Molecular genetic analysis of a de novo balanced translocation t(6;17)(p21.31;qll.2) associated with hypospadias and anorectal malformation

We report a young boy with penoscrotal hypospadias, anal atresia (AA) with a recto-urethral fistula, a hypoplastic kidney and a balanced translocation t(6;17)(p21.31;q11.2). Physical mapping of the breakpoints localized the chromosome 6 breakpoint within an intron of the gene lipoma HMGIC fusion par...

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Published in:Human genetics Vol. 119; no. 1-2; pp. 162 - 168
Main Authors: MANSOURI, Mahmoud Reza, CARLSSON, Birgit, DAVEY, Edward, NORDENSKJÖLD, Agneta, WESTER, Tomas, ANNEREN, Göran, LÄCKGREN, Cöran, DAHL, Niklas
Format: Journal Article
Language:English
Published: Heidelberg Springer 01-03-2006
Berlin Springer Nature B.V
New York, NY
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Summary:We report a young boy with penoscrotal hypospadias, anal atresia (AA) with a recto-urethral fistula, a hypoplastic kidney and a balanced translocation t(6;17)(p21.31;q11.2). Physical mapping of the breakpoints localized the chromosome 6 breakpoint within an intron of the gene lipoma HMGIC fusion partner-like 5 (LHFPL5) whereas the chromosome 17 breakpoint was mapped to the first intron of the 182-FIP gene encoding the Fragile X Mental Retardation Protein Interacting Protein. Sequence analysis across the breakpoints revealed an almost perfectly balanced translocation with a 2 bp deletion on the derivative chromosome 6 and a 7 bp duplication on the derivative chromosome 17. We identified a fusion transcript consisting of the first exon of 182-FIP and the last exon of LHFPL5 in patient-derived cells. Quantitative expression analysis of the genes flanking the breakpoints, revealed increased transcript levels for SFRS protein kinase 1 (SRPK1) and TAO kinase 1 (TAOK1) which suggests a positional effect due to the translocation. We hypothesize that the urogenital and anorectal malformations in the patient result from one or several mechanisms including disruption of the genes 182-FIP and LHFPL5, altered expression of the genes flanking the translocation breakpoints and, a gain of function mechanism mediated by the 182-FIP-LHFPL5 fusion transcript.
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ISSN:0340-6717
1432-1203
1432-1203
DOI:10.1007/s00439-005-0122-9