Autoinflammatory & rare systemic diseases

Description of a novel splice site variant in UBA1 gene causing VEXAS syndrome

Rheumatology (Oxford)Published Case report and genetic study

Authors' conclusion

Here we describe abnormal UBA1 transcription as a consequence of the novel c.346-2A>G variant, identified in two patients with clinical features compatible with VEXAS syndrome.

Study context

Population
Two unrelated adult male patients with late-onset, unexplained inflammatory manifestations clinically presenting with VEXAS syndrome
Participants
2 unrelated adult males
Outcome
Characterisation of novel UBA1 variant
Methodological detailsSanger and amplicon-based deep sequencing, cDNA subcloning and mRNA sequencing
  • Sanger and amplicon-based deep sequencing
  • cDNA subcloning and mRNA sequencing

Main finding

As reported in the abstract

  • Novel somatic variant in a canonical splice site of UBA1 (c.346-2A>G)
  • Clinical features: recurrent fever, Sweet syndrome-like neutrophilic dermatosis, lung inflammation responsive only to GC
  • Aberrant mRNA splicing leading to multiple in-frame transcripts, incl. one retaining the full sequence of intron 4 and one with deletion of the first 15 nucleotides of exon 5

Original publication

Description of a novel splice site variant in UBA1 gene causing VEXAS syndrome. Rheumatology (Oxford). Published 29 March 2024. doi:10.1093/rheumatology/keae201

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