Novel pathogenic variants in <scp> <i>NLRP7</i> </scp> , <scp> <i>NLRP5</i> , </scp> and <scp> <i>PADI6</i> </scp> in patients with recurrent hydatidiform moles and reproductive failure

  • Maryam Rezaei
    Department of Human Genetics McGill University Health Centre Research Institute Montreal Quebec Canada
  • Beena Suresh
    Department of Clinical Genetics & Genetic counselling Mediscan Systems Chennai India
  • Eric Bereke
    Department of Human Genetics McGill University Health Centre Research Institute Montreal Quebec Canada
  • Zahra Hadipour
    Medical Genetics Department Atieh Research Center and Hospital Tehran Iran
  • Monica Aguinaga
    Genetics and Genomics Department Instituto Nacional de Perinatologia Mexico City Mexico
  • Jianhua Qian
    Department of Gynecology The First Affiliated Hospital, Zhejiang University School of Medicine Hangzhou China
  • Rashmi Bagga
    Department of Obstetrics & Gynecology Post Graduate Institute of Medical, Education and Research, PGIMER Chandigarh India
  • Majid Fardaei
    Department of Medical Genetics Shiraz University of Medical Sciences Shiraz Iran
  • Reda Hemida
    Obstetrics and Gynecology Mansoura University Mansoura Egypt
  • Sujatha Jagadeesh
    Department of Clinical Genetics & Genetic counselling Mediscan Systems Chennai India
  • Jacek Majewski
    Department of Human Genetics McGill University Health Centre Research Institute Montreal Quebec Canada
  • Rima Slim
    Department of Human Genetics McGill University Health Centre Research Institute Montreal Quebec Canada

書誌事項

公開日
2021-02-23
権利情報
  • http://onlinelibrary.wiley.com/termsAndConditions#vor
DOI
  • 10.1111/cge.13941
公開者
Wiley

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説明

<jats:title>Abstract</jats:title> <jats:p> Recurrent hydatidiform moles (RHMs) are human pregnancies with abnormal embryonic development and hyperproliferating trophoblast. Biallelic mutations in <jats:italic>NLRP7</jats:italic> and <jats:italic>KHDC3L,</jats:italic> members of the subcortical maternal complex (SCMC), explain the etiology of RHMs in only 60% of patients. Here we report the identification of seven functional variants in a recessive state in three SCMC members, five in <jats:italic>NLRP7</jats:italic> , one in <jats:italic>NLRP5,</jats:italic> and one in <jats:italic>PADI6</jats:italic> . In <jats:italic>NLRP5</jats:italic> , we report the first patient with RHMs and biallelic mutations. In <jats:italic>PADI6</jats:italic> , the patient had four molar pregnancies, two of which had fetuses with various abnormalities including placental mesenchymal dysplasia and intra‐uterine growth restriction, which are features of Beckwith‐Wiedemann syndrome and Silver Russell syndrome, respectively. Our findings corroborate recent studies and highlight the common oocyte origin of all these conditions and the continuous spectrum of abnormalities associated with deficiencies in the SCMC genes. </jats:p>

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