Purpose This study wants to know the genetic cause of preeclampsia (PE) which is a leading cause of maternal and perinatal death, but the underlying molecular mechanisms that cause PE remain poorly understood. Many single nucleotide polymorphisms have been identified by genome-wide association studies and were found to be associated with PE; however, few studies have used whole-exome sequencing (WES) to identify PE mutations.
Methods Five patients with severe early-onset preeclampsia (EOPE) were recruited, and WES was performed on each patient. Sanger sequencing was used to confirm the potential causative genetic mutation.
Results After a stringent bioinformatics analysis, a rare mutation in the GOT1 gene, c.44C>G:p.P15R, was found in one patient. Bioinformatics analysis showed that the mutation site is highly conserved across several species and was predicted to be a pathogenic mutation according to several online mutational function prediction software packages. Further structural biology homology modeling suggested that P15R would change the electric environment of enzymatic center, and might affect the binding affinity of substrate or product.
Conclusion We demonstrated for the first time that the mutation in GOT1 may be associated with EOPE, the results of this study provide researchers and clinicians with a better understanding of the molecular mechanisms that underlie maternal severe EOPE.

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Received 16 Feb, 2020
On 31 Jan, 2020
On 28 Jan, 2020
Invitations sent on 28 Jan, 2020
On 27 Jan, 2020
On 27 Jan, 2020
Posted 23 Jan, 2020
On 20 Jan, 2020
On 20 Jan, 2020
On 19 Jan, 2020
On 19 Jan, 2020
On 16 Jan, 2020
Received 13 Jan, 2020
Invitations sent on 22 Dec, 2019
On 22 Dec, 2019
On 16 Dec, 2019
On 15 Dec, 2019
On 15 Dec, 2019
Received 12 Dec, 2019
On 12 Dec, 2019
Received 09 Dec, 2019
Received 09 Dec, 2019
On 30 Nov, 2019
On 29 Nov, 2019
On 27 Nov, 2019
On 26 Nov, 2019
Invitations sent on 26 Nov, 2019
On 25 Nov, 2019
On 25 Nov, 2019
Received 06 Nov, 2019
On 06 Nov, 2019
Received 26 Oct, 2019
On 23 Oct, 2019
On 13 Oct, 2019
Invitations sent on 12 Oct, 2019
On 24 Sep, 2019
On 23 Sep, 2019
On 23 Sep, 2019
Received 16 Feb, 2020
On 31 Jan, 2020
On 28 Jan, 2020
Invitations sent on 28 Jan, 2020
On 27 Jan, 2020
On 27 Jan, 2020
Posted 23 Jan, 2020
On 20 Jan, 2020
On 20 Jan, 2020
On 19 Jan, 2020
On 19 Jan, 2020
On 16 Jan, 2020
Received 13 Jan, 2020
Invitations sent on 22 Dec, 2019
On 22 Dec, 2019
On 16 Dec, 2019
On 15 Dec, 2019
On 15 Dec, 2019
Received 12 Dec, 2019
On 12 Dec, 2019
Received 09 Dec, 2019
Received 09 Dec, 2019
On 30 Nov, 2019
On 29 Nov, 2019
On 27 Nov, 2019
On 26 Nov, 2019
Invitations sent on 26 Nov, 2019
On 25 Nov, 2019
On 25 Nov, 2019
Received 06 Nov, 2019
On 06 Nov, 2019
Received 26 Oct, 2019
On 23 Oct, 2019
On 13 Oct, 2019
Invitations sent on 12 Oct, 2019
On 24 Sep, 2019
On 23 Sep, 2019
On 23 Sep, 2019
Purpose This study wants to know the genetic cause of preeclampsia (PE) which is a leading cause of maternal and perinatal death, but the underlying molecular mechanisms that cause PE remain poorly understood. Many single nucleotide polymorphisms have been identified by genome-wide association studies and were found to be associated with PE; however, few studies have used whole-exome sequencing (WES) to identify PE mutations.
Methods Five patients with severe early-onset preeclampsia (EOPE) were recruited, and WES was performed on each patient. Sanger sequencing was used to confirm the potential causative genetic mutation.
Results After a stringent bioinformatics analysis, a rare mutation in the GOT1 gene, c.44C>G:p.P15R, was found in one patient. Bioinformatics analysis showed that the mutation site is highly conserved across several species and was predicted to be a pathogenic mutation according to several online mutational function prediction software packages. Further structural biology homology modeling suggested that P15R would change the electric environment of enzymatic center, and might affect the binding affinity of substrate or product.
Conclusion We demonstrated for the first time that the mutation in GOT1 may be associated with EOPE, the results of this study provide researchers and clinicians with a better understanding of the molecular mechanisms that underlie maternal severe EOPE.

Figure 1

Figure 2
This is a list of supplementary files associated with this preprint. Click to download.
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