Whole-Exome Sequencing Reveals Pathogenic SIRT1 Variant in Brain Arteriovenous Malformation: A Case Report


Mukhtarova K. Zholdybayeva E. Kairov U. Akhmetollayev I. Nurimanov C. Kulmirzayev M. Makhambetov Y. Ramankulov Y.
October 2022MDPI

Genes
2022#13Issue 10

Arteriovenous malformations of the brain (bAVMs) are plexuses of pathological arteries and veins that lack a normal capillary system between them. Intracranial hemorrhage (hemorrhagic stroke) is the most frequent clinical manifestation of AVM, leading to lethal outcomes that are especially high among children and young people. Recently, high-throughput genome sequencing methods have made a notable contribution to the research progress in this subject. In particular, whole-exome sequencing (WES) methods allow the identification of novel mutations. However, the genetic mechanism causing AVM is still unclear. Therefore, the aim of this study was to investigate the potential genetic mechanism underlying AVM. We analyzed the WES data of blood and tissue samples of a 30-year-old Central Asian male diagnosed with AVM. We identified 54 polymorphisms in 43 genes. After in-silica overrepresentation enrichment analysis of the polymorphisms, the SIRT1 gene variant (g.67884831C>T) indicated a possible molecular mechanism of bAVM. Further studies are required to evaluate the functional impact of SIRT1 g.67884831C>T, which may warrant further replication and biological investigations related to sporadic bAVM.

brain arteriovenous malformation , case study , SNP , somatic mutations , whole exome sequencing

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National Center for Biotechnology, 13/5 Kurgalzhynskoye Road, Astana, 010000, Kazakhstan
Laboratory of Bioinformatics and Systems Biology, Center for Life Science, National Laboratory Astana, Nazarbayev University, 53 Kabanbay Batyr Ave, Astana, 010000, Kazakhstan
National Center of Neurosurgery, 34/1 Turan Street, Astana, 010000, Kazakhstan
School of Science and Technology, Nazarbayev University, 53 Kabanbay Batyr Ave, Astana, 010000, Kazakhstan

National Center for Biotechnology
Laboratory of Bioinformatics and Systems Biology
National Center of Neurosurgery
School of Science and Technology

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