Case Report: a novel non-canonical splice site variant in COL4A5 in a patient with Alport syndrome - Summary - MDSpire

Case Report: a novel non-canonical splice site variant in COL4A5 in a patient with Alport syndrome

  • By

  • Xue Wang

  • Linlin Dong

  • Hui Qiu

  • Beibei Wang

  • Sanfeng Wang

  • Weiran Zhou

  • June 19, 2026

  • 0 min

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Objective:

To report a novel splicing variant in the COL4A5 gene associated with Alport syndrome.

Approach:
    Key Findings:
    • The identified COL4A5 variant (c.3374-3T > G) is a novel pathogenic non-canonical splice site mutation.
    • The variant leads to exon 38 skipping, confirming its role in the genetic etiology of Alport syndrome in the proband's family.
    Interpretation:

    The findings highlight the necessity of functional validation for accurate diagnosis.

    Limitations:
    • The study is based on a single family case, limiting generalizability.
    • Information regarding the grandparents' clinical status was not available.
    Conclusion:

    The study highlights the importance of integrating whole-exome sequencing with functional assays for the diagnosis of non-canonical splice site variants in Alport syndrome.

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