[Generation of induced pluripotent stem cells from peripheral blood mononuclear cells of a patient with autosomal recessive Charcot-Marie-Tooth disease type 2S caused by IGHMBP2 mutations]

[利用IGHMBP2基因突变引起的常染色体隐性遗传性夏科-马里-图斯病2S型患者的外周血单核细胞生成诱导多能干细胞]

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Abstract

OBJECTIVES: Charcot-Marie-Tooth disease (CMT) is a group of common monogenic peripheral neuropathies listed in the first National Rare Disease Catalog of China and is characterized by marked clinical and genetic heterogeneity. Immunoglobulin μ-binding protein 2 (IGHMBP2) is a ubiquitously expressed nucleic acid helicase, and mutations in the IGHMBP2 gene can cause autosomal recessive CMT type 2S (AR-CMT2S). However, the underlying pathogenic mechanisms remain unclear. This study aims to generate induced pluripotent stem cells (iPSCs) derived from peripheral blood mononuclear cells (PBMCs) of a patient with AR-CMT2S caused by IGHMBP2 mutations (c.884A>G and c.791G>A), thereby providing a novel cellular model for mechanistic studies and stem cell-based therapeutic research. METHODS: Clinical data of a patient with AR-CMT2S who was diagnosed in September 2022 at the Department of Neurology, Third Xiangya Hospital of Central South University, were collected and analyzed. Pathogenic variants in IGHMBP2 were confirmed by next-generation sequencing. After obtaining written informed consent, 20 mL of peripheral blood was collected, and PBMCs were isolated. PBMCs were reprogrammed into iPSCs using Sendai virus-mediated transduction. The generated iPSCs were characterized for pluripotency marker expression, self-renewal capacity, in vitro differentiation potential, karyotype integrity, and short tandem repeat (STR) profiling. RESULTS: The iPSCs derived from the AR-CMT2S patient were successfully generated. The established iPSC line retained the same IGHMBP2 mutations as those identified in the patient and expressed key pluripotency markers. The cells exhibited robust self-renewal and the ability to differentiate in vitro. Karyotype analysis demonstrated a normal diploid karyotype (46, XX). CONCLUSIONS: An iPSC line derived from a patient with AR-CMT2S caused by IGHMBP2 mutations is successfully established. This patient-specific iPSC line provides a valuable cellular model for investigating the pathogenesis of AR-CMT2S and offers a novel tool for the development of effective therapeutic strategies.

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