A case report of novel mutation in PRF1 gene, which causes familial autosomal recessive hemophagocytic lymphohistiocytosis

BMC Medical Genetics

Case Report

Farzaneh Modarresi¹  Mohammad Ali Faghihi¹  Mohammad Ali Farazi Fard²  Hassan Dastsooz²  Mohammad Reza Bordbar³  Nader Shakib Azad³ 

[1] Center for Therapeutic Innovation, Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, 1501 NW 10th Ave, BRB 508, 33136, Miami, FL, USA;Comprehensive Medical Genetic Center, Shiraz University of Medical Sciences, Shiraz, Iran;Hematology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran;

关键词: Hemophagocytic Lymphohistiocytosis (HLH);    PRF1;    Case report;    Novel mutation;   

DOI  :  10.1186/s12881-017-0404-9

 received in 2016-09-29, accepted in 2017-04-08,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundHemophagocytic Lymphohistiocytosis (HLH) is a life-threatening immunodeficiency and multi-organ disease that affects people of all ages and ethnic groups. Common symptoms and signs of this disease are high fever, hepatosplenomegaly, and cytopenias. Familial form of HLH disease, which is an autosomal recessive hematological disorder is due to disease-causing mutations in several genes essential for NK and T-cell granule-mediated cytotoxic function. For an effective cytotoxic response from cytotoxic T lymphocyte or NK cell encountering an infected cell or tumor cell, different processes are required, including trafficking, docking, priming, membrane fusion, and entry of cytotoxic granules into the target cell leading to apoptosis. Therefore, genes involved in these steps play important roles in the pathogenesis of HLH disease which include PRF1, UNC13D (MUNC13-4), STX11, and STXBP2 (MUNC18-2).Case presentationHere, we report a novel missense mutation in an 8-year-old boy suffered from hepatosplenomegaly, hepatitis, epilepsy and pancytopenia. The patient was born to a first-cousin parents with no previous documented disease in his parents. To identify mutated gene in the proband, Whole Exome Sequencing (WES) utilizing next generation sequencing was used on an Illumina HiSeq 2000 platform on DNA sample from the patient. Results showed a novel deleterious homozygous missense mutation in PRF1 gene (NM_001083116: exon3: c. 1120 T > G, p.W374G) in the patient and then using Sanger sequencing it was confirmed in the proband and his parents. Since his parents were heterozygous for the identified mutation, autosomal recessive pattern of inheritance was confirmed in the family.ConclusionsOur study identified a rare new pathogenic missense mutation in PRF1 gene in patient with HLH disease and it is the first report of mutation in PRF1 in Iranian patients with this disease.

【 授权许可】

CC BY   
© The Author(s). 2017