Disparate phenotypes in two unfavorable pregnancies due to maternal mosaicism of a novel RET gene mutation

Mutations in RET have been found in multiple diseases including isolated and associated congenital anomalies. Here, we report a case presented with disparate phenotypes in each pregnancy but caused by the same novel mutation. Whole-exome sequencing (WES) was performed on the proband/abortion product...

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Veröffentlicht in:Clinica chimica acta 2022-06, Vol.531, p.84-90
Hauptverfasser: Zhang, Fang, Wang, Zhiwei, Meng, Qian, Song, Jiedong, Yang, Shuting, Tang, Xinxin, Zhao, Yali, Men, Shuai, Wang, Leilei
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container_end_page 90
container_issue
container_start_page 84
container_title Clinica chimica acta
container_volume 531
creator Zhang, Fang
Wang, Zhiwei
Meng, Qian
Song, Jiedong
Yang, Shuting
Tang, Xinxin
Zhao, Yali
Men, Shuai
Wang, Leilei
description Mutations in RET have been found in multiple diseases including isolated and associated congenital anomalies. Here, we report a case presented with disparate phenotypes in each pregnancy but caused by the same novel mutation. Whole-exome sequencing (WES) was performed on the proband/abortion product-parental trio and a novel missense variant in RET (chr10:43615610C > G; c.2689C > G; p.Arg897Gly) was identified. The mother was a low-level somatic carrier of this new mutation, with 17.3% in blood, 19.1% in oralmucous membrane, and 15.7% in urine by droplet digital polymerase chain reaction (dd PCR). Our finding not only broadens the mutation spectrum of RET but also gives supportive genetic counseling and timely guidance on fertility choices.
doi_str_mv 10.1016/j.cca.2022.03.015
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subjects ddPCR
HSCR
Missense variant
Oligoamnios
RET
Whole-exome sequencing
title Disparate phenotypes in two unfavorable pregnancies due to maternal mosaicism of a novel RET gene mutation
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