Abstract
CEP55 encodes centrosomal protein 55 kDa, which plays a crucial role in mitosis, particularly cytokinesis. Biallelic CEP55 variants cause MARCH syndrome (multinucleated neurons, anhydramnios, renal dysplasia, cerebellar hypoplasia and hydranencephaly). Here, we describe a Japanese family with two affected siblings harboring novel compound heterozygous CEP55 variants, NM_001127182: c.[1357 C > T];[1358 G > A] p.[(Arg453Cys)];[(Arg453His)]. Both presented clinically with typical lethal MARCH syndrome. Although a combination of missense and nonsense variants has been reported previously, this is the first report of biallelic missense CEP55 variants. These variants biallelically affected the same amino acid, Arg453, in the last 40 amino acids of CEP55. These residues are functionally important for CEP55 localization to the midbody during cell division, and may be associated with severe clinical outcomes. More cases of pathogenic CEP55 variants are needed to establish the genotype–phenotype correlation.
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Data availability
The relevant genomic data have not been deposited to public databases, but are available on request to the corresponding author.
References
Fabbro M, Zhou BB, Takahashi M, Sarcevic B, Lal P, Graham ME, et al. Cdk1/Erk2- and Plk1-dependent phosphorylation of a centrosome protein, Cep55, is required for its recruitment to midbody and cytokinesis. Dev Cell. 2005;9:477–88.
Frosk P, Arts HH, Philippe J, Gunn CS, Brown EL, Chodirker B, et al. A truncating mutation in CEP55 is the likely cause of MARCH, a novel syndrome affecting neuronal mitosis. J Med Genet. 2017;54:490–501.
Yanagi K, Sone R, Ohga R, Kawahara A. Involvement of the centrosomal protein 55 (cep55) gene in zebrafish head formation. Genes Cells. 2019;24:642–9.
Barrie ES, Overwater E, van Haelst MM, Motazacker MM, Truxal KV, Crist E, et al. Expanding the spectrum of CEP55-associated disease to viable phenotypes. Am J Med Genet A. 2020;182:1201–8.
Bondeson ML, Ericson K, Gudmundsson S, Ameur A, Pontén F, Wesström J, et al. A nonsense mutation in CEP55 defines a new locus for a Meckel-like syndrome, an autosomal recessive lethal fetal ciliopathy. Clin Genet. 2017;92:510–6.
Gabriel H, Korinth D, Ritthaler M, Schulte B, Battke F, von Kaisenberg C, et al. Trio exome sequencing is highly relevant in prenatal diagnostics. Prenat Diagn. 2022;42:845–51.
Monies D, Abouelhoda M, Assoum M, Moghrabi N, Rafiullah R, Almontashiri N, et al. Lessons Learned from Large-Scale, First-Tier Clinical Exome Sequencing in a Highly Consanguineous Population. Am J Hum Genet. 2019;104:1182–201.
Rawlins LE, Jones H, Wenger O, Aye M, Fasham J, Harlalka GV, et al. An Amish founder variant consolidates disruption of CEP55 as a cause of hydranencephaly and renal dysplasia. Eur J Hum Genet. 2019;27:657–62.
Sparks TN, Lianoglou BR, Adami RR, Pluym ID, Holliman K, Duffy J, et al. Exome sequencing for prenatal diagnosis in nonimmune hydrops fetalis. N Engl J Med. 2020;383:1746–56.
Jumper J, Evans R, Pritzel A, Green T, Figurnov M, Ronneberger O, et al. Highly accurate protein structure prediction with AlphaFold. Nature. 2021;596:583–9.
Bartosch C, Vilar I, Rodrigues M, Costa L, Botelho N, Brandão O. Fetal autopsy parameters standards: biometry, organ weights, and long bone lengths. Virchows Arch : Int J Pathol. 2019;475:499–511.
Wang Y, Sheng F, Ying L, Lou Q, Yu Z, Wang K, et al. CEP55-associated lethal fetal syndrome: a case report of a Chinese family. Front Genet. 2023;14:1267241.
Martinez-Garay I, Rustom A, Gerdes HH, Kutsche K. The novel centrosomal associated protein CEP55 is present in the spindle midzone and the midbody. Genomics. 2006;87:243–53.
Said Halidi KN, Fontan E, Boucharlat A, Davignon L, Charpentier M, Boullé M, et al. Two NEMO-like ubiquitin-binding domains in CEP55 differently regulate cytokinesis. iScience. 2019;20:292–309.
Acknowledgements
We express our gratitude to the family for their involvement in this research. We further acknowledge the great technical help provided by Mr. Takafumi Miyama, Ms. Sayaka Sugimoto, Ms. Mai Sato, Ms. Nobuko Watanabe, and Ms. Kaori Takabe at the Department of Human Genetics at Yokohama City University Graduate School of Medicine. The Japan Society for the Promotion of Science (JSPS) KAKENHI Grant-in-Aid for Scientific Research [grant numbers JP22K15901 (A. Fujita), JP23H02829 (S. Miyatake), JP23H02877 (T. Mizuguchi), JP23K07229 (Y. Uchiyama), JP23K15353 (N. Tsuchida), and JP24K02230 (N. Matsumoto); the Takeda Science Foundation (T. Mizuguchi and N. Matsumoto)] and the Japan Agency for Medical Research and Development (AMED) under grant numbers JP23ek0109674, JP23ek0109549, and JP23ek0109617 (N. Matsumoto); and Kawano Masanori Memorial Public Interest Incorporated Foundation for Promotion of Pediatrics (S. Miyatake) provided support for this work. We thank Catherine Perfect, MA (Cantab), and Susan Furness, PhD, from Edanz (https://jp.edanz.com/ac), for editing drafts of this manuscript.
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Fu, L., Yamamoto, Y., Seyama, R. et al. Biallelic missense CEP55 variants cause prenatal MARCH syndrome. J Hum Genet 70, 63–66 (2025). https://doi.org/10.1038/s10038-024-01298-7
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DOI: https://doi.org/10.1038/s10038-024-01298-7