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Two unrelated pedigrees with achondrogenesis type 1b carrying a Japan‐specific pathogenic variant in SLC26A2
Authors:Taisuke Sato  Takashi Kojima  Osamu Samura  Satoshi Kawaguchi  Akie Nakamura  Masahiro Nakajima  Akiko Tanuma‐Takahashi  Kazuhiko Nakabayashi  Kenichiro Hata  Shiro Ikegawa  Gen Nishimura  Aikou Okamoto  Takahiro Yamada
Affiliation:1. Department of Obstetrics and Gynecology, The Jikei University School of Medicine, Tokyo, Japan;2. Department of Clinical Genetics, The Jikei University Hospital, Tokyo, Japan;3. Department of Maternal‐Fetal Biology, National Center for Child Health and Development, Tokyo, Japan;4. Department of Obstetrics, Hokkaido University, Sapporo, Hokkaido, Japan;5.

https://orcid.org/0000-0002-7249-1537;6. Osamu Samura, Department of Obstetrics and Gynecology, The Jikei University School of Medicine, 3‐25‐8, Nishi‐Shinbashi, Minato‐ku, Tokyo 105‐8461, Japan, Department of Clinical Genetics, The Jikei University Hospital, 3‐19‐18, Nishi‐Shinbashi, Minato‐ku, Tokyo 105‐8471, Japan.;7. Takahiro Yamada, Clinical Genetics Unit, Kyoto University Hospital, 54 Kawaharacho, Shogoin, Sakyo‐ku Kyoto 606‐8507, Japan.;8. Department of Pediatrics, Hokkaido University, Sapporo, Hokkaido, Japan;9. Laboratory for Bone and Joint Diseases, RIKEN Center for Integrative Medical Sciences, Tokyo, Japan;10. Center for Intractable Diseases, Saitama Medical University Hospital, Saitama, Japan;11. Clinical Genetics Unit, Kyoto University Hospital, Kyoto, Sakyo‐ku, Japan

Abstract:We present two unrelated Japanese pedigrees with achondrogenesis type 1b (ACG1B), characterized by prenatally lethal fetal hydrops and severe micromelia. The affected members in these pedigrees carried a common homozygous missense point mutation in solute carrier family 26 member 2 (SLC26A2), a gene associated with ACG1B (NM_000112:c.1987G>A). This loss‐of‐function point mutation causes substitution of glycine 663 with arginine in a highly conserved loop domain of SLC26A2. Interestingly, only a few cases of this mutation have been registered in Japanese genomic databases, and there are no reports of this mutation in any major genomic databases outside Japan. Furthermore, we confirmed the presence of a homozygous stretch of approximately 75 kb surrounding the pathogenic variant. Our findings suggest that this missense point mutation in SLC26A2, which is likely the cause of the ACG1B phenotypes in these unrelated fetuses, is distributed exclusively in Japan.
Keywords:achondrogenesis  direct sequencing  skeletal dysplasia  solute carrier family 26 member 2  whole‐exome sequencing
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