L. M. Pohovski, A. Bobinec, Ana-Maria Meašić, I. Sansović, I. Barišić
{"title":"A new case of intragenic\u0000deletion of the TCF4 gene without\u0000features of Pitt-Hopkins syndrome","authors":"L. M. Pohovski, A. Bobinec, Ana-Maria Meašić, I. Sansović, I. Barišić","doi":"10.33602/mebm.3.2.8","DOIUrl":"https://doi.org/10.33602/mebm.3.2.8","url":null,"abstract":"Different genomic\u0000alterations affecting the TCF4 gene are usually associated with Pitt-Hopkins\u0000syndrome (PTHS). This syndrome is a rare neurodevelopmental genetic disorder\u0000characterized by distinctive facial features, abnormal breathing, psychomotor\u0000delay and severe intellectual disability (ID). The genomic alterations include\u0000whole or partial gene deletion; balanced translocation disrupting the coding\u0000sequence of the gene; and intragenic variants. The TCF4 gene encodes a basic\u0000helix-loop-helix (bHLH) transcription factor 4. Using alternative promoters,\u0000TCF4 can be transcribed from a number of alternative initial exons, allowing\u0000for translation of variable protein isoforms containing different functional\u0000domains. Full-length TCF4 has two activation domains (AD1 and AD2) that are\u0000thought to modulate transcriptional activity, a NLS domain (nuclear\u0000localization signal) that controls subcellular localization and bHLH domain.\u0000Typical PTHS patients have aberration localized between exons 9 and 18 of the\u0000gene. On the other hand, variants affecting the first protein coding exons give\u0000rise to mild non-syndromic ID. We present a ten-year-old girl with psychomotor\u0000delay and mild ID without the typical features of PTHS. Genetic investigation\u0000using array-based comparative genomic hybridization, revealed a 73.45 kb\u0000deletion within the TCF4 gene. The deletion encompassing only exon 6\u0000(NM_001083962). This deletion was not detected in both parents. Cytogenetic\u0000analysis excluded balanced translocation disrupting the coding sequence of the\u0000gene. To the best of our knowledge, this is the first case described in\u0000literature involving only exon 6. The findings in our patients support the\u0000notion that position of the alteration in TCF4 is relevant to the phenotype.\u0000Reporting our case we want to contribute to the phenotype-genotype correlation\u0000in patients with intragenomic deletion of TCF4 gene.","PeriodicalId":301899,"journal":{"name":"Molecular and experimental biology in medicine","volume":"361 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131769300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}