A recurrent missense variant in EYA3 gene is associated with oculo-auriculo-vertebral spectrum

Hum Genet. 2021 Jun;140(6):933-944. doi: 10.1007/s00439-021-02255-6. Epub 2021 Jan 21.

Abstract

Goldenhar syndrome or oculo-auriculo-vertebral spectrum (OAVS) is a complex developmental disorder characterized by asymmetric ear anomalies, hemifacial microsomia, ocular and vertebral defects. We aimed at identifying and characterizing a new gene associated with OAVS. Two affected brothers with OAVS were analyzed by exome sequencing that revealed a missense variant (p.(Asn358Ser)) in the EYA3 gene. EYA3 screening was then performed in 122 OAVS patients that identified the same variant in one individual from an unrelated family. Segregation assessment in both families showed incomplete penetrance and variable expressivity. We investigated this variant in cellular models to determine its pathogenicity and demonstrated an increased half-life of the mutated protein without impact on its ability to dephosphorylate H2AFX following DNA repair pathway induction. Proteomics performed on this cellular model revealed four significantly predicted upstream regulators which are PPARGC1B, YAP1, NFE2L2 and MYC. Moreover, eya3 knocked-down zebrafish embryos developed specific craniofacial abnormalities corroborating previous animal models and supporting its involvement in the OAVS. Additionally, EYA3 gene expression was deregulated in vitro by retinoic acid exposure. EYA3 is the second recurrent gene identified to be associated with OAVS. Moreover, based on protein interactions and related diseases, we suggest the DNA repair as a key molecular pathway involved in craniofacial development.

MeSH terms

  • Adaptor Proteins, Signal Transducing / genetics
  • Adaptor Proteins, Signal Transducing / metabolism
  • Amino Acid Sequence
  • Animals
  • Child
  • Child, Preschool
  • DNA Repair*
  • DNA-Binding Proteins / deficiency
  • DNA-Binding Proteins / genetics*
  • Embryo, Nonmammalian
  • Exome Sequencing
  • Female
  • Gene Expression Regulation
  • Goldenhar Syndrome / genetics*
  • Goldenhar Syndrome / metabolism
  • Goldenhar Syndrome / pathology
  • Histones / genetics
  • Histones / metabolism
  • Humans
  • Male
  • Mutation, Missense*
  • NF-E2-Related Factor 2 / genetics
  • NF-E2-Related Factor 2 / metabolism
  • Pedigree
  • Penetrance
  • Protein Tyrosine Phosphatases / deficiency
  • Protein Tyrosine Phosphatases / genetics*
  • Proto-Oncogene Proteins c-myc / genetics
  • Proto-Oncogene Proteins c-myc / metabolism
  • RNA-Binding Proteins / genetics
  • RNA-Binding Proteins / metabolism
  • Sequence Alignment
  • Sequence Homology, Amino Acid
  • Siblings
  • Transcription Factors / genetics
  • Transcription Factors / metabolism
  • YAP-Signaling Proteins
  • Zebrafish / embryology
  • Zebrafish / genetics
  • Zebrafish / metabolism

Substances

  • Adaptor Proteins, Signal Transducing
  • DNA-Binding Proteins
  • H2AX protein, human
  • Histones
  • MYC protein, human
  • NF-E2-Related Factor 2
  • NFE2L2 protein, human
  • PPARGC1B protein, human
  • Proto-Oncogene Proteins c-myc
  • RNA-Binding Proteins
  • Transcription Factors
  • YAP-Signaling Proteins
  • YAP1 protein, human
  • EYA3 protein, human
  • Protein Tyrosine Phosphatases

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