PMID- 31937257 OWN - NLM STAT- MEDLINE DCOM- 20200303 LR - 20210110 IS - 1471-2350 (Electronic) IS - 1471-2350 (Linking) VI - 21 IP - 1 DP - 2020 Jan 14 TI - Clinical and genetic analysis of two wolfram syndrome families with high occurrence of wolfram syndrome and diabetes type II: a case report. PG - 13 LID - 10.1186/s12881-020-0950-4 [doi] LID - 13 AB - BACKGROUND: Mutations of the WFS1 gene are responsible for most cases of Wolfram syndrome (WS), a rare, recessively inherited neurodegenerative disorder characterized by juvenile-onset non-autoimmune diabetes mellitus and optic atrophy. Variants of WFS1 are also associated with non-syndromic hearing loss and type-2 diabetes mellitus (T2DM). Our study adds to literature significant associations between WS and T2DM. CASE PRESENTATION: In this study, we analyzed the clinical and genetic data of two families with high prevalence of WS and T2DM. Genetic linkage analysis and DNA sequencing were exploited to identify pathogenic variants. One novel pathogenic variant (c.2243-2244insC) and one known pathogenic (c.1232_1233delCT) (frameshift) variant were identified in exon eight of WFS1 gene. CONCLUSIONS: The mutational and phenotypic spectrum of WS is broadened by our report of novel WFS1 mutation. Our results reveal the value of molecular analysis of WFS1 in the improvement of clinical diagnostics for WS. This study also confirms the role of WFS1 in T2DM. FAU - Sobhani, Maryam AU - Sobhani M AD - Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran. FAU - Tabatabaiefar, Mohammad Amin AU - Tabatabaiefar MA AD - Department of Genetics and Molecular Biology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran. AD - Pediatric Inherited Diseases Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran. FAU - Ghafouri-Fard, Soudeh AU - Ghafouri-Fard S AD - Department of Medical Genetics, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Rajab, Asadollah AU - Rajab A AD - Iranian Diabetes Society, Tehran, Iran. FAU - Hojjat, Asal AU - Hojjat A AD - Pediatric Urology Research Center, Department of Pediatric Urology, Children's Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran. FAU - Kajbafzadeh, Abdol-Mohammad AU - Kajbafzadeh AM AD - Pediatric Urology Research Center, Department of Pediatric Urology, Children's Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran. FAU - Noori-Daloii, Mohammad Reza AU - Noori-Daloii MR AD - Department of Medical Genetics, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. mohrezanoori@yahoo.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200114 PL - England TA - BMC Med Genet JT - BMC medical genetics JID - 100968552 RN - 0 (Membrane Proteins) RN - 0 (wolframin protein) SB - IM EIN - BMC Med Genet. 2020 Mar 20;21(1):58. PMID: 32197577 MH - Adult MH - Child MH - Diabetes Mellitus, Type 2/complications/*genetics/pathology MH - Exons/genetics MH - Female MH - Frameshift Mutation/genetics MH - Genetic Linkage MH - Genetic Predisposition to Disease MH - *Genetic Testing MH - Hearing Loss/complications/genetics/pathology MH - Humans MH - Iran/epidemiology MH - Male MH - Membrane Proteins/*genetics MH - Optic Atrophy/complications/genetics/pathology MH - Pedigree MH - Phenotype MH - Point Mutation/genetics MH - Wolfram Syndrome/complications/*genetics/pathology MH - Young Adult PMC - PMC6961406 OTO - NOTNLM OT - Diabetes OT - Gene OT - Iran OT - WFS1 OT - Wolfram syndrome COIS- The authors declare that they have no competing interests. EDAT- 2020/01/16 06:00 MHDA- 2020/03/04 06:00 PMCR- 2020/01/14 CRDT- 2020/01/16 06:00 PHST- 2019/06/20 00:00 [received] PHST- 2020/01/07 00:00 [accepted] PHST- 2020/01/16 06:00 [entrez] PHST- 2020/01/16 06:00 [pubmed] PHST- 2020/03/04 06:00 [medline] PHST- 2020/01/14 00:00 [pmc-release] AID - 10.1186/s12881-020-0950-4 [pii] AID - 950 [pii] AID - 10.1186/s12881-020-0950-4 [doi] PST - epublish SO - BMC Med Genet. 2020 Jan 14;21(1):13. doi: 10.1186/s12881-020-0950-4.