Table 1.
Clinical, Diagnostic, and Genetic Findings in DNAH9 Mutant Individuals
OP-2905 II1 | OP-1226 II1 | MS-SI46 II1 | AM II1 | MD II1 | |
---|---|---|---|---|---|
Origin | Germany | Germany | Turkey | Serbia | USA |
Consanguinity | no | no | yes | no | no |
Respiratory phenotype | mild | none | mild | N/A | mild |
nNO | 76 nL/min (230 ppb) | 106 nL/min (321 ppb) (2011) 67 nL/min (202 ppb) (2015) |
N/A | N/A | N/A |
HVSM | reduced distal bending | reduced distal bending | N/A | N/A | N/A |
TEM | partial absence of ODAs | N/A | N/A | N/A | N/A |
IF | absence of DNAH9 and distal absence of DNAI1, DNAI2, DNAH5; DNAH11 normal |
absence of DNAH9 and distal absence of DNAI1, DNAI2, DNAH5; DNAH11 normal |
absence of DNAH9 and distal absence of DNAI1, DNAI2, DNAH5 | N/A | N/A |
Laterality defect | situs inversus totalis | situs inversus totalis | situs inversus totalis | situs ambiguous with complex heart defect (left atrial isomerism, atrioventricular canal defect, interrupted vena cava inferior, anomalous pulmonary vein connection, persistent ductus arteriosus) | heterotaxy with situs inversus, interrupted inferior vena cava with azygous continuation, right aortic arch with mirror image head and neck vessel branching, liver and gall bladder on left, multiple splenules on right side |
Other features | septo-optic dysplasia | none | none | died at 8 days of age due to cardiac defect | hydrocephalus and a ventriculoperitoneal shunt after group B streptococcal sepsis as infant |
DNAH9 alleles | c.1970+4A>G + c.3354−1G>T |
c.8251C>T (p.Gln2751∗) (homozygous) |
c.10127dupT (p.Leu3376Phefs∗57) (homozygous) |
c.308dupT (p.Leu104Profs∗45) + c.11666C>G (p.Ser3889∗) |
c.1997G>A (p.Trp666∗) + c.5020G>A (p.Gly1674Arg) |
Sequencing technology used for primary variant identification | NGS targeted gene panel (see Table S1 for details) | Sanger sequencing | WES (SureSelect V6 whole exome kit) | NGS Illumina Trusight One targeting 12 Mb panel | clinical WES (Agilent SureSelect XT Clinical Research Exome kit) |
Abbreviations: N/A, not available; NGS, next generation sequencing; ODA, outer dynein arm; WES, whole-exome sequencing.