Functional characterization of ABCC8 variants of unknown significance based on bioinformatics predictions, splicing assays, and protein analyses: Benefits for the accurate diagnosis of congenital hyperinsulinism.

ABCC8 KATP channel SUR1 subunit congenital hyperinsulinism in silico predictions minigene splicing assays variants of unknown significance

Journal

Human mutation
ISSN: 1098-1004
Titre abrégé: Hum Mutat
Pays: United States
ID NLM: 9215429

Informations de publication

Date de publication:
04 2021
Historique:
revised: 06 12 2020
received: 12 08 2020
accepted: 31 12 2020
pubmed: 8 1 2021
medline: 1 4 2022
entrez: 7 1 2021
Statut: ppublish

Résumé

ABCC8 encodes the SUR1 subunit of the β-cell ATP-sensitive potassium channel whose loss of function causes congenital hyperinsulinism (CHI). Molecular diagnosis is critical for optimal management of CHI patients. Unfortunately, assessing the impact of ABCC8 variants on RNA splicing remains very challenging as this gene is poorly expressed in leukocytes. Here, we performed bioinformatics analysis and cell-based minigene assays to assess the impact on splicing of 13 ABCC8 variants identified in 20 CHI patients. Next, channel properties of SUR1 proteins expected to originate from minigene-detected in-frame splicing defects were analyzed after ectopic expression in COSm6 cells. Out of the analyzed variants, seven induced out-of-frame splicing defects and were therefore classified as recessive pathogenic, whereas two led to skipping of in-frame exons. Channel functional analysis of the latter demonstrated their pathogenicity. Interestingly, the common rs757110 SNP increased exon skipping in our system suggesting that it may act as a disease modifier factor. Our strategy allowed determining the pathogenicity of all selected ABCC8 variants, and CHI-inheritance pattern for 16 out of the 20 patients. This study highlights the value of combining RNA and protein functional approaches in variant interpretation and reveals the minigene splicing assay as a new tool for CHI molecular diagnostics.

Identifiants

pubmed: 33410562
doi: 10.1002/humu.24164
pmc: PMC8049974
mid: NIHMS1661852
doi:

Substances chimiques

ABCC8 protein, human 0
Sulfonylurea Receptors 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

408-420

Subventions

Organisme : NIDDK NIH HHS
ID : R01 DK057699
Pays : United States
Organisme : NIDDK NIH HHS
ID : R01 DK066485
Pays : United States

Informations de copyright

© 2021 Wiley Periodicals LLC.

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Auteurs

Cécile Saint-Martin (C)

Department of Genetics, AP-HP Pitié-Salpêtrière Hospital, Sorbonne University, Paris, France.

Marine Cauchois-Le Mière (M)

Inserm U1245, UFR de Médecine et Pharmacie, UNIROUEN, Normandie University, Normandy Centre for Genomic and Personalized Medicine, Rouen, France.
Department of Genetics, University Hospital, Normandy Centre for Genomic and Personalized Medicine, Rouen, France.

Emily Rex (E)

Department of Chemical Physiology and Biochemistry, Oregon Health & Science University, Portland, OR, USA.

Omar Soukarieh (O)

Inserm U1245, UFR de Médecine et Pharmacie, UNIROUEN, Normandie University, Normandy Centre for Genomic and Personalized Medicine, Rouen, France.

Jean-Baptiste Arnoux (JB)

Department of Inherited Metabolic Disease, Necker-Enfants Malades University Hospital, AP-HP, Paris, France.

Julien Buratti (J)

Department of Genetics, AP-HP Pitié-Salpêtrière Hospital, Sorbonne University, Paris, France.

Delphine Bouvet (D)

Department of Genetics, AP-HP Pitié-Salpêtrière Hospital, Sorbonne University, Paris, France.

Thierry Frébourg (T)

Inserm U1245, UFR de Médecine et Pharmacie, UNIROUEN, Normandie University, Normandy Centre for Genomic and Personalized Medicine, Rouen, France.
Department of Genetics, University Hospital, Normandy Centre for Genomic and Personalized Medicine, Rouen, France.

Pascaline Gaildrat (P)

Inserm U1245, UFR de Médecine et Pharmacie, UNIROUEN, Normandie University, Normandy Centre for Genomic and Personalized Medicine, Rouen, France.

Show-Ling Shyng (SL)

Department of Chemical Physiology and Biochemistry, Oregon Health & Science University, Portland, OR, USA.

Christine Bellanné-Chantelot (C)

Department of Genetics, AP-HP Pitié-Salpêtrière Hospital, Sorbonne University, Paris, France.

Alexandra Martins (A)

Inserm U1245, UFR de Médecine et Pharmacie, UNIROUEN, Normandie University, Normandy Centre for Genomic and Personalized Medicine, Rouen, France.

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