Phenotypic and molecular characterization of the largest worldwide cluster of hereditary angioedema type 1.

Hereditary angioedema type 1 (HAE1) is a rare, genetically heterogeneous, and autosomal dominant disease. It is a highly variable, insidious, and potentially life-threatening condition, characterized by sudden local, often asymmetric, and episodic subcutaneous and submucosal swelling, caused by path...

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Main Authors: Juan Sebastian Arias-Flórez, Sandra Ximena Ramirez, Bibiana Bayona-Gomez, Lina Castro-Castillo, Valeria Correa-Martinez, Yasmín Sanchez-Gomez, William Usaquén-Martínez, Lilian Andrea Casas-Vargas, Carlos Eduardo Olmos Olmos, Nora Contreras Bravo, Camilo Andres Velandia-Piedrahita, Adrien Morel, Rodrigo Cabrera-Perez, Natalia Santiago-Tovar, Cristian Camilo Gaviria-Sabogal, Ingrid Tatyana Bernal, Dora Janeth Fonseca-Mendoza, Carlos M Restrepo
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0311316
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author Juan Sebastian Arias-Flórez
Sandra Ximena Ramirez
Bibiana Bayona-Gomez
Lina Castro-Castillo
Valeria Correa-Martinez
Yasmín Sanchez-Gomez
William Usaquén-Martínez
Lilian Andrea Casas-Vargas
Carlos Eduardo Olmos Olmos
Nora Contreras Bravo
Camilo Andres Velandia-Piedrahita
Adrien Morel
Rodrigo Cabrera-Perez
Natalia Santiago-Tovar
Cristian Camilo Gaviria-Sabogal
Ingrid Tatyana Bernal
Dora Janeth Fonseca-Mendoza
Carlos M Restrepo
author_facet Juan Sebastian Arias-Flórez
Sandra Ximena Ramirez
Bibiana Bayona-Gomez
Lina Castro-Castillo
Valeria Correa-Martinez
Yasmín Sanchez-Gomez
William Usaquén-Martínez
Lilian Andrea Casas-Vargas
Carlos Eduardo Olmos Olmos
Nora Contreras Bravo
Camilo Andres Velandia-Piedrahita
Adrien Morel
Rodrigo Cabrera-Perez
Natalia Santiago-Tovar
Cristian Camilo Gaviria-Sabogal
Ingrid Tatyana Bernal
Dora Janeth Fonseca-Mendoza
Carlos M Restrepo
author_sort Juan Sebastian Arias-Flórez
collection DOAJ
description Hereditary angioedema type 1 (HAE1) is a rare, genetically heterogeneous, and autosomal dominant disease. It is a highly variable, insidious, and potentially life-threatening condition, characterized by sudden local, often asymmetric, and episodic subcutaneous and submucosal swelling, caused by pathogenic molecular variants in the SERPING1 gene, which codes for C1-Inhibitor protein. This study performed the phenotypic and molecular characterization of a HAE1 cluster that includes the largest number of affected worldwide. A geographically HAE1 cluster was found in the northeast Colombian department of Boyaca, which accounts for four unrelated families, with 79 suspected to be affected members. Next-Generation Sequencing (NGS) was performed in 2 out of 4 families (Family 1 and Family 4), identifying the variants c.1420C>T and c.1238T>G, respectively. The latter corresponds to a novel mutation. For Families 2 and 3, the c.1417G>A variant was confirmed by Sanger sequencing. This variant had been previously reported to the patient prior to the beginning of this study. Using deep-learning methods, the structure of the C1-Inhibitor protein, p.Gln474* and p.Met413Arg was predicted, and we propose the molecular mechanism related to the etiology of the disease. Using Sanger sequencing, family segregation analysis was performed on 44 individuals belonging to the families analyzed. The identification of this cluster and its molecular analysis will allow the timely identification of new cases and the establishment of adequate treatment strategies. Our results establish the importance of performing population genetic studies in a multi-cluster region for genetic diseases.
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spelling doaj-art-8b8496bd612043138833465f94c09b512025-01-08T05:32:34ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e031131610.1371/journal.pone.0311316Phenotypic and molecular characterization of the largest worldwide cluster of hereditary angioedema type 1.Juan Sebastian Arias-FlórezSandra Ximena RamirezBibiana Bayona-GomezLina Castro-CastilloValeria Correa-MartinezYasmín Sanchez-GomezWilliam Usaquén-MartínezLilian Andrea Casas-VargasCarlos Eduardo Olmos OlmosNora Contreras BravoCamilo Andres Velandia-PiedrahitaAdrien MorelRodrigo Cabrera-PerezNatalia Santiago-TovarCristian Camilo Gaviria-SabogalIngrid Tatyana BernalDora Janeth Fonseca-MendozaCarlos M RestrepoHereditary angioedema type 1 (HAE1) is a rare, genetically heterogeneous, and autosomal dominant disease. It is a highly variable, insidious, and potentially life-threatening condition, characterized by sudden local, often asymmetric, and episodic subcutaneous and submucosal swelling, caused by pathogenic molecular variants in the SERPING1 gene, which codes for C1-Inhibitor protein. This study performed the phenotypic and molecular characterization of a HAE1 cluster that includes the largest number of affected worldwide. A geographically HAE1 cluster was found in the northeast Colombian department of Boyaca, which accounts for four unrelated families, with 79 suspected to be affected members. Next-Generation Sequencing (NGS) was performed in 2 out of 4 families (Family 1 and Family 4), identifying the variants c.1420C>T and c.1238T>G, respectively. The latter corresponds to a novel mutation. For Families 2 and 3, the c.1417G>A variant was confirmed by Sanger sequencing. This variant had been previously reported to the patient prior to the beginning of this study. Using deep-learning methods, the structure of the C1-Inhibitor protein, p.Gln474* and p.Met413Arg was predicted, and we propose the molecular mechanism related to the etiology of the disease. Using Sanger sequencing, family segregation analysis was performed on 44 individuals belonging to the families analyzed. The identification of this cluster and its molecular analysis will allow the timely identification of new cases and the establishment of adequate treatment strategies. Our results establish the importance of performing population genetic studies in a multi-cluster region for genetic diseases.https://doi.org/10.1371/journal.pone.0311316
spellingShingle Juan Sebastian Arias-Flórez
Sandra Ximena Ramirez
Bibiana Bayona-Gomez
Lina Castro-Castillo
Valeria Correa-Martinez
Yasmín Sanchez-Gomez
William Usaquén-Martínez
Lilian Andrea Casas-Vargas
Carlos Eduardo Olmos Olmos
Nora Contreras Bravo
Camilo Andres Velandia-Piedrahita
Adrien Morel
Rodrigo Cabrera-Perez
Natalia Santiago-Tovar
Cristian Camilo Gaviria-Sabogal
Ingrid Tatyana Bernal
Dora Janeth Fonseca-Mendoza
Carlos M Restrepo
Phenotypic and molecular characterization of the largest worldwide cluster of hereditary angioedema type 1.
PLoS ONE
title Phenotypic and molecular characterization of the largest worldwide cluster of hereditary angioedema type 1.
title_full Phenotypic and molecular characterization of the largest worldwide cluster of hereditary angioedema type 1.
title_fullStr Phenotypic and molecular characterization of the largest worldwide cluster of hereditary angioedema type 1.
title_full_unstemmed Phenotypic and molecular characterization of the largest worldwide cluster of hereditary angioedema type 1.
title_short Phenotypic and molecular characterization of the largest worldwide cluster of hereditary angioedema type 1.
title_sort phenotypic and molecular characterization of the largest worldwide cluster of hereditary angioedema type 1
url https://doi.org/10.1371/journal.pone.0311316
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