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Exome Sequencing Revealed C1q Homozygous Mutation in Pediatric Systemic Lupus Erythematosus Publisher Pubmed



Zoghi S1 ; Ziaee V2, 3 ; Hirschmugl T4, 5 ; Jimenezheredia R4, 5 ; Krolo A4, 5 ; Boztug K4, 5, 6, 7 ; Rezaei N1, 8, 9
Authors
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Authors Affiliations
  1. 1. Department of Immunology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Division of Pediatric Rheumatology, Children's Medical Center, Pediatrics Center of Excellence, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Pediatric Rheumatology Research Group, Rheumatology Research Center, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. CeMM Research Center of Molecular Medicine, Austrian Academy of Sciences, Division of Neonatal Medicine and Intensive Care, Department of Pediatrics and Adolescent Medicine, Medical University Vienna, Vienna, Austria
  5. 5. Ludwig Boltzmann Institute for Rare and Undiagnosed Diseases, Vienna, Austria
  6. 6. Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria
  7. 7. St Anna Kinderspital and Children's Cancer Research Institute, Department of Pediatrics, Medical University of Vienna, Vienna, Austria
  8. 8. Research Center for Immunodeficiencies, Pediatrics Center of Excellence, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran
  9. 9. Network of Immunity in Infection, Malignancy and Autoimmunity (NIIMA), Universal Scientific Education and Research Network (USERN), Tehran, Iran

Source: Allergologia et Immunopathologia Published:2018


Abstract

Introduction and objectives: Pediatric Systemic Lupus Erythematosus (pSLE) is an autoimmune disorder of children. Early disease onset raises the probability of genetic etiology and it is more severe than adult SLE. Patients and methods: Herein an eight-year-old girl with pSLE from consanguineous parents is reported. Results: Although she was diagnosed as pSLE since the age of two years, Whole Exome Sequencing (WES) revealed a rare stop-gained C>T mutation in C1QA gene. The variant was validated and segregated in patient and the family. Furthermore, serum levels of the C1q protein were measured and found to be much lower than normal ranges. Conclusions: This study indicated that C1Q deficiency should be considered as a differential diagnosis of pSLE. Therefore, measurement of C1q should be recommended in all cases with pSLE. © 2018 SEICAP