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mutation

در نشریات گروه پزشکی
  • اتابک صدیق نمین، رسول ملاطفی، مهران آسایشی، عفت سیدهاشمی، سید سعید حسینی اصل*

    سندرم کارتاژنر یک اختلال ژنتیکی نادر با الگوی وراثتی اتوزومال مغلوب است که با سه گانه ای بالینی شامل سینوزیت مزمن، برونشکتازی و سایتوس اینورسوس مشخص می شود. این سه گانه شامل التهاب مزمن سینوس ها، گشاد شدگی غیر طبیعی برونش ها و آرایش آیینه ای اندام های داخلی است. این سندرم معمولا با جهش هایی در ژن هایی که برای عملکرد مژک ها ضروری هستند، به ویژه ژن DNAH5 که یک پروتئین مهم برای حرکت طبیعی مژک ها را کد می کند، مرتبط است .این گزارش مورد یک واریانت جدید بیماری زا در ژن DNAH5 را در یک کودک دو ساله ایرانی که با سندرم کارتاژنر تشخیص داده شد، معرفی می کند. این کودک از دوران نوزادی، از 12 روزگی، دچار اپیزودهای مکرر ذات الریه بوده است. او از والدین خویشاوند به دنیا آمده، هر چند سابقه خانوادگی ابتلا به ذات الریه مکرر یا ناباروری وجود نداشته است. تشخیص این بیماری با توجه به وجود دکستروکاردیا به عنوان بخشی از سایتوس اینورسوس در این بیمار انجام شد. از میان تقریبا 49 ژن مرتبط با دیسکینزی اولیه مژکی (PCD) و سندرم کارتاژنر، جهش های ژن DNAH5 به عنوان علتی برای عفونت های تنفسی مزمن و نقص های جانبی اندام ها شناخته شده اند. بر اساس دستورالعمل های کالج ژنتیک پزشکی و ژنومیک آمریکا (ACMG)، واریانت (NM_001369.3)DNAH5 ، 1190-1193 (p.Phe397Ter) del بر اساس معیارهای PS1 و PM2 به عنوان احتمالا بیماری زا طبقه بندی شده است. فراوانی بسیار کم این واریانت در پایگاه های داده ژنومی، از جمله ایرانوم، همراه با مطابقت با معیارهای ACMG و تظاهرات بالینی بیمار، به طبقه بندی این واریانت به عنوان بیماری زا کمک می کند.

    کلید واژگان: سندرم کارتاژنر، جهش، DNAH5، توالی یابی کل اگزوم
    Atabak Sedigh-Namin, Rasoul Molatefi, Mehran Asayeshi, Effat Sayyedhashemi, Seyed Saied Hosseini-Asl*

    Kartagener's syndrome is a rare autosomal recessive genetic disorder characterized by a clinical triad: chronic sinusitis, bronchiectasis, and situs inversus. This triad includes persistent inflammation of the sinuses, abnormal dilation of the bronchi, and a mirror-image arrangement of internal organs. The syndrome is commonly associated with mutations in genes critical for ciliary function, particularly DNAH5, which encodes a protein essential for normal ciliary motility. This case report describes a novel pathogenic variant in the DNAH5 gene identified in a 2-year-old Iranian female diagnosed with Kartagener's syndrome. She presented with recurrent episodes of pneumonia beginning in the neonatal period, with symptoms first appearing at 12 days of age. Notably, she was born to consanguineous parents, although no family history of recurrent pneumonia or infertility was reported. The diagnosis was supported by the presence of dextrocardia, consistent with her situs inversus. Among the approximately 49 genes implicated in primary ciliary dyskinesia (PCD) and Kartagener's syndrome, mutations in DNAH5 are a known cause of chronic respiratory infections and organ laterality defects. In accordance with the American College of Medical Genetics and Genomics (ACMG) guidelines, the variant DNAH5 (NM_001369.3): c.1190_1193del (p.Phe397Ter) was classified as likely pathogenic based on criteria PS1 and PM2. Its very low allele frequency in genomic databases, including Iranome, along with its consistency with ACMG criteria and the patient’s clinical manifestations, supports the classification of this variant as pathogenic.

    Keywords: Kartagener’S Syndrome, Mutation, DNAH5, Whole-Exome Sequencing
  • Ysrafil Ysrafil *, Arlan K. Imran, Prisca Syafriani Wicita, Vyani Kamba, Fihrina Mohamad, Ismail Ismail, Ayyub Harly Nurung, Noviyanty Indjar Gama, Sari Eka Pratiwi, Indwiani Astuti, Firzan Nainu, Talha Bin Emran
    Introduction

    Presently, the development of effective vaccines against SARS-CoV-2 is absolutely necessary, especially regarding the emergence of new variants that cause increasing morbidity and fatalities.

    Methods

    In the present study we designed a mosaic vaccine targeting the mutational spike protein of COVID-19 using a bioinformatics approach. Various immunoinformatics tools were utilized to provide the highest potential for a mosaic vaccine that could activate immune responses against COVID-19.

    Results

    The evaluation of the constructed vaccine revealed that it is antigenic and immunogenic as well as nonallergenic. The physicochemical properties also show promising characteristics, including being highly stable and hydrophilic. As expected, the vaccine shows strong interactions with several important receptors including angiotensin-converting enzyme 2 (ACE2), Toll-like receptor 3 (TLR3) and TLR8 by the lowest energy level, docking score and binding free energy. The vaccine binds to receptors via certain amino acids using various types of binding including salt bridges, hydrogen bonds, and other means. As shown in computationally derived models, the interactions promote activation of the immune response by eliciting the release of various cytokines, antibodies, memory B and T cells, as well as increasing of natural killer cell and dendrite cell counts.

    Conclusion

    Therefore, the novel designed mosaic vaccine could be considered as a potential vaccine candidate for immediate production to stem the continuing and tragic effects of the COVID-19 pandemic. However, several advanced experimental studies should be conducted to ensure and verify the effectivity and safety against SARS‑CoV‑2 in vivo.

    Keywords: SARS-Cov-2, Immunoinformatics, Mutation, Spike Protein, Virus Variant
  • Zohreh Keykhodaei, Mohammadreza Fathi, Ali Khodadadi, Ahmad Shamsizadeh, Ata A Ghadiri, Pegah Ghandil*
    Background and Aims

    Familial Mediterranean fever (FMF) is caused by mutations in the MEFV (Mediterranean fever) gene and is characterized by recurrent, self-limiting attacks of fever with polyserositis. This study aimed to identify MEFV gene variants in suspected FMF patients in the southwest of Iran.

    Methods

    We obtained whole blood samples from 40 unrelated pediatric patients suspected to have FMF between 2020 and 2024. The entire coding and flanking regions of the MEFV gene were sequenced using genomic DNA. We employed in-silico tools to detect the pathogenicity predictions of the rare mutation. Further, the clinical symptoms experienced by the patients were recorded and evaluated.

    Results

    We identified eight different mutations, including six common mutations (p.E148Q, p.M694I, p.M694V, p.A744S, p.M680I (c.2082G>A), p.V726A), one uncommon mutation (p. R202Q), and one rare mutation located in exon 3 (p.S339F). The most frequently reported mutant allele was p.E148Q (50%), followed by p.R202Q (43.75%). We reported the rare mutation p.S339F for the first time in Iranian FMF patients. Bioinformatics prediction tools confirmed the pathogenicity of this mutation, and for the first time, we used the I-mutant website for this mutation. Fever and abdominal pain were the most prevalent clinical symptoms.

    Conclusion

    These findings can be used to develop the genetic database of MEFV gene mutations and help in detection of hotspot regions in the Iranian population, especially in the southwest. Our results can be helpful in early diagnosis and pharmacotherapy for patients suspected of having FMF.

    Keywords: Familial Mediterranean Fever, Mutation, Clinical Features, MEFV
  • Mohsen Badalzadeh, Maryam Soleimani Bavani, Zahra Alizadeh, Milad Mirmoghtadaei, Leila Shakerian, Seiamak Bahram, Anne Molitor, Raphael Carapito, Leila Moradi, Anahita Razaghian, Raheleh Assari, Masoud Movahedi, Mansoureh Shariat, Massoud Houshmand, Laleh Habibi, Amir Hamidieh, Mahmoudreza Ashrafi, Mohammadreza Fazlollahi*, Zahra Pourpak

    Ataxia Telangiectasia (A-T) is a rare autosomal recessive neurodegenerative disease caused by mutations in the ataxia telengiectasia mutated (ATM) gene. The gene is on chromosome 11q22-23 and codes for the protein kinase ATM, which plays an essential role in DNA damage repair. In this study, we review the clinical characteristics of 13 A-T patients, 2 of whom displayed novel mutations. Thirteen patients with ataxia-telangiectasia from 10 unrelated families were referred to  Immunology, Asthma and Allergy Research Institute, Tehran, Iran. After clinical confirmation, blood samples were collected from the patients and their parents. Genetic analysis for 8 patients was conducted using whole-exome sequencing; in the other 3 patients, polymerase chain reaction was used, followed by sequencing. We identified 11 different mutations in the ATM gene. Two patients had mutations as compound heterozygous, while 9 other patients were homozygous for the mutations. Among these, 2 likely pathogenic mutations (ie, c.2639-1G>A and c.7940_7970del​TTCCAGCAGA​CCAGCCAATT​ACTAAACTTAA) have not been reported. Our study highlights the significance of next-generation sequencing techniques in identifying novel ATM mutations in A-T patients. Although all reported A-T mutations reside in 1 gene, the absence of a mutation hotspot for this gene necessitates the use of next-generation sequencing techniques. Specifically, we identified 2 mutations that have not been reported previously, emphasizing the importance of continued research in this area. This study provides new insights into the genetic underpinnings of A-T and underscores the potential clinical implications of identifying novel mutations.

    Keywords: Ataxia-Telangiectasia, Ataxia Telangiectasia Mutated Proteins, Cerebellar Ataxia, Iran, Mutation, Primary Immunodeficiencydiseases, Whole Exome Sequencing
  • پرتو حکمت پو*، پرنیان حکمت پو، فریده جلالی مشایخی، سحر بیات، میلاد غلامی
    مقدمه

    آلبینیسم چشمی- پوستی، یک بیماری ارثی با الگوی مغلوب اتوزومی است. میزان بروز این بیماری در حدود 1 در هر 17 هزار تولد است. اغلب افراد مبتلا در ایران، حاصل ازدواج خویشاوندی می باشند. موی سفید، پوست روشن و کاهش رنگدانه های عنبیه از تظاهرات اصلی این بیماری است. همچنین در معرض نور خورشید بودن، استعداد ابتلا به سرطان پوست را در این افراد افزایش می دهد. هدف از مطالعه حاضر، بررسی علت ژنتیکی یک فرد مبتلا به زالی چشمی- پوستی از طریق روش توالی یابی کل اگزوم بود.

    روش کار

    از یک کودک مبتلا به آلبینیسم پوستی با الگوی توارث اتوزوم مغلوب، نمونه خون محیطی به مقدار 6 سی سی تهیه، DNA استخراج و توالی یابی کل اگزوم انجام شد. پس از آنالیز داده های توالی یابی اگزوم، جهش بیماری زا شناسایی شد. سپس جهت تایید و تفکیک در فرد مبتلا و والدین او از روش توالی یابی سنگر استفاده شد.

    یافته ها

    فرد مبتلا جهش بیماری زا (NM_000372.5):c.286dupA p.(Met96AsnfsTer73) را در اگزون شماره 1 ژن TYR به صورت هموزیگوت نشان داد. با توجه به ژن جهش یافته نوع بیماری، آلبینیسم چشمی- پوستی IA تعیین شد. همچنین والدین فرد مبتلا برای جهش مذکور هتروزیگوت بودند.

    نتیجه گیری

    با استفاده از روش توالی یابی کل اگزوم با کارآیی بالا و سپس تائید جهش از طریق توالی یابی سنگر، جهش مسبب بیماری آلبینیسم چشمی- پوستی در فرد مبتلا شناسایی شد. با توجه به ازدواج خویشاوندی والدین، ناقل بودن و خطر تکرار 25 درصدی برای فرزندان آینده، از این یافته می توان برای اقدامات پیشگیرانه در آینده استفاده کرد.

    کلید واژگان: جهش، آلبینیسم چشمی- پوستی، توالی یابی کل اگزوم، TYR
    Parto Hekmatpou*, Parnian Hekmatpou, Farideh Jalali Mashayekhi, Sahar Bayat, Milad Gholami
    Introduction

    Oculocutaneous Albinism is a hereditary disease with an autosomal recessive pattern. The incidence of this disease is about 1 in every 17 thousand births. Most of the affected people in Iran are the result of consanguineous marriages. White hair, fair skin, and reduction of iris pigments are the main manifestations of this disease. Also, exposure to sunlight increases the susceptibility of these patients to skin cancer. This study aimed to investigate the genetic cause of a person with Oculocutaneous Albinism by whole exome sequencing.

    Methods

    A 6cc peripheral blood sample was obtained from a child with oculocutaneous Albinism with an autosomal recessive inheritance pattern. DNA extraction and whole exome sequencing were performed. After analyzing the exome sequencing data, the pathogenic mutation was identified. Then, the Sanger sequencing method was used to confirm and segregate.

    Results

    The affected case showed homozygous pathogenic mutation (NM_000372.5): c.286dupA p.(Met96AsnfsTer73) in exon 1 of the TYR gene. Oculocutaneous albinism IA was determined according to the mutated gene. Also, the parents of the affected person were heterozygous for the mutation.

    Conclusions

    The mutation causing oculocutaneous albinism was identified in the affected person using the high-efficiency whole exome sequencing method and then confirming the mutation through Sanger sequencing. Considering the parents' consanguineous marriage of the parents, this finding can be used for preventive measures in the future.

    Keywords: Mutation, Oculocutaneous Albinism, Whole Exome Sequencing, TYR
  • Seyed Alireza Mortazavi, Ilham Said-Salman, Sami El Khatib, Parmis Taghizadeh, Seyed Mohammadjavad Mortazavi *, Lembit Sihver

    Natural selection, a cornerstone of evolutionary biology, shapes the adaptations organisms develop to survive environmental pressures. This paper explores how natural selection drives biological adaptations to radiation exposure. We examine the genetic mechanisms at play, exemplified by the enhanced DNA repair capabilities observed in bacteria like Escherichia coli (E. coli) following exposure to radiation. We then investigate adaptations in humans residing in high-background radiation areas, highlighting potential genetic variations for radiation resistance. Finally, the contemporary relevance of natural selection is discussed, emphasizing its role in the emergence of antibiotic-resistant bacteria and the need for sustainable medical practices. By studying these adaptations, we gain a deeper understanding of evolution and its implications for medicine, conservation, and our overall understanding of life.

    Keywords: Natural Selection, Radiation, Environmental Pressure, Mutation, Biological Evolution
  • Sivapriya Dayakar, Anitha Pandi, Chandra Pandi, Paramasivam Arumugam, Vijayashree Priyadharsini Jayaseelan *
    Background
    Cancer is a polygenic complex disorder involving a network of genes. The phosphatidylinositol 3-kinase (PIK3CA) has been reported as an oncogene that plays a role in many cancer types. The present study aims to demonstrate the association between the genetic alterations observed in the PIK3CA gene network and its role in establishing breast cancer.
    Method
    In the present observational study, we used multiple tools (STRING, cBioportal, PANTHER, and UALCAN) to demonstrate the genetic alterations in the Breast Cancer Dataset (TCGA, Firehose Legacy). The PIK3CA gene interaction network was deduced, followed by the identification of genetic alterations, gene ontology, gene expression and survival analysis.
    Results
    The PIK3CA gene was found to harbor 36% of genetic alterations in the form of gene amplification and mutations. The gene expression profile indicated the significant downregulation of PIK3CA gene transcripts. Interestingly, the Kaplan Meier survival analysis demonstrated that low/medium expression of PIK3CA presented with a good prognosis when compared with the high expression group. These results support the fact that PIK3CA is oncogenic.
    Conclusion
    The PIK3CA gene has been considered as one of the potential druggable targets for breast cancer. The genetic alterations reported in the gene might influence its function. Therefore, further experimental validation is required to provide more insight into the functional association of mutations. Also, the effect of tumor suppressors and epigenetic factors targeting PIK3CA has to be assessed to gain more insight into the increased expression of PIK3CA in breast cancer patients.
    Keywords: Breast Neoplasms, Candidate Gene, Mutation, Gene Ontology
  • یونس لطفی، مسلم شعبانی، اعظم نوائی لواسانی*
    هدف

    اختلالات دهلیزی همانند ناشنوایی بصورت الگوهای ژنتیکی ناهمگون (heterogeneous) با روش های انتقال ورارثتی چند فاکتوری همراه هستند. پیشرفت در زمینه توالی یابی ژنتیکی، شواهدی از طبقه بندی فامیلیال در اختلالات دهلیزی را فراهم کرده و آغازی برای بارز شدن علت های ژنتیکی این اختلالات و احتمالا باز شدن راه های درمانی جدید بویژه در بیماری منییر و اختلالات همراه با کم شنوایی بوده است. در این مطالعه مروری، هدف ما ارائه یافته های اخیر در زمینه ژن های موثر در ایجاد اختلالات دهلیزی و بررسی درمان احتمالی این اختلالات می باشد.

    روش بررسی

    در این مقاله مروری واژه های "ژن، بیماری های دهلیزی و ژن درمانی در منابع اطلاعاتی Google scholar و Science direct و PubMed در سال های 2000 تا 2023 جستجو شدند.

    یافته ها

    پس از جستجو در منابع اطلاعاتی Google scholar و Science direct و PubMed مقالات جدید و مرتبط را جمع آوری و مطالعه نموده و از حدود 32 مقاله در این مطالعه استفاده گردید.

    نتیجه گیری

    کاربرد درمان های مولکولی و ژنی برای ترمیم و بازگشت شنوایی و اختلال دهلیزی قابل ملاحظه است. کشف درمانهای جدید احتمالی برای ایجاد سلول های مویی جدید، پیشرفت های مهمی در علم محسوب می شوند که مطالعات بعدی به سمت درمان بیولوژیک بیماری های گوش داخلی را تسهیل خواهد کرد.

    کلید واژگان: بیماری های دهلیزی، ژن، موتاسیون، ژن درمانی
    Y. Lotfi, M .Shaabani, A. Navaei Lavasani *
    Purpose

    Vestibular disorders such as deafness are associated with heterogeneous genetic patterns and multifactorial hereditary transmission methods. Improvement in the field of genetic sequencing has provided evidence of familial classification in vestibular disorders and is the beginning for revealing the genetic causes and new treatment options, especially in Meniere’s disease and disorders associated with hearing loss. In this review, our aim is to present the recent findings in the field of effective genes in vestibular disorders and investigating the possible treatment of these disorders.

    Methods

    In this review article, the words “genes and vestibular diseases” and genetic therapy had searched in ‘google scholar” and “science direct” and "PubMed" databases in the years 2000 to 2023.

    Results

    After searching in Google Scholar, Science Direct and PubMed databases, new and related articles were collected and studied, and about 32 articles were used in this study.

    Conclusion

    The application of molecular and gene therapy for the restoration and return of hearing and vestibular disorder is significant. The discovery of possible new treatments for the creation of new hair cells are important advances in science that will facilitate further studies towards biological treatment of inner ear diseases.

    Keywords: Vestibular Diseases, Gene, Mutation, Genetic Therapy
  • Caixia Ma, Dongliang Jiang, Xiying Wei
    Background

    Tanshinone IIA is effective in the treatment of various cardiovascular diseases. Currently, tanshinone IIA is primarily derived from the roots and rhizomes of Salvia miltiorrhiza Bunge. However, resources of S. miltiorrhiza are already facing scarcity.

    Objectives

    The aim of this study was to obtain an alternative and high-yield mutagenic strain of tanshinone IIA, thus establishing a cost-effective and non-plant-derived substitute for tanshinone IIA.

    Methods

    The mutants with enhanced tanshinone IIA production were selected through protoplast mutation induced by ultraviolet radiation (UV) and sodium nitrite (NaNO 2 ). The yield of tanshinone IIA (YT) was determined using a TU-1810 ultraviolet-visible (UV/Vis) Spectrophotometer and LC-2010A high-performance liquid chromatography (HPLC). The selected mutant strains with the highest yield were subjected to continuous cultivation, and the dry weight of mycelium (DW) and the YT in the first generation were used as controls to assess passage stability. Fungal genomic DNA from the wild-type and mutant strains was extracted from axenic cultures using the modified cetyltrimethyl ammonium bromide (CTAB) method.

    Results

    The colony morphological characteristics exhibited significant differences between the wild-type TR21 and the mutant NU204. The NU204 demonstrated a significantly higher tanshinone IIA yield at 165 ± 2.52 μg/g, which was 4.67-fold greater than that of TR21 (P < 0.01), indicating a substantial enhancement in NU204 production compared to TR21. The NU204 underwent continuous cultivation for five generations, and there were no significant differences in the DW and YT among the different generations (P > 0.05). The observed genetic changes between TR21 and NU204 were induced by the protoplast mutation.

    Conclusions

    The mutant NU204 is emerging as a promising novel alternative source for tanshinone IIA, offering potential practical applications in production.

    Keywords: Tanshinone IIA, Endophytes, Mutation, Salvia Miltiorrhiza
  • نگار زینا، آتوسا مرادزادگان*
    مقدمه

     بیماری شارکو ماری توث، به گروهی از اختلالات ارثی ناهمگن از نظر ژنتیکی اطلاق می شود که دارای فنوتیپ مشترک نوروپاتی حسی- حرکتی یا حرکتی پیشرونده همراه با ناهنجاری های پا هستند. هدف از این مطالعه، شناسایی ژن ها و جهش های احتمالی دخیل در اختلالات ژنتیکی استخوان و همچنین یافتن جهش های جدید عامل این بیماری است که می تواند به عنوان اطلاعات پس زمینه و کمک به توسعه ی پانل های طراحی شده برای تشخیص این اختلال استفاده شود.

    روش ها

    پس از جمع آوری خون محیطی بیماران و سایر شرکت کنندگان در مطالعه، ماده DNA به روش Salting out خالص سازی و با دستگاه Illumina 100X توالی یابی شد. به منظور تایید واریانت از روش استاندارد سانگر استفاده شد.

    یافته ها

    در این مطالعه دو خانواده از استان خوزستان مورد بررسی قرار گرفتند. در بیمار خانواده ی اول جهش NM_002180:exon3:c.449+1G>T در ژن IGHMBP2 تشخیص داده شد که در بیمار هموزیگوت و در والدین وی هتروزیگوت بود. این واریانت قبلا گزارش شده است، اما یک نوع بسیار نادر است که به طور معمول بررسی نمی شود. جهش NM_002180:exon5:c.548A>C نیز در خانواده ی دوم شناسایی شد.

    نتیجه گیری

    با انجام مطالعات بیشتر بر روی تعداد بیشتری از خانواده ها، می توان فراوانی و نوع جهش ژن های دخیل در بیماری شارکو ماری توث را در ایران شناخت و با طراحی پانل ژنتیکی به تشخیص و پیشگیری از این بیماری کمک کرد. طراحی این پانل از بروز موارد جدید در خانواده ها جلوگیری کرده و سلامت جامعه را بهبود می بخشد.

    کلید واژگان: بیماری شارکوماری توث، جهش، ژن IGHMBP2، توالی یابی کامل اگزوم
    Negar Zina, Atousa Moradzadegan *
    Background

    Charcot-Marie-Tooth disease is a group of genetically heterogeneous inherited disorders characterized by progressive sensory-motor or motor neuropathy, which often leading to leg abnormalities. The purpose of this study is to identify possible genes and mutations involved in bone genetic disorders, as well as to find new mutations that cause this disease, which can be used as background information and help to develop panels designed to diagnose this disorder.

    Methods

    After collecting the peripheral blood of the patients and other participants in the study, the DNA material was purified by the salting out method and sequenced with the Illumina 100X device. The standard Sanger method was used to confirm the variant.

    Findings

    IIn this study, two families from Khuzestan province were investigated. In the patient of the first family, NM_002180: exon3: c.449+1G>T mutation was detected, which was homozygous in the patient and heterozygous in his parents. This variant has been reported before, but it is a scarce variant that is not routinely checked. The mutation NM_002180: exon5: c.548A>C was detected in the second family.

    Conclusion

    By conducting more studies on a large number of families, it is possible to understand the frequency and type of mutations of genes involved in Charcot-Marie-Tooth disease in Iran and then consider the design of a special panel for this disease, which is a great help in diagnosing and preventing the disease. It will prevent the occurrence of new cases in families and improve the health of society.

    Keywords: Charcot-Marie-Tooth Disease, Mutation, IGHMBP2 Gene, Whole Exome Sequencing
  • Malihe Naderi, Seyed Masoud Hosseini, Vahideh Hamidi, Nasser Behnampour, Iraj Shahramian, Abdolvahab Moradi
    Background

    The occurrence of specific mutations within the Hepatitis B virus (HBV) genome is associated with the progression of chronic hepatitis B infection towards more severe outcomes.

    Objectives

    This study aimed to investigate mutational patterns in the X -gene and their influence on the outcome of chronic HBV infection (CHB) across three generations in a family.

    Methods

    Ninety CHB patients, meeting the inclusion criteria, were recruited from cases referred to the Center of Hepatology at Golestan University of Medical Sciences between September 2020 and January 2021. The HBx gene was amplified using semi-nested PCR from serum samples and then subjected to sequencing.

    Results

    A comparison of the sequences from CHB patients indicated that children and mothers in the two-generation group exhibited the highest similarity (79.3%) in the X -gene, with the lowest mutation rate (20.7%). The N-terminal region of the X -gene showed the highest mutation frequency in the three-generation group, including C1491G (25%), G1613T (23.9%), C1500T (43.4%), and G1658T (33.4%). The mutation rate was notably higher in HBeAg -negative patients across the three groups compared to HBe- Ag-positive CHB patients, with a statistically significant difference (P = 0.03). A1762T/G1764A mutations were observed in 15.6% of patients, and their presence showed a significant difference (P = 0.03). Additionally, in the three-generation group, a silent mutation (A1727G, 10%) and a missense mutation (A1727T, 30%) were detected.

    Conclusions

    Specific mutational patterns in the HBx gene may be valuable in predicting clinical outcomes in CHB patients and could serve as warning indicators for increased susceptibility to hepatocellular carcinoma (HCC).

    Keywords: Hepatitis B-Virus, X Protein, Mutation, Three Generations Group
  • دینازهرا مختاری، فاطمه اکبریان، پریسا علی دوست سلیمی، سمیرا کلائی نیا*
    مقدمه

    کاردیومیوپاتی هایپرتروفیک و کاردیومیوپاتی اتساعی، عمدتا با تظاهرات بالینی مختلف و در افراد با سابقه ی ژنتیکی پدیدار می شوند، در این حالت توالی یابی اگزوم امکان بررسی جامع از مناطق کدکننده ی پروتئین ژنوم را فراهم می کند و شناسایی انواع واریانت های نادر و بالقوه ی بیماری زا مرتبط با این شرایط را تسهیل می نماید. علاوه براین، داده های حاصل از توالی یابی اگزوم می تواند بینش گسترده تری را در مورد مکانیسم های مولکولی موثر در پاتوژنز کاردیومیوپاتی هایپرتروفیک و اتساعی ارایه دهد.

    روش ها

    نمونه ی خون از دو فرد بیمار از دو خانواده ایرانی دارای کاردیومیوپاتی هایپرتروفیک و کاردیومیوپاتی اتساعی و اعضای خانواده های آن ها جمع آوری گردید، سپس با استفاده از روش Salting out، نمونه ی DNA آن ها استخراج شد. نمونه ها جهت انجام توالی یابی اگزوم به شرکت ماکروژن کره جنوبی ارسال شدند و سپس داده خام در مرکز قلب و عروق شهید رجائی مورد تجزیه و تحلیل قرار گرفت. طراحی پرایمر و PCR برای واریانت های کاندید و همچنین توالی یابی سنگر برای بیماران و خانواده آن ها انجام شد.

    یافته ها

    در این مطالعه، دو واریانت گزارش شده ی مختلف، یکی در ژن  TPM1 (A:p.E156K< c.466G) و دیگری در ژن ACTN2  (c.2648C>T:p.A883V)در خانواده ی A (هردو هتروزیگوت) و یک واریانت گزارش شده در ژن (c.2218C>T:p.R740X)  در خانواده ی B (هموزیگوت) شناسایی شدند. جهش های یافته شده در بیماران تایید و در اعضای خانواده ی سگرگیت شد.

    نتیجه گیری

    نتایج مطالعه ی حاضر نشان داد، جهش های ژن هایTPM1،ACTN2  و NRAP در خانواده های دارای افراد مبتلا به کاردیومیوپاتی می تواند در علت یابی بیماری و شناسایی افراد در معرض خطر خانواده، کمک کننده می باشد.

    کلید واژگان: کاردیومیوپاتی، توالی یابی اگزوم، جهش، بیماری های قلبی، ایران
    Dinazahra Mokhtari, Fatemeh Akbarian, Parisa Alidoost Salimi, Samira Kalayinia *
    Background

    Hypertrophic cardiomyopathy and dilated cardiomyopathy appear with diverse clinical manifestations and genetic history. Exome sequencing provides the possibility of a comprehensive examination of the protein-coding regions of the genome and the identification of rare and potentially pathogenic variants related to these conditions. Facilitates The data obtained from exome sequencing can provide a broader insight into the molecular mechanisms that affect the pathogenesis of hypertrophic and dilated cardiomyopathy.

    Methods

    Blood samples were collected from 2 patients and their families with Hypertrophic and Dilated Cardiomyopathy. Their DNA was extracted using the salting out method. Patient samples were sent to South Korea's Macrogen Company for exome sequencing and the raw data was analyzed at the Shahid Rajaei Heart and Vascular Center. Primer and PCR design for candidate variants and trench sequencing were done for patients and their families.

    Findings

    In this study, two different variants, one in TPM1 gene (c.466G>A:p.E156K) and another in ACTN2 gene (c.2648C>T:p.A883V), both in family A and one variant in NRAP gene (c.2218C>T:p.R740X) was identified in family B. Mutations found in patients were confirmed and segregated in family members.

    Conclusion

    The results of the present study show that examining TPM1, ACTN2, and NRAP genes in families with people with cardiomyopathy can help diagnose the cause of the disease and identifying people at risk in the family.

    Keywords: Cardiomyopathies, Exome Sequencing, Mutation, Heart Diseases, Iran
  • Maryam Ajel, Seyed Mohammad Jazayeri, Emad Behboudi, Mansour Poorebrahim, Mahin Ahangar Oskouee, Hossein Bannazadeh Baghi, Alka Hasani, Mojtaba Varshochi, Aliakbar Shekarchi, Mohammad Sabbaghian, Vahdat Poortahmasebi*
    Background

    The envelope (E) protein of globally circulating severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) is highly conserved. This study aimed to find the mutation rate of the E genes in COVID-19 patients, and also to evaluate the conformational characteristics of viral E protein.

    Methods

    In this study, 120 patients with SARS-CoV-2 positive test results were selected according to real-time PCR assay. Specific primers for conventional PCR have been used to amplify E gene; furthermore, to identify the E gene mutations, direct sequencing of the E genes was also done. Bioinformatics techniques were used to investigate the possible effects of antigenic changes and 3D characteristics of amino acid substitutions. Also, the immunogenicity of wild-type and mutant E was analyzed utilizing a ClusPro docking server and the IEDB online platform.

    Results

    A total of 120 COVID-19 patients were included (57.5% were male and 42.5% female), with an overall mean age of 55.70±10.61 years old. Of 10 nucleotide changes, 8 (80%) were silent. Also, 2 (20%) missense mutations (amino acid altering) were found in the E gene (L73F and S68F).

    Conclusion

    These mutations insert some new helix structures in the E mutants. Also, the results of molecular docking studies indicated that both S68F and L73F mutations could notably enhance the stability and binding affinity of protein E's C-terminal motif to the Protein Associated with LIN7 1, MAGUK P55 Family Member (PALS1) which may probably increase local viral spread, and infiltration of immune cells into lung alveolar spaces.

    Keywords: COVID-19, Envelope, Immunogenicity, Mutation, SARS‑Cov‑2
  • Ezatollah Mosavi, Mojgan Bandehpour*, Amrollah Mostafazadeh, Behnaz Yousefghahari, Fateme Majidi, Hakimeh Zali, Bahram Kazemi

    In a system biology-based study, we previously reported that IL-6 and IL6R -specific m-RNA levels were elevated in leukocytes of patients with Rheumatoid arthritis (RA). Here, the association of toll-like receptor4 (TLR4) rs 141534085 and cytochrome P450 family 51 subfamily A member 1(CYP51A1) rs6 with tumor necrosis factor-α (TNF- α), rheumatoid factor (RF)- and Anti- cyclic citrullinated peptide (anti-CCP) antibody -positivity was investigated in almost the same subjects. Forty-six patients and 48 normal subjects were recruited in this study. The blood leucocytes TLR4 rs 141534085 and CYP51A1 rs6 -comprising DNA sequences were amplified by using tetra-primer amplification refractory mutation system polymerase chain reaction (T-ARMS-PCR) technique and the PCR products were checked by Sanger DNA sequencing method. ELISA method was used to determine plasma levels of TNF- α, anti-CCP antibody and RF positivity of plasma was evaluated through a latex agglutination test. The TNF- α level was significantly higher in the patient group than control subjects (p= 0.001). Moreover, we were not able to find any correlation between TNF-α levels and RF as well as anti-CCP antibodies when we used the K2/ Fisher's exact test and Pearson test respectively. Our DNA sequencing data revealed the following new mutations in TLR4 rs141534085 comprising regions: A>T in position 1050, T>A in position 1052, and C>A in position 1054; and for CYP51A1 rs6 encompassing region, the new mutations were; G>A in position 21680, the T nucleotide was inserted in position 21762 and the G nucleotide was inserted in position 21763, G>T in position 21764. The data of this study showed that both TLR4 rs141534085 and CYP51A1 rs6 related DNA regions should be considered as hotspot areas in RA pathogenicity. Moreover, these data indicated that, TNF- α did not alter the production of anti-CCP and RF pathogenic antibodies   in patients with long-term RA.

    Keywords: Rheumatoid Arthritis, TLR4, CYP51A1, TNF-Α, Mutation
  • Bizhan Keikhaei Dehdezy, Ladan Mafakher, Arta Farhadi Kia, Roya Salehi Kahyesh*, Emir Yiğit Perk, Saeed Bitaraf, Mahmood Maniati
    Background

    Thalassemia is a widespread disease affecting people across various ethnicities and regions. In comparison to previous studies conducted in different regions of Iran, such as those in Lorestan and Sistan-Baluchestan, this study highlights unique mutation patterns prevalent in the southwestern population, emphasizing the genetic heterogeneity in this region. The identification of common mutations of beta-thalassemia in various ethnic groups within the nation is regarded as a practical solution for thalassemia prevention and prenatal diagnosis.

    Materials and Methods

    In this retrospective observational study, the medical records of 545 patients with various types of beta-thalassemia (silent, minor, intermediate, and major), referred to the center at Baqaei 2 hospital over a 14-year period (2008–2022), were examined. The age range of patients spanned from a 2-month-old fetus to a 34-year-old individual. Their mutations and thalassemia types were determined and confirmed using molecular methods, including PCR-ARMS (polymerase chain reaction-amplification refractory mutation system) and sequencing. The results were analyzed using SPSS software.

    Results

    The study examined 545 patients and identified 81 types of mutations. The most frequent mutations observed were CD36-37(-T)/N, IVSII-1/N, and IVS1-110(G>A). The study also noted population heterogeneity, reflected in the wide range of mutations found in the region. Among the patients, 6 had the silent form of beta-thalassemia, 488 had the minor form (464 patients and 24 fetuses), 9 had the intermediate form (8 patients and 1 fetus), and 42 had the major form (26 fetuses and 16 adults).

    Conclusion

    The identification of prevalent beta-thalassemia mutations facilitates disease control and prevention programs and is crucial for the identification of various beta-thalassemia gene mutations. This should be re-evaluated periodically. Observing a wide range of beta-thalassemia genotypes in the southwestern region of Iran suggests gene flow; thus, identifying these genotypes is instrumental in preventing and controlling the disease.

    Keywords: Βeta Thalassemia, Mutation, Iran
  • Parastoo Mohammadi, Mehrdad Noruzinia *, Mostafa Ebadi, Pegah Ghoraeian

    Veno-occlusive disease with immunodeficiency (VODI) syndrome is a rare genetic disorder characterized by immunesystem irregularities and a significant mortality rate, despite its infrequency. SP110, situated on chromosome 2q37.1,plays a pivotal role in VODI syndrome, and its association with tuberculosis has been extensively studied. Theidentification of SP110 mutations holds promise for accelerating the diagnosis and treatment of VODI syndrome, byproviding a comprehensive panel for diagnosis and potentially leading to targeted therapies. In this case study, weexamined a three-year-old girl born to a consanguineous union who was suspected of having an immunodeficiencydisorder. Whole-exome sequencing (WES) and clinical assessments were conducted to screen for and confirmpotentially pathogenic mutations. The detected mutation was further analyzed using bioinformatics tools to forecastits impact on protein structure. WES analysis revealed a novel deletion-insertion mutation, c.1181-1182delAGinsT,within SP110. Protein analysis indicated substantial structural modifications in the SP110 protein. This study identifieda novel deletion-insertion mutation as a potential contributor to VODI syndrome by affecting the functionality of theSP110 protein. By including various mutations associated with the SP110 gene, this study aimed to expedite diagnosisby creating a comprehensive panel for VODI syndrome.

    Keywords: Bioinformatics, Mutation, SP110 Protein, Whole-Exome Sequencing, Veno-Occlusive Disease With Immunodeficiency Syndrome
  • Hossein Jalali, Daniel Zamanfar, Muhammad Amirzadegan, Farshide Ghadami, Mahan Mahdavi, Mohammad Reza Mahdavi *
    Background

    There are more than 1100 different pathogenic variants in the phenylalanine hydroxylase (PAH) gene that are responsible for phenylketonuria (PKU) diseases, and the spectrum of these mutations varies in different ethnic groups. The aim of the present study was to identify the frequency of pathogenic variants in all 13 exons of the PAH gene among patients with PKU in Mazandaran and Golestan provinces in the north of Iran.

    Methods

    Forty unrelated PKU patients from Mazandaran and Golestan provinces were enrolled in the study. Genomic DNA was extracted from leukocytes using a Qiagen DNA extraction kit and polymerase chain reaction – restriction fragment length polymorphism (PCR‑RFLP), and Sanger sequencing methods were applied to detect the variants. In the case of new variants, the InterVar online tool (PMID: 28132688) was used to classify the variants.

    Results

    Twenty‑one different pathogenic variants were observed among the 40 investigated patients. The c.106611G>A variant had the highest frequency (27.5%) in the region, and the c.168+5G>C, c.473G>A, and c.782 G>A variants were the other most frequent mutations with allelic frequencies of 7.5, 5, and 5%, respectively. Three novel pathogenic variants including c.773T>G, c.878 T>C, and c. 1245del variants were observed among the investigated patients.

    Conclusions

    The introduction of pathogenic variants in the PAH gene in each ethnic group provides valuable data regarding the understanding of the pathogenesis of the disease and can be helpful for prenatal diagnosis programs.

    Keywords: Mutation, Phenylalanine Hydroxylase, Phenylketonuria
  • یونس لطفی، مسلم شعبانی، حمیده ارباب سرجو*
    هدف

    هدف از این مطالعه بررسی مطالعات ژن های کاندید در اختلال پردازش شنوایی و مطالعات اثر محرومیت شنوایی در دوره بحرانی بر بیان ژن ها و ملکول های پروتئینی و تعیین نوع و محل آسیب و ماهیت اختلال پردازش شنوایی است.

    روش بررسی

    در این مقاله مروری واژه های "ژن ها و اختلال پردازش شنوایی" و "محرومیت شنوایی و اختلال پردازش شنوایی" در منابع اطلاعاتی google scholar و science direct وpubmed و web of science در سال های 2000 تا 2023 جستجو شدند.

    یافته ها

    پس از جستجو در منابع اطلاعاتی Google Scholar و Science Direct و pubmed و Web of Science، 16 مقاله مرتبط و جدید یافت شد.

    نتیجه گیری

    پروتئین a2δ3 و ژن های kcna1 ,pax6 از جمله ملکول های شناخته شده موثر در اختلال پردازش شنوایی هستند. محرومیت شنوایی در دوره بحرانی با تغییر در بیان ژن های گیرنده های گلوتامات و گابا ، باعث نقص در رفتار های شنوایی بدون تاثیر بر آستانه های شنوایی می شود. شناسایی پروتئین ها و ملکول های موثر در اختلال پردازش شنوایی می تواند راهی برای تشخیص اختلال پردازش شنوایی باشد.

    کلید واژگان: اختلالات درک شنیداری، محرومیت حسی، ژن کاندید، جهش
    Y .Lotfi, M .Shaabani, H .Arbab Sarjoo *
    Purpose

    The purpose of this study is to examine the studies of candidate genes in auditory processing disorder and studies of the effect of auditory deprivation in the critical period on the expression of genes and protein molecules and to determine the type and location of damage and the nature of auditory processing disorder.

    Method

    In this review article, the words "genes and auditory processing disorder" and "auditory deprivation and auditory processing disorder" had searched in "Google Scholar" and "Science Direct"," pubmed ,"web of science" databases in the years 2000 to 2023.

    Results

    After searching in Google Scholar and Science Direct and pubmed and web of science databases, 16 related and new articles were found and investigated.

    Conclusion

    α2δ3 protein and kcna1 and pax6 genes are known as samples effective molecules in auditory processing disorder. Auditory deprivation in the critical period by changing the expression of GABA and glutamate receptor genes causes defects in hearing behaviors without affecting hearing thresholds. Identifying proteins and molecules effective in auditory processing disorder can be a way to diagnose auditory processing disorder.

    Keywords: Auditory Perceptual Disorders, Sensory Deprivation, Gene Candidate, Mutation
  • Konan Guy Sylvère N'zi*, Jules Eric Hermann Ayekoue, Marie Florence N'guessan, Founzégué Amadou Coulibaly, Allico Joseph Djaman
    Introduction

    Phosphorylation reactions highlight the essential role of protein kinases in sperm motility. TSSK6 protein is thought to play a crucial role in this process. Indeed, sperm obtained from mice with the Tssk6-/- genotype are unable to carry out fertilization and exhibit decreased motility. This leads us to investigate the causes of asthenozoospermia by searching for polymorphisms in the TSSK6 gene. Therefore, the objective of this study is to identify polymorphisms in the TSSK6 gene in men affected by asthenozoospermia.

    Material & Methods

    The methodology involved direct sequencing of spermatozoa DNA. Thirty ejaculates were analyzed, including 20 from asthenozoospermic men and 10 from normozoospermic men. Spermograms were performed according to WHO procedures. DNA extraction was carried out using the phenol/chloroform method followed by conventional PCR. The amplicons were sequenced using the Sanger method, and the sequences were analyzed with BioEdit software. The data were analyzed using Fisher and Mann-Whitney tests.

    Results

    The results revealed mutations in the TSSK6 gene in both normospermic and asthenozoospermic ejaculates. The synonymous mutations c.690T>C (p.Tyr230Tyr) and c.372C>A (p.Arg124Arg) were the most frequent, occurring at rates of 50% and 33.33%, respectively. Analysis of the mutations using PolyPhen-2 indicated that all mutations observed in normozoospermic samples are benign and would not affect sperm quality. However, only the mutations described in asthenozoospermic samples are predicted to be damaging to the protein.

    Conclusion

     In conclusion, mutations in the TSSK6 gene were observed in infertile men. Deleterious mutations in the TSSK6 protein are associated with asthenozoospermia

    Keywords: Infertility, Male, Gene, Protein, Mutation, TSSK6
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