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NAPG mutation in family members with hereditary hemorrhagic telangiectasia in China
NAPG mutation in family members with hereditary hemorrhagic telangiectasia in China
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NAPG mutation in family members with hereditary hemorrhagic telangiectasia in China
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NAPG mutation in family members with hereditary hemorrhagic telangiectasia in China
NAPG mutation in family members with hereditary hemorrhagic telangiectasia in China

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NAPG mutation in family members with hereditary hemorrhagic telangiectasia in China
NAPG mutation in family members with hereditary hemorrhagic telangiectasia in China
Journal Article

NAPG mutation in family members with hereditary hemorrhagic telangiectasia in China

2021
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Overview
Background Hereditary hemorrhagic telangiectasia (HHT) is a disease characterized by arteriovenous malformations in the skin and mucous membranes. We enrolled a large pedigree comprising 32 living members, and screened for mutations responsible for HHT. Methods We performed whole-exome sequencing to identify novel mutations in the pedigree after excluding three previously reported HHT-related genes using Sanger sequencing. We then performed in silico functional analysis of candidate mutations that were obtained using a variant filtering strategy to identify mutations responsible for HHT. Results After screening the HHT-related genes, activin A receptor-like type 1 ( ACVRL1 ), endoglin ( ENG ), and SMAD family member 4 ( SMAD4 ), we did not detect any co-segregated mutations in this pedigree. Whole-exome sequencing analysis of 7 members and Sanger sequencing analysis of 16 additional members identified a mutation (c.784A > G) in the NSF attachment protein gamma ( NAPG ) gene that co-segregated with the disease. Functional prediction showed that the mutation was deleterious and might change the conformational stability of the NAPG protein. Conclusions NAPG c.784A > G may potentially lead to HHT. These results expand the current understanding of the genetic contributions to HHT pathogenesis.