Diagnostic Exome Sequencing Identifies a Novel Gene, EMILIN1, Associated with Autosomal-Dominant Hereditary Connective Tissue Disease

Alessandra Capuano, Francesco Bucciotti, Kelly D. Farwell, Brigette Tippin Davis, Cameron Mroske, Peter J. Hulick, Scott M. Weissman, Qingshen Gao, Paola Spessotto, Alfonso Colombatti, Roberto Doliana

Research output: Contribution to journalArticlepeer-review

Abstract

Heritable connective tissue diseases are a highly heterogeneous family of over 200 disorders that affect the extracellular matrix. While the genetic basis of several disorders is established, the etiology has not been discovered for a large portion of patients, likely due to rare yet undiscovered disease genes. By performing trio-exome sequencing of a 55-year-old male proband presenting with multiple symptoms indicative of a connective disorder, we identified a heterozygous missense alteration in exon 1 of the Elastin Microfibril Interfacer 1 (EMILIN1) gene, c.64G>A (p.A22T). The proband presented with ascending and descending aortic aneurysms, bilateral lower leg and foot sensorimotor peripheral neuropathy, arthropathy, and increased skin elasticity. Sanger sequencing confirmed that the EMILIN1 alteration, which maps around the signal peptide cleavage site, segregated with disease in the affected proband, mother, and son. The impaired secretion of EMILIN-1 in cells transfected with the mutant p.A22T coincided with abnormal protein accumulation within the endoplasmic reticulum. In skin biopsy of the proband, we detected less EMILIN-1 with disorganized and abnormal coarse fibrils, aggregated deposits underneath the epidermis basal lamina, and dermal cells apoptosis. These findings collectively suggest that EMILIN1 may represent a new disease gene associated with an autosomal-dominant connective tissue disorder.

Original languageEnglish
Pages (from-to)84-97
Number of pages14
JournalHuman Mutation
Volume37
Issue number1
DOIs
Publication statusPublished - Jan 1 2016

Keywords

  • Autosomal dominant
  • Connective tissue
  • Diagnostic exome sequencing
  • EMILIN-1
  • Neuropathy

ASJC Scopus subject areas

  • Genetics
  • Genetics(clinical)

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