A recurrent deep-intronic splicing CF mutation emphasizes the importance of mRNA studies in clinical practice

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Costa, Catherine | Prulière-Escabasse, Virginie | de Becdelièvre, Alix | Gameiro, Christine | Golmard, Lisa | Guittard, Caroline | Bassinet, Laurence | Bienvenu, Thierry | Georges, Marie Des | Epaud, Ralph | Bieth, Eric | Giurgea, Irina | Aissat, Abdel | Hinzpeter, Alexandre | Costes, Bruno | Fanen, Pascale | Goossens, Michel | Claustres, Mireille | Coste, André | Girodon, Emmanuelle

Edité par CCSD ; Elsevier -

International audience. BACKGROUND:The identification by CFTR mRNA studies of a new deep-intronic splicing mutation, c.870-1113_1110delGAAT, in one patient of our series with mild CF symptoms and in three CF patients of an Italian study, led us to evaluate the mutation frequency and phenotype/genotype correlations.METHODS:266 patients with CF and related disorders and having at least one undetected mutation, were tested at the gDNA level in three French reference laboratories.RESULTS:In total, the mutation was found in 13 unrelated patients (5% of those already carrying a mutation) plus 4 siblings, including one homozygote and 12 heterozygotes having a severe CF mutation. The sweat test was positive in 10/14 documented cases, the diagnosis was delayed after 20 years in 9/15 and pancreatic insufficiency was present in 5/16.CONCLUSION:c.870-1113_1110delGAAT should be considered as CF-causing with phenotype variability and overall delayed diagnosis. Its frequency highlights the potential of mRNA studies.

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