Abstract
Background and objectives: Rapid-onset obesity with hypothalamic dysfunction, hypoventilation, and autonomic dysregulation (ROHHAD) is a rare pediatric disease of unknown cause. Here, in response to a recent case report describing a ROHHAD patient who suffered from secondary narcolepsy confirmed by an absence of hypocretin-1 in the cerebrospinal fluid, we consider whether the ROHHAD phenotype is owing to one or more mutations in genes specific to hypocretin protein signalling. Methods: DNA samples from 16 ROHHAD patients were analyzed using a combination of next-generation and Sanger sequencing to identify exonic sequence variations in three genes: HCRT, HCRTR1, and HCRTR2. Results: No rare or novel mutations were identified in the exons of HCRT, HCRTR1, or HCRTR2 genes in a set of 16 ROHHAD patients. Conclusions: ROHHAD is highly unlikely to be caused by mutations in the exons of the genes for hypocretin and its two receptors.
Original language | English (US) |
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Pages (from-to) | 59-63 |
Number of pages | 5 |
Journal | Respiratory Physiology and Neurobiology |
Volume | 221 |
DOIs | |
State | Published - Jan 15 2016 |
Funding
We are grateful to the families who participate in our research. Funding for the exome and Sanger sequencing was generously provided by ROHHAD Fight, Inc. S.F.B., N.T.B.H., R.J.A.W., C.M.R. and D.E.W.-M. were also funded, in part, by ROHHAD Fight, Inc. S.F.B. is also funded by the ACHRI-CIHR Training Program. N.T.B.H. is also funded by CIHR. P.A.G. is funded by NIH HL089742. R.J.A.W. is funded by AIHS and CIHR. W.T.G. is funded by the CFRI and the CIHR. Sincere thanks to Richard Pon for his assistance in designing and planning the exome sequencing experiments, to Dr. Paul Gordon for his bioinformatic assistance, and to Lauren Borch and Lisa Nguyen for their assistance with primer design and PCR amplifications for Sanger sequencing. Exome and Sanger sequencing was performed at the ACHRI Genomics and Bioinformatic Platform and UCDNA Services, University of Calgary. The authors would like to thank the Exome Aggregation Consortium and the groups that provided exome variant data for comparison. A full list of contributing groups can be found at http://exac.broadinstitute.org/about .
Keywords
- Autonomic dysregulation
- Exome sequencing
- Genes
- HCRT
- HCRTR1
- HCRTR2
- Hyothalamic dysfunction
- Hypocretin
- Hypoventilation
- Mutations
- Narcolepsy
- Next-generation sequencing
- Obesity
- Orexin
- ROHHAD
ASJC Scopus subject areas
- General Neuroscience
- Physiology
- Pulmonary and Respiratory Medicine