Identification of a novel GJA3 mutation in a large Chinese family with congenital cataract using targeted exome sequencing

PLoS One. 2017 Sep 6;12(9):e0184440. doi: 10.1371/journal.pone.0184440. eCollection 2017.

Abstract

Autosomal dominant congenital cataract (ADCC) is a clinically and genetically heterogeneous ocular disease in children that results in serious visual impairments or even blindness. Targeted exome sequencing (TES) is an efficient method used for genetic diagnoses of inherited diseases. In the present study, we used a custom-made TES panel to identify the genetic defect of a four-generation Chinese family with bilateral pulverulent nuclear cataracts. A novel heterozygous missense mutation c.443C>T (p. T148I) in GJA3 was identified. The results of the bioinformatic analysis showed that the mutation was deleterious to the structure and hemichannel function of Cx46 encoded by GJA3. Plasmids expressing wild-type and mutant human Cx46 were constructed and ectopically expressed in human lens epithelial cells (HLECs) or human embryonic kidney (HEK-293) cells. Fluorescent images indicated aggregated signals of mutant protein in the cytoplasm, and a higher protein level was also detected in T148I stable cell lines. In summary, we identified a novel mutation in GJA3 for ADCC, which provided molecular insights into the pathogenic mechanism of ADCC.

MeSH terms

  • Adolescent
  • Adult
  • Cataract / ethnology*
  • Cataract / genetics*
  • Child
  • China
  • Computational Biology
  • Connexins / genetics*
  • Epithelial Cells / cytology
  • Exome
  • Female
  • HEK293 Cells
  • Heterozygote
  • Humans
  • Male
  • Microscopy, Fluorescence
  • Middle Aged
  • Mutation
  • Mutation, Missense
  • Pedigree
  • Plasmids / metabolism
  • Sequence Analysis, DNA
  • Young Adult

Substances

  • Connexins
  • GJA3 protein, human

Grants and funding

This work was supported by grants from Natural Science Foundation of China (81270999/H1204, YHZ, http://www.nsfc.gov.cn/), Professor Academic Development Fund of Fujian Medical University (JS14019, YHZ, http://www.nsfc.gov.cn/), the Chinese National Program on Key Basic Research Project (973 Program, 2013CB967502, FG, http://program.most.gov.cn/), Natural Science Foundation of China (81201181/H1818, FG, http://www.nsfc.gov.cn/), Zhejiang Provincial & Ministry of Health research fund for medical sciences (201339279, FG,http://www.zjkjt.gov.cn/), Wenzhou Medical University PI Start-Up Grant (QTJ12011, FG, http://www.wmu.edu.cn/).