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Published in: Italian Journal of Pediatrics 1/2016

Open Access 01-12-2016 | Case report

Surfactant Protein C-associated interstitial lung disease; three different phenotypes of the same SFTPC mutation

Authors: Teresa Salerno, Donatella Peca, Laura Menchini, Alessandra Schiavino, Renata Boldrini, Fulvio Esposito, Olivier Danhaive, Renato Cutrera

Published in: Italian Journal of Pediatrics | Issue 1/2016

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Abstract

Background

Monoallelic mutations of the Surfactant Protein C gene (SFTPC) are associated with Interstitial Lung Disease in children. I73T is the most common mutation, accounting for 30 % of all cases reported.

Case presentation

We describe three patients carrying the same I73T SPC mutation with very different phenotypes, clinical course (ranging from mild respiratory symptoms to death for respiratory failure) and outcome.

Conclusions

The disease mechanisms associated with SP-C mutations suggest that the combination of individual genetic background and environmental factors contribute largely to the wide variability of clinical expression. Infants, children and adults with ILD of unknown etiology should be investigated for SP-C genetic abnormalities.
Literature
1.
2.
go back to reference Willander H, Askarieh G, Landreh M, et al. High-resolution structure of a BRICHOS domain and its implications for anti-amyloid chaperone activity on lung surfactant protein C. Proc Natl Acad Sci U S A. 2012;109:2325–9.PubMedCentralCrossRefPubMed Willander H, Askarieh G, Landreh M, et al. High-resolution structure of a BRICHOS domain and its implications for anti-amyloid chaperone activity on lung surfactant protein C. Proc Natl Acad Sci U S A. 2012;109:2325–9.PubMedCentralCrossRefPubMed
3.
go back to reference Mulugeta S, Maguire JA, Newitt JL, Russo SJ, Kotorashvili A, Beers MF. Misfolded BRICHOS SP-C mutant proteins induce apoptosis via caspase-4-and cytochrome c-related mechanisms. Am J Physiol Lung Cell Mol Physiol. 2007; doi:10.1152/ajplung.00025.2007. Mulugeta S, Maguire JA, Newitt JL, Russo SJ, Kotorashvili A, Beers MF. Misfolded BRICHOS SP-C mutant proteins induce apoptosis via caspase-4-and cytochrome c-related mechanisms. Am J Physiol Lung Cell Mol Physiol. 2007; doi:10.​1152/​ajplung.​00025.​2007.
4.
go back to reference Hawkins A, Guttentag SH, Deterding R, Funkhouser WK, Goralski JL, Chatterjee S, Mulugeta S, Beers MF. A non-BRICHOS SFTPC mutant (SP-CI73T) linked to interstitial lung disease promotes a late block in macroautophagy disrupting cellular proteostasis and mitophagy. Am J Physiol Lung Cell Mol Physiol. 2015; doi:10.1152/ajplung.00217.2014. Hawkins A, Guttentag SH, Deterding R, Funkhouser WK, Goralski JL, Chatterjee S, Mulugeta S, Beers MF. A non-BRICHOS SFTPC mutant (SP-CI73T) linked to interstitial lung disease promotes a late block in macroautophagy disrupting cellular proteostasis and mitophagy. Am J Physiol Lung Cell Mol Physiol. 2015; doi:10.​1152/​ajplung.​00217.​2014.
5.
go back to reference Peca D, Boldrini R, Johannson J, Shieh JT, Citti A, Petrini S, Salerno T, Cazzato S, Testa R, Messina F, Onofri A, Cenacchi G, Westermark P, Ullman N, Cogo P, Cutrera R, Danhaive O. Clinical and ultrastructural spectrum of diffuse lung disease associated with surfactant protein C mutations. Eur J Hum Genet. 2015; doi:10.1038/ejhg.2015.45. Peca D, Boldrini R, Johannson J, Shieh JT, Citti A, Petrini S, Salerno T, Cazzato S, Testa R, Messina F, Onofri A, Cenacchi G, Westermark P, Ullman N, Cogo P, Cutrera R, Danhaive O. Clinical and ultrastructural spectrum of diffuse lung disease associated with surfactant protein C mutations. Eur J Hum Genet. 2015; doi:10.​1038/​ejhg.​2015.​45.
6.
go back to reference Brasch F, Griese M, Tredano M, Johnen G, Ochs M, Rieger C, Mulugeta S, Muller KM, Bahuau M, Beers MF. Interstitial lung disease in a baby with a de novo mutation in the SFTPC gene. Eur Respir J. 2004; doi:10.1183/09031936.04.00000104. Brasch F, Griese M, Tredano M, Johnen G, Ochs M, Rieger C, Mulugeta S, Muller KM, Bahuau M, Beers MF. Interstitial lung disease in a baby with a de novo mutation in the SFTPC gene. Eur Respir J. 2004; doi:10.​1183/​09031936.​04.​00000104.
7.
go back to reference Stevens PA, Pettenazzo A, Brasch F, Mulugeta S, Baritussio A, Ochs M, Morrison L, Russo SJ, Beers MF. Nonspecific interstitial pneumonia, alveolar proteinosis, and abnormal proprotein trafficking resulting from a spontaneous mutation in the surfactant protein C gene. Pediatr Res. 2005; doi:10.1203/01.PDR.0000147567.02473.5A. Stevens PA, Pettenazzo A, Brasch F, Mulugeta S, Baritussio A, Ochs M, Morrison L, Russo SJ, Beers MF. Nonspecific interstitial pneumonia, alveolar proteinosis, and abnormal proprotein trafficking resulting from a spontaneous mutation in the surfactant protein C gene. Pediatr Res. 2005; doi:10.​1203/​01.​PDR.​0000147567.​02473.​5A.
8.
go back to reference Garmany TH, Wambach JA, Heins HB, Watkins-Torry JM, Wegner DJ, Bennet K, An P, Land G, Saugstad OD, Henderson H, Nogee LM, Cole FS, Hamvas A. Population and disease-based prevalence of the common mutations associated with surfactant deficiency. Pediatr Res. 2008; doi:10.1203/PDR.0b013e31816fdbeb. Garmany TH, Wambach JA, Heins HB, Watkins-Torry JM, Wegner DJ, Bennet K, An P, Land G, Saugstad OD, Henderson H, Nogee LM, Cole FS, Hamvas A. Population and disease-based prevalence of the common mutations associated with surfactant deficiency. Pediatr Res. 2008; doi:10.​1203/​PDR.​0b013e31816fdbeb​.
9.
go back to reference McBee AD, Wegner DJ, Carlson CS et al. Recombination as a mechanism for sporadic mutation in the surfactant protein-C gene. Pediatr Pulmonol. 2008; doi:10.1002/ppul.20970. McBee AD, Wegner DJ, Carlson CS et al. Recombination as a mechanism for sporadic mutation in the surfactant protein-C gene. Pediatr Pulmonol. 2008; doi:10.​1002/​ppul.​20970.
10.
go back to reference Beers MF, Hawkins A, Maguire JA, Kotorashvili A, Zhao M, Newitt, JL et al. A nonaggregating surfactant protein C mutant is misdirected to early endosomes and disrupts phospholipid recycling. Traffic. 2011 doi:10.1111/j.1600-0854.2011.01223.x. Beers MF, Hawkins A, Maguire JA, Kotorashvili A, Zhao M, Newitt, JL et al. A nonaggregating surfactant protein C mutant is misdirected to early endosomes and disrupts phospholipid recycling. Traffic. 2011 doi:10.​1111/​j.​1600-0854.​2011.​01223.​x.
11.
go back to reference Bush A, Cunningham S, de Blic J, Barbato A, Clement A, Epaud R, Hengst M, Kiper N, Nicholson AG, Wetzke M, Snijders D, Schwerk N, Griese M; chILD-EU Collaboration. European protocols for the diagnosis and initial treatment of interstitial lung disease in children. Thorax. 2015; doi:10.1136/thoraxjnl-2015-207349. Bush A, Cunningham S, de Blic J, Barbato A, Clement A, Epaud R, Hengst M, Kiper N, Nicholson AG, Wetzke M, Snijders D, Schwerk N, Griese M; chILD-EU Collaboration. European protocols for the diagnosis and initial treatment of interstitial lung disease in children. Thorax. 2015; doi:10.​1136/​thoraxjnl-2015-207349.
12.
go back to reference Taam Rola A, Jaubert F, Emodn S, Le Bourgeois M, Epaud R, Karila C, Feldmann D, Scheinmann P, De Blic J. Familial interstitial disease with I73T mutation. Pediatr Pulmonol. 2009; doi:10.1002/ppul.20970. Taam Rola A, Jaubert F, Emodn S, Le Bourgeois M, Epaud R, Karila C, Feldmann D, Scheinmann P, De Blic J. Familial interstitial disease with I73T mutation. Pediatr Pulmonol. 2009; doi:10.​1002/​ppul.​20970.
13.
go back to reference Bullard JE, Nogee LM. Heterozygosity for ABCA3 mutations modifies the severity of lung disease associated with surfactant protein C gene (SFPTC) mutation. Pediatr Res. 2007; doi:10.1203/PDR.0b013e3180a72588. Bullard JE, Nogee LM. Heterozygosity for ABCA3 mutations modifies the severity of lung disease associated with surfactant protein C gene (SFPTC) mutation. Pediatr Res. 2007; doi:10.​1203/​PDR.​0b013e3180a72588​.
14.
go back to reference Bridges PJ, Xu Y, Na CL, Wong HR, Weaver TE. Adaptation and increased susceptibility to infections associated with constitutive expression of misfolded SP-C. J Cell Biol. 2006; doi:10.1083/jcb.200508016. Bridges PJ, Xu Y, Na CL, Wong HR, Weaver TE. Adaptation and increased susceptibility to infections associated with constitutive expression of misfolded SP-C. J Cell Biol. 2006; doi:10.​1083/​jcb.​200508016.
15.
go back to reference Glasser SW, Witt TL, Senft AP, Baatz JE, Folger D, Maxfield MD, Akinbi HT, Newton DA, Prows DR, Korfhagen TR. Surfactant protein C-deficient mice are susceptible to respiratory syncytial virus infection. Am J Physiol Lung Cell Mol Physiol. 2009; doi:10.1152/ajplung.90640.2008. Glasser SW, Witt TL, Senft AP, Baatz JE, Folger D, Maxfield MD, Akinbi HT, Newton DA, Prows DR, Korfhagen TR. Surfactant protein C-deficient mice are susceptible to respiratory syncytial virus infection. Am J Physiol Lung Cell Mol Physiol. 2009; doi:10.​1152/​ajplung.​90640.​2008.
16.
go back to reference Glasser SW, Senft AP, Maxfield MD, Ruetschilling TL, Baatz JE, Page K, Korfhagen TR. Genetic replacement of surfactant protein-C reduces respiratory syncytial virus induced lung injury. Respir Res. 2013; doi:10.1186/1465-9921-14-19. Glasser SW, Senft AP, Maxfield MD, Ruetschilling TL, Baatz JE, Page K, Korfhagen TR. Genetic replacement of surfactant protein-C reduces respiratory syncytial virus induced lung injury. Respir Res. 2013; doi:10.​1186/​1465-9921-14-19.
17.
go back to reference Tucker S, Ahl M, Bush A, Westaway D, Huang X, Rogers JT. Pilot study of the reducing effect on amyloidosis in vivo by three FDA pre-approved drugs via the Alzheimer’s APP 5' untranslated region. Current Alzheimer research 2005; doi:10.2174/156205053585855. Tucker S, Ahl M, Bush A, Westaway D, Huang X, Rogers JT. Pilot study of the reducing effect on amyloidosis in vivo by three FDA pre-approved drugs via the Alzheimer’s APP 5' untranslated region. Current Alzheimer research 2005; doi:10.​2174/​156205053585855.
18.
go back to reference Beers MF. Inhibition of cellular processing of surfactant protein C by drugs affecting intracellular pH gradients. J Biol Chem. 1996;271:14361–70.PubMed Beers MF. Inhibition of cellular processing of surfactant protein C by drugs affecting intracellular pH gradients. J Biol Chem. 1996;271:14361–70.PubMed
19.
go back to reference Kurland G, Deterding RR, Hagood JS, Young LR, Brody AS, Castile RG, Dell S, Fan LL, Hamvas A, Hilman BC, Langston C, Nogee LM and Redding GJ. An official American Thoracic Society clinical practice guideline: classification, evaluation and management of childhood Interstitial Lung Disease. Am J Respir Crit Care Med. 2013; doi: 10.1164/rccm.201305-0923ST. Kurland G, Deterding RR, Hagood JS, Young LR, Brody AS, Castile RG, Dell S, Fan LL, Hamvas A, Hilman BC, Langston C, Nogee LM and Redding GJ. An official American Thoracic Society clinical practice guideline: classification, evaluation and management of childhood Interstitial Lung Disease. Am J Respir Crit Care Med. 2013; doi: 10.​1164/​rccm.​201305-0923ST.
Metadata
Title
Surfactant Protein C-associated interstitial lung disease; three different phenotypes of the same SFTPC mutation
Authors
Teresa Salerno
Donatella Peca
Laura Menchini
Alessandra Schiavino
Renata Boldrini
Fulvio Esposito
Olivier Danhaive
Renato Cutrera
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Italian Journal of Pediatrics / Issue 1/2016
Electronic ISSN: 1824-7288
DOI
https://doi.org/10.1186/s13052-016-0235-x

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