Evidence map›Paper›PMID 42321501›Full record

ArticleJournal of assisted reproduction and genetics2026

Structural and functional characterization of DNAH5 variants in a Portuguese family with primary ciliary dyskinesia.

Leonor Roseta, Maria João Oliveira, Eduarda Tinoco, Edite Ferreira, Inês Sanches, Regina Monteiro, Ivone Pascoal, Joana Saranago, Telma Oliveira, Rute Pereira and 5 more

Abstract readCase Reports
In one paragraph

Article in Journal of assisted reproduction and genetics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Leonor RosetaPulmonary Rehabilitation Unit, Department of Pulmonology, Local Health Unit of Gaia-Espinho, Vila Nova de Gaia, Portugal.
Maria João OliveiraPulmonary Rehabilitation Unit, Department of Pulmonology, Local Health Unit of Gaia-Espinho, Vila Nova de Gaia, Portugal.
Eduarda TinocoPulmonary Rehabilitation Unit, Department of Pulmonology, Local Health Unit of Gaia-Espinho, Vila Nova de Gaia, Portugal.
Edite FerreiraUMIB-Unit for Multidisciplinary Research in Biomedicine/ITR-Laboratory for Integrative and Translational Research in Population Health, University of Porto, Porto, Portugal.
Inês SanchesPulmonary Rehabilitation Unit, Department of Pulmonology, Local Health Unit of Gaia-Espinho, Vila Nova de Gaia, Portugal.
Regina MonteiroPulmonary Rehabilitation Unit, Department of Pulmonology, Local Health Unit of Gaia-Espinho, Vila Nova de Gaia, Portugal.
Ivone PascoalPulmonary Rehabilitation Unit, Department of Pulmonology, Local Health Unit of Gaia-Espinho, Vila Nova de Gaia, Portugal.
Joana SaranagoLaboratory of Cell Biology, Department of Microscopy, ICBAS-School of Medicine and Biomedical Sciences, University of Porto, Porto, Portugal.
Telma OliveiraLaboratory of Cell Biology, Department of Microscopy, ICBAS-School of Medicine and Biomedical Sciences, University of Porto, Porto, Portugal.
Rute PereiraUMIB-Unit for Multidisciplinary Research in Biomedicine/ITR-Laboratory for Integrative and Translational Research in Population Health, University of Porto, Porto, Portugal.
Jorge OliveiraCenter for Predictive and Preventive Genetics (CGPP), IBMC-Institute of Cellular and Molecular Biology, i3S-Institute of Health Research and Innovation, University of Porto, Porto, Portugal.
Luís GalesDepartment of Chemistry, ICBAS-School of Medicine and Biomedical Sciences, University of Porto, Porto, Portugal.
João FreixoCenter for Predictive and Preventive Genetics (CGPP), IBMC-Institute of Cellular and Molecular Biology, i3S-Institute of Health Research and Innovation, University of Porto, Porto, Portugal.
Rosália SáUMIB-Unit for Multidisciplinary Research in Biomedicine/ITR-Laboratory for Integrative and Translational Research in Population Health, University of Porto, Porto, Portugal.
Mário SousaLaboratory of Cell Biology, Department of Microscopy, ICBAS-School of Medicine and Biomedical Sciences, University of Porto, Porto, Portugal. msousa@icbas.up.pt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePrimary ciliary dyskinesia (PCD) is a rare genetic heterogeneous disorder mainly characterized by impaired mucociliar clearance and chronic respiratory symptoms. Although DNAH5 is commonly implicated in PCD, several DNAH5 variants remain unclassified.

methodsThe proband was studied by high-speed videomicroscopy, transmission electron microscopy, whole exome sequencing and immunofluorescence. Protein structural analysis was performed through structural models obtained by X-ray crystallography and cryo-electron microscopy. The family was studied by Sanger sequencing of the variants, high-speed videomicroscopy and immunofluorescence.

resultsThe patient carry, in heterozygosity, the DNAH5 c.5290 T > C p.(Ser1764Pro) missense variant of uncertain significance and the pathogenic truncated variant DNAH5 c.4237C > T p.(Gln1413*). He was clinically diagnosed in adulthood with PCD, confirmed following nasal nitric oxide measurement, high-speed videomicroscopy and transmission electron microscopy, all of which revealed hallmark PCD defects, with decreased nasal nitric oxide levels (30 nl/min) and ciliary beating frequency (0.66 Hz), a dyskinetic ciliary beating pattern (62.5% total immotility) and a class-1 ultrastructure. Immunofluorescence analysis demonstrated reduced DNAH5 expression, and protein structural models predicted that the variant of uncertain significance causes an unstable protein. Family analyses confirmed a trans-inheritance and uncovered a brother with a similar PCD phenotype, the same two variants and similar reduced DNAH5 expression.

conclusionsResults support a pathogenic role for the c.5290 T > C p.(Ser1764Pro) variant and elucidate the effects of the other variant. These results underscore the importance of integrating clinical, ultrastructural, molecular and protein expression analyses to clarify and contribute to PCD diagnosis, besides now serving as potential markers for diagnostics and targeted therapies.

Indexed as

Axonemal DyneinsCiliary Motility DisordersKartagener SyndromeAdultCiliaExome SequencingFemaleHumansMaleMicroscopy, Electron, TransmissionPedigreeAxonemal DyneinsDNAH5 protein, humanDNAH5 variants of unknown significanceGenetic screeningHigh-speed videomicroscopyImmunofluorescencePrimary ciliary dyskinesiaTransmission electron microscopy

Identifiers

PMID42321501
PMCPMC13598022

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