A synonymous mutation in TCOF1 causes Treacher Collins syndrome due to mis-splicing of a constitutive exon

Interpretation of the pathogenicity of sequence alterations in disease-associated genes is challenging. This is especially true for novel alterations that lack obvious functional consequences. We report here on a patient with Treacher Collins syndrome (TCS) found to carry a previously reported mutation, c.122C > T, which predicts p.A41V, and a novel synonymous mutation, c.3612A > C. Pedigree analysis showed that the c.122C > T mutation segregated with normal phenotypes in multiple family members while the c.3612A > C was de novo in the patient. Analysis of TCOF1 RNA in lymphocytes showed a transcript missing exon 22. These results show that TCS in the patient is due to haploinsufficiency of TCOF1 caused by the synonymous de novo c.3612A > C mutation. This study highlights the importance of clinical and pedigree evaluation in the interpretation of known and novel sequence alterations.

An experimental and theoretical study of the product distribution of the reaction CH2 (X 3B1) + NO

Measurements of the product branching ratios of the reaction CH2 (X 3B1) + NO (1) are presented together with calculations of the thermal rate constant and branching ratios using unimolecular rate theory. The reaction was investigated experimentally at room temperature using FTIR spectroscopy. The yields of the main products HCNO and HCN were found to be gamma HCNO = 0.89 +/- 0.06, gamma HCN = 0.11 +/- 0.06. Other minor products could be rationalized by numerical simulations of the reaction system taking into account possible consecutive reactions. The potential energy surface for the reaction was characterized by quantum chemical calculations using ab initio and density functional methods. The proposed reaction pathways connecting reactants to products were explored by multi-channel unimolecular rate theory calculations to determine the CH2 (X) + NO capture rate constant and the rate constants for the different product channels as a function of temperature. The calculated capture rate constant of k = 2.3 x 10(13) cm3 mol-1 s-1 is in good agreement with experimental values at room temperature. Collisional stabilization of the initial H2CNO recombination complex was predicted to be negligible up to pressures of > 1 bar. For ambient pressures and temperatures up to 2000 K, HCNO + H were calculated as the dominating products, with gamma HCNO approximately 0.94 in agreement with the experiments. The channel to HCN + OH was calculated with 0.015 < or = gamma HCN < or = 0.05, only slightly below the experimental value.

Perception of genetic risk among genetic counselors

A mailed survey of female prenatal genetic counselors, obstetric nurses, and high school biology teachers was conducted to determine if these groups hold different attitudes toward genetic risk and to investigate the extent to which any differences result from the effect of different professional experiences. In this study, the participants were 166 genetic counselors, 116 obstetric nurses, and 78 biology teachers (n=360). Survey participants completed a written questionnaire designed to assess their numeric estimate of the empiric risk for birth defects/genetic problems, their subjective perception of this risk, and their personal use of prenatal diagnosis. Genetic counselors were found to be less likely than the other groups to consider the frequency of birth defects/genetic problems as rare and were 10 times more likely than nurses and 8 times more likely than teachers to have had prenatal diagnosis. Furthermore, more than half of the prenatal diagnosis procedures had by genetic counselors were not medically indicated. These results suggest that genetic counselors have an increased perception of genetic risks relative to nurses or teachers. Possible explanations for this funding are discussed, and the potential role of discordant risk perception in creating biases in genetic counseling process is explored.