Article ; Online: Hypomorphic pathogenic variant in SFTPB leads to adult pulmonary fibrosis.
European journal of human genetics : EJHG
2023 Volume 31, Issue 9, Page(s) 1083–1087
Abstract: Biallelic pathogenic variants in the surfactant protein (SP)-B gene (SFTPB) have been associated with fatal forms of interstitial lung diseases (ILD) in newborns and exceptional survival in young children. We herein report the cases of two related adults ...
Abstract | Biallelic pathogenic variants in the surfactant protein (SP)-B gene (SFTPB) have been associated with fatal forms of interstitial lung diseases (ILD) in newborns and exceptional survival in young children. We herein report the cases of two related adults with pulmonary fibrosis due to a new homozygous SFTPB pathogenic variant, c.582G>A p.(Gln194=). In vitro transcript studies showed that this SFTPB synonymous pathogenic variant induces aberrant splicing leading to three abnormal transcripts with the preservation of the expression of a small proportion of normal SFTPB transcripts. Immunostainings on lung biopsies of the proband showed an almost complete loss of SP-B expression. This hypomorphic splice variant has thus probably allowed the patients' survival to adulthood while inducing an epithelial cell dysfunction leading to ILD. Altogether, this report shows that SFTPB pathogenic variants should be considered in atypical presentations and/or early-onset forms of ILD particularly when a family history is identified. |
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MeSH term(s) | Adult ; Child ; Child, Preschool ; Humans ; Infant, Newborn ; Lung Diseases, Interstitial/diagnosis ; Lung Diseases, Interstitial/genetics ; Pulmonary Fibrosis/genetics ; Pulmonary Surfactant-Associated Protein B/genetics |
Chemical Substances | Pulmonary Surfactant-Associated Protein B ; SFTPB protein, human |
Language | English |
Publishing date | 2023-06-28 |
Publishing country | England |
Document type | Journal Article ; Research Support, Non-U.S. Gov't |
ZDB-ID | 1141470-4 |
ISSN | 1476-5438 ; 1018-4813 |
ISSN (online) | 1476-5438 |
ISSN | 1018-4813 |
DOI | 10.1038/s41431-023-01413-w |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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