrophy. Neuromuscul Disord 26:754–759. https://doi.org/10.1016/j.nmd.2016.10.002
Feldkotter M, Schwarzer V, Wirth R, Wienker TF, Wirth B (2002) Quantitative analyses of SMN1 and SMN2 based on real-time lightCycler PCR: fast and highly reliable carrier testing and prediction of severity of spinal muscular atrophy. Am J Hum Genet 70:358–368. https://doi.org/10.1086/338627
Ganji H, Nouri N, Salehi M, Aryani O, Houshmand M, Basiri K, Fazel-Najafabadi E, Sedghi M (2014) Detection of intragenic SMN1 mutations in spinal muscular atrophy patients with a single copy of SMN1. J Child Neurol 30:558–562. https://doi.org/10.1177/0883073814521297
Glanzman AM, Mazzone E, Main M, Pelliccioni M, Wood J, Swoboda KJ, Scott C, Pane M, Messina S, Bertini E, Mercuri E, Finkel RS (2010) The Children’s Hospital of Philadelphia Infant Test of Neuromuscular Disorders (CHOP INTEND): test development and reliability. Neuromuscul Disord 20:155–161. https://doi.org/10.1016/j.nmd.2009.11.014
Hamzi K, Bellayou H, Itri M, Nadifi S (2013) PCR-RFLP, sequencing, and quantification in molecular diagnosis of spinal muscular atrophy: limits and advantages. J Mol Neurosci 50:270–274. https://doi.org/10.1007/s12031-012-9944-9
He J, Zhang QJ, Lin QF, Chen YF, Lin XZ, Lin MT, Murong SX, Wang N, Chen WJ (2013) Molecular analysis of SMN1, SMN2, NAIP, GTF2H2, and H4F5 genes in 157 Chinese patients with spinal muscular atrophy. Gene 518:325–329. https://doi.org/10.1016/j.gene.2012.12.109
Hua Y, Vickers TA, Baker BF, Bennett CF, Krainer AR (2007) Enhancement of SMN2 exon 7 inclusion by antisense oligonucleotides targeting the exon. PLoS Biol 5:e73. https://doi.org/10.1371/journal.pbio.0050073
Hua Y, Vickers TA, Okunola HL, Bennett CF, Krainer AR (2008) Antisense masking of an hnRNP A1/A2 intronic splicing silencer corrects SMN2 splicing in transgenic mice. Am J Hum Genet 82:834–848. https://doi.org/10.1016/j.ajhg.2008.01.014
Jedrzejowska M, Gos M, Zimowski JG, Kostera-Pruszczyk A, Ryniewicz B, Hausmanowa-Petrusewicz I (2014) Novel point mutations in survival motor neuron 1 gene expand the spectrum of phenotypes observed in spinal muscular atrophy patients. Neuromuscul Disord 24:617–623. https://doi.org/10.1016/j.nmd.2014.04.003
Lefebvre S, Bürglen L, Reboullet S, Clermont O, Burlet P, Viollet L, Benichou B, Cruaud C, Millasseau P, Zeviani M, le Paslier D, Frézal J, Cohen D, Weissenbach J, Munnich A, Melki J (1995) Identification and characterization of a spinal muscular atrophy-determining gene. Cell 80:155–165
Lorson C, Hahnen E, Androphy E, Wirth B (1999) A single nucleotide in the SMN gene regulates splicing and is responsible for spinal muscular atrophy. Proc Natl Acad Sci U S A 96:6307–6311
Lunn MR, Wang CH (2008) Spinal muscular atrophy. Lancet 371:2120–2133. https://doi.org/10.1016/s0140-6736(08)60921-6
Monani U, Lorson C, Parsons D, Prior T, Androphy E, Burghes A, McPherson J (1999) A single nucleotide difference that alters splicing patterns distinguishes the SMA gene SMN1 from the copy gene SMN2. Hum Mol Genet 8:1177–1183
Qu YJ, Bai JL, Cao YY, Wang H, Jin YW, du J, Ge XS, Zhang WH, Li Y, He SX, Song F (2016) Mutation spectrum of the survival of motor neuron 1 and functional analysis of variants in Chinese spinal muscular. Atrophy J Mol Diagn 18:741–752. https://doi.org/10.1016/j.jmoldx.2016.05.004
Ronchi D, Previtali SC, Sora MGN, Barera G, del Menico B, Corti S, Bresolin N, Comi GP (2015) Novel splice-site mutation in SMN1 associated with a very severe SMA-I phenotype. J Mol Neurosci 56:212–215. https://doi.org/10.1007/s12031-014-0483-4
Wertz MH, Sahin M (2016) Developing therapies for spinal muscular atrophy. Ann N Y Acad Sci 1366:5–19. https://doi.org/10.1111/nyas.12813
Zerres K, Rudnik-Schöneborn S (1995) Natural history in proximal spinal muscular atrophy. Clinical analysis of 445 patients and suggestions for a modification of existing classifications. Arch Neurol 52:518–523
Funding
This work was supported by the grants 81371261, 81771230, and U1505222 from the National Natural Science Foundation of China, National Key Clinical Specialty Discipline Construction Program, and Key Clinical Specialty Discipline Construction Program of Fujian.
Author information
Authors and Affiliations
Corresponding authors
Ethics declarations
This study was approved by The Affiliated First Hospital of Fujian Medical University Ethics Committee and the informed consent was obtained from the parents of the patient.
Rights and permissions
About this article
Cite this article
Wu, S., Li, YL., Cheng, NY. et al. c.835-5T>G Variant in SMN1 Gene Causes Transcript Exclusion of Exon 7 and Spinal Muscular Atrophy. J Mol Neurosci 65, 196–202 (2018). https://doi.org/10.1007/s12031-018-1079-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12031-018-1079-1