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Exome Sequencing in Monogenic Forms of Rickets

  • Prince Jacob
  • , Gandham Sri Lakshmi Bhavani
  • , Prajna Udupa
  • , Zheng Wang
  • , Sankar V. Hariharan
  • , Kishan Delampady
  • , Ashwin Dalal
  • , Nutan Kamath
  • , Shiro Ikegawa
  • , Rathika D. Shenoy
  • , Koushik Handattu
  • , Hitesh Shah
  • , Katta M. Girisha*
  • *Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To understand the phenotypic and genotypic spectrum of genetic forms of rickets in 10 families. Methods: Detailed clinical, radiographic, and biochemical evaluation of 10 families with phenotypes suggestive of a genetic cause of rickets was performed. Molecular testing using exome sequencing aided in the diagnosis of six different forms of known genetic causes. Results: Eleven disease-causing variants including five previously reported variants (CYP27B1:c.1319_1325dup, p.(Phe443Profs*24), VDR:c.1171C>T, p.(Arg391Cys), PHEX: c.1586_1586+1del, PHEX: c.1482+5G>C, PHEX: c.58C>T, p.(Arg20*)) and six novel variants (CYP27B1:c.974C>T, p.(Thr325Met), CYP27B1: c.1376G>A, p.(Arg459His), CYP2R1: c.595C>T, p.(Arg199*), CYP2R1:c.1330G>C, p.(Gly444Arg),SLC34A3:c.1336-11_1336-1del, SLC2A2: c.589G>C, p.(Val197Leu)) in the genes known to cause monogenic rickets were identified. Conclusion: The authors hereby report a case series of individuals from India with a molecular diagnosis of rickets and provide the literature review which would help in enhancing the clinical and molecular profile for rapid and differential diagnosis of rickets.

Original languageEnglish
Pages (from-to)1182-1190
Number of pages9
JournalIndian Journal of Pediatrics
Volume90
Issue number12
DOIs
Publication statusPublished - 12-2023

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

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