Novel KIAA0753 mutations extend the phenotype of skeletal ciliopathies

Sci Rep. 2017 Nov 14;7(1):15585. doi: 10.1038/s41598-017-15442-1.

Abstract

The skeletal ciliopathies are a heterogeneous group of disorders with a significant clinical and genetic variability and the main clinical features are thoracic hypoplasia and short tubular bones. To date, 25 genes have been identified in association with skeletal ciliopathies. Mutations in the KIAA0753 gene have recently been associated with Joubert syndrome (JBTS) and orofaciodigital (OFD) syndrome. We report biallelic pathogenic variants in KIAA0753 in four patients with short-rib type skeletal dysplasia. The manifestations in our patients are variable and ranging from fetal lethal to viable and moderate skeletal dysplasia with narrow thorax and abnormal metaphyses. We demonstrate that KIAA0753 is expressed in normal fetal human growth plate and show that the affected fetus, with a compound heterozygous frameshift and a nonsense mutation in KIAA0753, has an abnormal proliferative zone and a broad hypertrophic zone. The importance of KIAA0753 for normal skeletal development is further confirmed by our findings that zebrafish embryos homozygous for a nonsense mutation in kiaa0753 display altered cartilage patterning.

MeSH terms

  • Abnormalities, Multiple / genetics
  • Abnormalities, Multiple / physiopathology
  • Cerebellum / abnormalities
  • Cerebellum / physiopathology
  • Child
  • Child, Preschool
  • Ciliopathies / genetics*
  • Ciliopathies / physiopathology
  • Eye Abnormalities / genetics
  • Eye Abnormalities / physiopathology
  • Female
  • Genetic Predisposition to Disease*
  • Homozygote
  • Humans
  • Infant
  • Kidney Diseases, Cystic / genetics
  • Kidney Diseases, Cystic / physiopathology
  • Male
  • Microtubule-Associated Proteins / genetics*
  • Muscle, Skeletal* / abnormalities
  • Mutation
  • Orofaciodigital Syndromes / genetics
  • Orofaciodigital Syndromes / physiopathology
  • Pedigree
  • Phenotype
  • Retina / abnormalities
  • Retina / physiopathology

Substances

  • KIAA0753 protein, human
  • Microtubule-Associated Proteins

Supplementary concepts

  • Agenesis of Cerebellar Vermis