Marlène Malbos, Gabriella Vera, Harsh Sheth, Rhonda E. Schnur, Aurélien Juven, Anne-Claire Brehin, Jayesh Sheth, Ajit Gandhi, Faye L. Shapiro, Ange-Line Bruel, Florent Marguet, Amber Begtrup, Kristin G. Monaghan, Hana Safraou, Marie Brasseur-Daudruy, Frédéric Tran Mau-Them, Yannis Duffourd, Laurence Faivre, Christel Thauvin-Robinet, Paul J. Benke, Christophe Philippe
{"title":"SCYL2-related autosomal recessive neurodevelopmental disorders: Arthrogryposis multiplex congenita-4 and beyond?","authors":"Marlène Malbos, Gabriella Vera, Harsh Sheth, Rhonda E. Schnur, Aurélien Juven, Anne-Claire Brehin, Jayesh Sheth, Ajit Gandhi, Faye L. Shapiro, Ange-Line Bruel, Florent Marguet, Amber Begtrup, Kristin G. Monaghan, Hana Safraou, Marie Brasseur-Daudruy, Frédéric Tran Mau-Them, Yannis Duffourd, Laurence Faivre, Christel Thauvin-Robinet, Paul J. Benke, Christophe Philippe","doi":"10.1111/cge.14608","DOIUrl":"10.1111/cge.14608","url":null,"abstract":"<p>SCY1-like protein 2 (<i>SCYL2</i>) is a member of the SCY1-like pseudokinase family which regulates secretory protein trafficking. It plays a crucial role in the nervous system by suppressing excitotoxicity in the developing brain. <i>Scyl2</i> knockout mice have excess prenatal mortality and survivors show severe neurological dysfunction. Bi-allelic loss-of-function (LOF) variants in <i>SCYL2</i> were recently associated with arthrogryposis multiplex congenita-4 (AMC4) following the report of 6 individuals from two consanguineous unrelated families. The AMC4 phenotype described included severe arthrogryposis, corpus callosum agenesis, epilepsy and frequently, early death. We describe here two additional similarly affected individuals with AMC4, including one diagnosed in the prenatal period, with bi-allelic LOF variants in <i>SCYL2</i>, and two individuals homozygous for missense variants in the protein kinase domain of <i>SCYL2</i> and presenting with developmental delay only. Our study confirms the association of <i>SCYL2</i> with AMC4 and suggests a milder phenotype can occur, extending the phenotypic spectrum of autosomal recessive <i>SCYL2</i>-related disorders.</p>","PeriodicalId":10354,"journal":{"name":"Clinical Genetics","volume":"106 6","pages":"757-763"},"PeriodicalIF":2.9,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cge.14608","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142016584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Novel PLEC variants associated with infantile cholestasis","authors":"Phawin Kor-anantakul, Huey-Ling Chen, Ya-Hui Chen, Chupong Ittiwut, Rungnapa Ittiwut, Nataruks Chaijitraruch, Kanya Suphapeetiporn, Voranush Chongsrisawat","doi":"10.1111/cge.14611","DOIUrl":"10.1111/cge.14611","url":null,"abstract":"<p>Plectin is a cytoskeletal linker of intermediate filaments, encoded by the <i>PLEC</i> gene. Recently, plectin mutations have been identified in a pair of siblings with progressive familial intrahepatic cholestasis. Here, we reported two unrelated infants with plectinopathy causing cholestatic jaundice with novel variants in the <i>PLEC</i> gene. Trio exome sequencing identified compound heterozygous variants in the <i>PLEC</i> gene for each patient: c.71-11768C>T and c.4331G>T (p.Arg1444Leu) in Patient 1, and c.592C>T (p.Arg198Trp) and c.4322G>A (p.Arg1441His) in Patient 2. Immunofluorescence staining of liver samples from both patients revealed scattered signals of plectin in the cytoplasm of hepatocytes and reduced colocalization of plectin and cytokeratin 8. This study not only underscores the involvement of plectin in cholestasis but also highlights the utility of exome sequencing as a powerful diagnostic tool in identifying genetic underpinnings of infantile cholestasis.</p>","PeriodicalId":10354,"journal":{"name":"Clinical Genetics","volume":"106 6","pages":"769-775"},"PeriodicalIF":2.9,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142016583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Khemika K. Sudnawa, Nicolò Pini, Wenxing Li, Cara H. Kanner, Joseph Ryu, Sean Calamia, Jennifer M. Bain, Sylvie Goldman, Jacqueline Montes, Yufeng Shen, Wendy K. Chung
{"title":"Clinical characteristics, longitudinal adaptive functioning, and association with electroencephalogram activity in PPP2R5D-related neurodevelopmental disorder","authors":"Khemika K. Sudnawa, Nicolò Pini, Wenxing Li, Cara H. Kanner, Joseph Ryu, Sean Calamia, Jennifer M. Bain, Sylvie Goldman, Jacqueline Montes, Yufeng Shen, Wendy K. Chung","doi":"10.1111/cge.14612","DOIUrl":"10.1111/cge.14612","url":null,"abstract":"<p>Protein phosphatase 2 regulatory subunit B56δ related neurodevelopmental disorder (<i>PPP2R5D-</i>related NDD) is largely caused by de novo heterozygous missense <i>PPP2R5D</i> variants. We report medical characteristics, longitudinal adaptive functioning, and in-person neurological, motor, cognitive, and electroencephalogram (EEG) activity for <i>PPP2R5D-</i>related NDD. Forty-two individuals (median age 6 years, range = 0.8–25.3) with pathogenic/likely pathogenic <i>PPP2R5D</i> variants were assessed, and almost all variants were missense (97.6%) and de novo (85.7%). Common clinical symptoms were developmental delay, hypotonia, macrocephaly, seizures, autism, behavioral challenges, and sleep problems. The mean Gross motor functional measure-66 was 60.2 ± 17.3% and the mean Revised upper limb module score was 25.9 ± 8.8. The Vineland-3 adaptive behavior composite score (VABS-3 ABC) at baseline was low (<i>M</i> = 61.7 ± 16.8). VABS-3 growth scale value scores increased from baseline in all subdomains (range = 0.6–5.9) after a mean follow-up of 1.3 ± 0.3 years. EEG beta and gamma power were negatively correlated with VABS-3 score; <i>p</i> < 0.05. Individuals had a mean Quality-of-life inventory-disability score of 74.7 ± 11.4. Twenty caregivers (80%) had a risk of burnout based on the Caregiver burden inventory. Overall, the most common clinical manifestations of <i>PPP2R5D-</i>related NDD were impaired cognitive, adaptive function, and motor skills; and EEG activity was associated with adaptive functioning. This clinical characterization describes the natural history in preparation for clinical trials.</p>","PeriodicalId":10354,"journal":{"name":"Clinical Genetics","volume":"107 1","pages":"34-43"},"PeriodicalIF":2.9,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142016582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eliane Chouery, Cybel Mehawej, Aline Mansour, Sandra Corbani, Rima Korban, Richard Zalloum, Andre Megarbane
{"title":"Expanding the phenotypes of ABL1 deficiency syndromes: When mutations in different isoforms Lead to different diseases","authors":"Eliane Chouery, Cybel Mehawej, Aline Mansour, Sandra Corbani, Rima Korban, Richard Zalloum, Andre Megarbane","doi":"10.1111/cge.14609","DOIUrl":"10.1111/cge.14609","url":null,"abstract":"<p>All reported <i>ABL1</i> gain of function and loss of function (LOF) variants, impact both isoforms 1a and 1b. Our findings suggest that LOF variants affecting solely <i>ABL1</i> isoform 1b may lead to a distinct autosomal recessive new phenotype.\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":10354,"journal":{"name":"Clinical Genetics","volume":"106 6","pages":"782-785"},"PeriodicalIF":2.9,"publicationDate":"2024-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141999500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ekaterina Shchemeleva, Valentina V. Salomashkina, Daria Selivanova, Nina Tsvetaeva, Anait Melikyan, Liliya Doronina, Vadim L. Surin
{"title":"Active spread of β-thalassemia beyond the thalassemia belt: A study on a Russian population","authors":"Ekaterina Shchemeleva, Valentina V. Salomashkina, Daria Selivanova, Nina Tsvetaeva, Anait Melikyan, Liliya Doronina, Vadim L. Surin","doi":"10.1111/cge.14606","DOIUrl":"10.1111/cge.14606","url":null,"abstract":"<p>β-Thalassemia is a disease traditionally associated with thalassemia belt countries. Nonetheless, as global migration intensifies, β-thalassemia–causing variants spread far from their origin. We investigated this process to detect some patterns underlying its course. We analyzed β-thalassemia–causing variants and the origin of 676 unrelated participants in Moscow, the largest city of Russia, far away from the thalassemia belt. Our analyses revealed that modern Russia has one of the broadest spectra of thalassemia-causing variants: 46 different variants, including two novel β<sup>0</sup> variants. Only a small proportion of the reported pathogenic variants likely originated in the resident subpopulation. Almost half of the variants that supposedly had emerged outside the Russian borders have already been assimilated by (were found in) the resident subpopulation. The primary modern source of immigration transferring thalassemia to a nonthalassemic part of Russia is the Caucasus region. We also found traces of ancient migration flows from non-Caucasus countries. Our data indicate that β-thalassemia–causing variants are actively spilling over into resident populations of countries outside thalassemia belt regions. Therefore, viewing thalassemia as a disease exclusive to specific ethnic groups creates a mind trap that can complicate the diagnosis.</p>","PeriodicalId":10354,"journal":{"name":"Clinical Genetics","volume":"107 1","pages":"23-33"},"PeriodicalIF":2.9,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141981794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Featured Cover","authors":"Shagun Aggarwal, Venugopal Satidevi Vineeth, Shrutika S. Padwal, Sameer Ahmed Bhat, Arpita Singh, Aditya Kulkarni, Mallikarjun Patil, Karthik Tallapaka, Divya Pasumarthi, Vijayasree Venkatapuram, Pragna Lakshmi Thotakura, Ashwin Dalal, Rashna Bhandari","doi":"10.1111/cge.14607","DOIUrl":"https://doi.org/10.1111/cge.14607","url":null,"abstract":"<p>The cover image is based on the article <i>SERPINA11 related novel serpinopathy – A perinatal lethal disorder</i> by Shagun Aggarwal et al., https://doi.org/10.1111/cge.14564.\u0000\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":10354,"journal":{"name":"Clinical Genetics","volume":"106 3","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cge.14607","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141967160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yang Zhao, Xutong Zhao, Kunqian Ji, Junling Wang, Yuying Zhao, Jie Lin, Qiang Gang, Meng Yu, Yun Yuan, Haishan Jiang, Chong Sun, Fang Fang, Chuanzhu Yan, Zhaoxia Wang
{"title":"The clinical and genetic spectrum of mitochondrial diseases in China: A multicenter retrospective cross-sectional study","authors":"Yang Zhao, Xutong Zhao, Kunqian Ji, Junling Wang, Yuying Zhao, Jie Lin, Qiang Gang, Meng Yu, Yun Yuan, Haishan Jiang, Chong Sun, Fang Fang, Chuanzhu Yan, Zhaoxia Wang","doi":"10.1111/cge.14605","DOIUrl":"10.1111/cge.14605","url":null,"abstract":"<p>Mitochondrial diseases (MtDs) present diverse clinical phenotypes, yet large-scale studies are hindered by their rarity. This retrospective, multicenter study, conducted across five Chinese hospitals' neurology departments from 2009 to 2019, aimed to address this gap. Nationwide, 1351 patients were enrolled, with a median onset age of 14.0 (18.5) years. The predominant phenotype was mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS) (45.0%). Mitochondrial DNA (mtDNA) mutations were prevalent (87.4%), with m.3243A>G being the most common locus (48.7%). Meanwhile, <i>POLG</i> mutations in nuclear DNA (nDNA) accounted for 16.5%. Comparative analysis based on age groups (with a cut-off at 14 years) revealed the highest prevalence of MELAS, with Leigh syndrome (LS) and chronic progressive external ophthalmoplegia (CPEO) being the second most common phenotypes in junior and senior groups, respectively. Notably, the most commonly mutated nuclear genes varied across age groups. In conclusion, MELAS predominated in this Chinese MtD cohort, underscored by m.3243A>G and <i>POLG</i> as principal mtDNA mutations and pathogenic nuclear genes. The phenotypic and genotypic disparities observed among different age cohorts highlight the complex nature of MtDs.</p>","PeriodicalId":10354,"journal":{"name":"Clinical Genetics","volume":"106 6","pages":"733-744"},"PeriodicalIF":2.9,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cge.14605","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141906089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Masoome Alerasool, Atieh Eslahi, Barbara Vona, Mir Salar Kahaei, Nasrin Kaseb Mojaver, Mohsen Rajati, Alireza Pasdar, Mohammad Mehdi Ghasemi, Ehsan Saburi, Reza Mousavi Ardehaie, Majid Hadadi Aval, Mohammad Reza Tale, Navid Nourizadeh, Mohammad Reza Afzalzadeh, Hamid Tayarani Niknezhad, Majid Mojarrad
{"title":"Genetic landscape of hearing loss in prelingual deaf patients of eastern Iran: Insights from exome sequencing analysis","authors":"Masoome Alerasool, Atieh Eslahi, Barbara Vona, Mir Salar Kahaei, Nasrin Kaseb Mojaver, Mohsen Rajati, Alireza Pasdar, Mohammad Mehdi Ghasemi, Ehsan Saburi, Reza Mousavi Ardehaie, Majid Hadadi Aval, Mohammad Reza Tale, Navid Nourizadeh, Mohammad Reza Afzalzadeh, Hamid Tayarani Niknezhad, Majid Mojarrad","doi":"10.1111/cge.14599","DOIUrl":"10.1111/cge.14599","url":null,"abstract":"<p>Hearing loss is one of the most prevalent genetic disorders in humans. Locus and allelic heterogeneity cause fundamental challenges in hearing loss genetic diagnosis and management of patients and their families. This study examined the genetic profile of patients with prelingual hearing loss who were referred to the Genetic Foundation of Khorasan Razavi spanning over a decade. Deleterious variants in <i>GJB2</i> were evaluated through Sanger sequencing among 745 non-syndromic hearing loss patients. Furthermore, exome sequencing was applied in 250 patients with negative <i>GJB2</i> sequencing results and 30 patients with syndromic hearing loss. The findings revealed a relatively low frequency of <i>GJB2</i> variants among the studied patients. Exome sequencing successfully identified the genetic causes of hearing loss in 70% of the patients. Moreover, variants in 10 genes, namely <i>SLC26A4</i>, <i>MYO15A</i>, <i>TMPRSS3</i>, <i>TMC1</i>, <i>OTOF</i>, <i>CDH23</i>, <i>PJVK</i>, <i>MYO7A</i>, <i>TECTA</i>, and <i>PCDH15</i>, accounted for 66% of the positive exome sequencing findings in this study. At least three prevalent founder alleles in the hearing-impaired population of eastern Iran were identified. This study emphasizes the efficiency of exome sequencing as a powerful tool for determining the etiology of prelingual hearing loss in the eastern Iranian population.</p>","PeriodicalId":10354,"journal":{"name":"Clinical Genetics","volume":"106 6","pages":"693-701"},"PeriodicalIF":2.9,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141896950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Helena Fussiger, Pedro Lucas G. S. B. Lima, Paulo V. S. Souza, Fernando Freua, Antonette S. E. Husny, Emília K. E. A. Leão, Pedro Braga-Neto, Fernando Kok, David S. Lynch, Jonas A. M. Saute, Paulo R. Nóbrega
{"title":"Clinicogenetic characterization of cerebrotendinous xanthomatosis in Brazil","authors":"Helena Fussiger, Pedro Lucas G. S. B. Lima, Paulo V. S. Souza, Fernando Freua, Antonette S. E. Husny, Emília K. E. A. Leão, Pedro Braga-Neto, Fernando Kok, David S. Lynch, Jonas A. M. Saute, Paulo R. Nóbrega","doi":"10.1111/cge.14602","DOIUrl":"10.1111/cge.14602","url":null,"abstract":"<p>There are few cerebrotendineous xanthomatosis (CTX) case series and observational studies including a significant number of Latin American patients. We describe a multicenter Brazilian cohort of patients with CTX highlighting their clinical phenotype, recurrent variants and assessing possible genotype–phenotype correlations. We analyzed data from all patients with clinical and molecular or biochemical diagnosis of CTX regularly followed at six genetics reference centers in Brazil between March 2020 and August 2023. We evaluated 38 CTX patients from 26 families, originating from 4 different geographical regions in Brazil. Genetic analysis identified 13 variants in the <i>CYP27A1</i> gene within our population, including 3 variants that had not been previously described. The most frequent initial symptom of CTX in Brazil was cataract (27%), followed by xanthomas (24%), chronic diarrhea (13.5%), and developmental delay (13.5%). We observed that the median age at loss of ambulation correlates with the age of onset of neurological symptoms, with an average interval of 10 years (interquartile range 6.9 to 11 years). This study represents the largest CTX case series ever reported in South America. We describe phenotypic characteristics and report three new pathogenic or likely pathogenic variants.</p>","PeriodicalId":10354,"journal":{"name":"Clinical Genetics","volume":"106 6","pages":"721-732"},"PeriodicalIF":2.9,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141888630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}