Volume 43, Issue 5 pp. 443-450

Recombination as a mechanism for sporadic mutation in the surfactant protein-C gene

Amy D. McBee MD

Amy D. McBee MD

Division of Newborn Medicine, Edward Mallinckrodt Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri

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Daniel J. Wegner MS

Daniel J. Wegner MS

Division of Newborn Medicine, Edward Mallinckrodt Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri

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Christopher S. Carlson PhD

Christopher S. Carlson PhD

Division of Public Health Sciences, The Fred Hutchinson Cancer Research Center, Seattle, Washington

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Jennifer A. Wambach MD

Jennifer A. Wambach MD

Division of Newborn Medicine, Edward Mallinckrodt Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri

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Ping Yang MS

Ping Yang MS

Division of Newborn Medicine, Edward Mallinckrodt Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri

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Hillary B. Heins BS

Hillary B. Heins BS

Division of Newborn Medicine, Edward Mallinckrodt Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri

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Ola D. Saugstad MD

Ola D. Saugstad MD

Department of Pediatric Research, Rikshospitalet Faculty of Medicine, University of Oslo, Oslo, Norway

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Michelle A. Trusgnich MS

Michelle A. Trusgnich MS

Division of Newborn Medicine, Edward Mallinckrodt Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri

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Julie Watkins-Torry BA

Julie Watkins-Torry BA

Division of Newborn Medicine, Edward Mallinckrodt Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri

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Lawrence M. Nogee MD

Lawrence M. Nogee MD

Department of Pediatrics, Johns Hopkins University, Baltimore, Maryland

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Howard Henderson MD

Howard Henderson MD

Department of Chemical Pathology, University of Cape Town and NHLS, Cape Town, South Africa

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F. Sessions Cole MD

F. Sessions Cole MD

Division of Newborn Medicine, Edward Mallinckrodt Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri

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Aaron Hamvas MD

Corresponding Author

Aaron Hamvas MD

Division of Newborn Medicine, Edward Mallinckrodt Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri

Division of Newborn Medicine, St. Louis Children's Hospital, One Children's Place, St. Louis, MO 63110.Search for more papers by this author
First published: 26 March 2008
Citations: 8

This work was presented, in part, at the Pediatric Academic Societies' Annual Meeting, Toronto, Canada, May 2007 (E-PAS2007:616292.10).

Conflict of interest statement: Dr. McBee's support from Discovery Labs, Inc. did not introduce any bias into this work. None of the authors has a conflict of interest.

Abstract

Objective

To determine haplotype background of common mutations in the genes encoding surfactant proteins B and C (SFTPB and SFTPC) and to assess recombination in SFTPC.

Study Design

Using comprehensive resequencing of SFTPC and SFTPB, we assessed linkage disequilibrium (LD) (D′), and computationally inferred haplotypes. We computed average recombination rates and Bayes factors (BFs) within SFTPC in a population cohort and near SFTPC (±50 kb) in HapMap cohorts. We then biochemically confirmed haplotypes in families with sporadic SFTPC mutations (n = 11) and in individuals with the common SFTPB mutation (121ins2, n = 30).

Results

We detected strong evidence (weak LD and BFs > 1,400) for an intragenic recombination hot spot in both genes. The 121ins2 SFTPB mutation occurred predominantly (89%) on 2 common haplotypes. In contrast, no consistent haplotypes were associated with mutated SFTPC alleles. Sporadic SFTPC mutations arose on the paternal allele in four of five families; the remaining child had evidence for somatic recombination on the mutated allele.

Conclusions

In contrast to SFTPB, disease alleles at SFTPC do not share a common haplotype background. Most sporadic mutations in SFTPC occurred on the paternal allele, but somatic recombination may be an important mechanism of mutation in SFTPC. Pediatr Pulmonol. 2008; 43:443–450. © 2008 Wiley-Liss, Inc.

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