Case Reports in GeneticsPub Date : 2024-12-28eCollection Date: 2024-01-01DOI: 10.1155/crig/9517735
Jose G Acuña-Ochoa, Norma A Balderrábano-Saucedo, Ana C Cepeda-Nieto, Maria Y Alvarado-Cervantes, Vianca L Ibarra-Garcia, Daniel Barr, Matthew J Gage, Ryan Pfeiffer, Dan Hu, Hector Barajas-Martinez
{"title":"<i>A De Novo</i> Mutation in <i>ACTC1</i> and a <i>TTN</i> Variant Linked to a Severe Sporadic Infant Dilated Cardiomyopathy Case.","authors":"Jose G Acuña-Ochoa, Norma A Balderrábano-Saucedo, Ana C Cepeda-Nieto, Maria Y Alvarado-Cervantes, Vianca L Ibarra-Garcia, Daniel Barr, Matthew J Gage, Ryan Pfeiffer, Dan Hu, Hector Barajas-Martinez","doi":"10.1155/crig/9517735","DOIUrl":"https://doi.org/10.1155/crig/9517735","url":null,"abstract":"<p><p>Structural or electrophysiologic cardiac anomalies may compromise cardiac function, leading to sudden cardiac death (SCD). Genetic screening of families with severe cardiomyopathies underlines the role of genetic variations in cardiac-specific genes. The present study details the clinical and genetic characterization of a malignant dilated cardiomyopathy (DCM) case in a 1-year-old Mexican child who presented a severe left ventricular dilation and dysfunction that led to SCD. A total of 132 genes (48 structure- and 84 electrical-related genes) were examined by next generation sequencing to identify potential causative mutations in comparison to control population. <i>In silico</i> analysis identified only two deleterious heterozygous mutations within an evolutionarily well-conserved region of the sarcomeric genes <i>ACTC1</i>/cardiac actin (c.664G > A/p.Ala222Thr) and <i>TTN</i>/titin (c.33250G > A/p.Glu11084Lys). Further pedigree analysis revealed the father of the index case to carry with the <i>TTN</i> mutation. Surprisingly, the <i>ACTC1</i> mutation was not harbored by any first-degree family member. Computational 3D modeling of the mutated proteins showed electrostatic and conformational shifts of cardiac actin compared to wild-type version, as well as changes in the stability of the compact/folded states of titin that normally contributes to avoid mechanic damage. In conclusion, our findings suggest a likely pathogenic <i>de novo</i> mutation in <i>ACTC1</i> in coexpression of a <i>TTN</i> variant as possible causes of an early onset of a severe DCM and premature death. These results may increase the known clinical pathogenic variations that may critically alter the structure of the heart, whose fatality could be prevented when rapidly detected.</p>","PeriodicalId":30325,"journal":{"name":"Case Reports in Genetics","volume":"2024 ","pages":"9517735"},"PeriodicalIF":0.0,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Generalized Epileptic Seizures in Fibrodysplasia Ossificans Progressiva Harboring a Recurrent Heterozygous Variant of the <i>ACVR1</i> Gene (R206H).","authors":"Kenichi Mishima, Hiroshi Kitoh, Anna Shiraki, Kenta Sawamura, Yasunari Kamiya, Masaki Matsushita, Shiro Imagama","doi":"10.1155/crig/9569275","DOIUrl":"10.1155/crig/9569275","url":null,"abstract":"<p><p><b>Background:</b> Fibrodysplasia ossificans progressiva (FOP) is an ultra-rare disorder caused by heterozygous <i>ACVR1</i> pathogenic variants and is characterized by both progressive heterotopic ossification of the soft tissues and congenital malformations of the great toe. In addition to pathological skeletal metamorphosis, patients with FOP experience diverse neurological symptoms such as chronic pain and involuntary movements; however, little is known about the association between FOP and epileptic seizures. <b>Methods:</b> We report the case of a young boy with FOP who sustained multiple major fractures due to epileptic loss of consciousness. <b>Results:</b> Based on generalized electroencephalographic abnormalities and the presence of myoclonic movements, the patient was diagnosed with juvenile myoclonic epilepsy. The absence of seizures was well-controlled with valproic acid, whereas occasional abrupt myoclonic movements of the hands and feet persisted. <b>Conclusion:</b> This case expands our understanding of the phenotypic diversity of FOP and the functional versatility of <i>ACVR1</i>-mediated bone morphogenetic protein (BMP) signaling.</p>","PeriodicalId":30325,"journal":{"name":"Case Reports in Genetics","volume":"2024 ","pages":"9569275"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11668544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Case Report on 13q12.3 Microdeletion Syndrome Caused by <i>HMGB1</i> Haploinsufficiency.","authors":"Ting Wen, Brian J Shayota, Lauren Wallace, Coumarane Mani, Neal Davis, Jian Zhao","doi":"10.1155/crig/1912620","DOIUrl":"10.1155/crig/1912620","url":null,"abstract":"<p><p>Heterozygous microdeletions at 13q12.3 are associated with a rare genetic disorder, 13q12.3 microdeletion syndrome, characterized by intellectual disability, microcephaly, development delay, facial dysmorphisms, atopy, and obesity. Reported 13q12.3 microdeletions vary in size and typically encompass multiple genes. Previous studies have defined a minimal overlap region of 13q12.3 microdeletions and suggested that most of the phenotype associated with the 13q12.3 microdeletion syndrome could be attributed to the loss of the high mobility group box 1 (<i>HMGB1)</i> gene within the overlap region. Here, we report a pediatric patient who had typical phenotypic features of 13q12.3 microdeletion syndrome, including motor and moderate speech developmental delays, microcephaly, and severe atopy, along with anxiety and aggressive behaviors. Trio-based microarray analysis identified a 62-kb apparently <i>de novo</i> heterozygous deletion at 13q12.3 in the proband, fully encompassing all coding exons of the <i>HMGB1</i> gene yet not affecting any other neighboring genes. This case report presents a rare <i>HMGB1</i> single-gene deletion in a patient with classic features of 13q12.3 microdeletion syndrome, allowing a better delineation of clinical phenotypes associated with the loss of <i>HMGB1</i>. Our findings, together with previous reports, strongly support the pathogenic role of <i>HMGB1</i> haploinsufficiency in the 13q12.3 microdeletion syndrome.</p>","PeriodicalId":30325,"journal":{"name":"Case Reports in Genetics","volume":"2024 ","pages":"1912620"},"PeriodicalIF":0.0,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11617041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Case Reports in GeneticsPub Date : 2024-11-21eCollection Date: 2024-01-01DOI: 10.1155/crig/1397713
Charbel Saad, Christine Aoun, Charbel Iskandar, Tony Hayek, Maroun Matar, Andre Megarbane
{"title":"Geroderma Osteodysplastica With Concomitant Transposition of Great Vessels: A Case Report and Literature Review.","authors":"Charbel Saad, Christine Aoun, Charbel Iskandar, Tony Hayek, Maroun Matar, Andre Megarbane","doi":"10.1155/crig/1397713","DOIUrl":"https://doi.org/10.1155/crig/1397713","url":null,"abstract":"<p><p>Geroderma Osteodysplastica (GO) is a rare autosomal recessive connective tissue disease characterized by wrinkled skin and osteoporosis, two distinct aging-related features. A loss of function mutation in <i>GORAB</i> results in the disease. Immediately after birth, a cyanotic female neonate was found to have transposition of great vessels (TGV) that was corrected with an uneventful surgical recovery. The patient was noted to have wrinkled skin and hyperlaxity in her joints. After a complete nutritional and metabolic panel, in addition to karyotyping, imaging, skin histopathology analysis, and genetic testing she was found to have GO. We found two novel compound heterozygous mutations in <i>GORAB</i>: p.Asp236∗ and pAsp236Ala. This is the first study that reports the concurrent incidence of GO with TGV. The patient was started on bisphosphonates, which led to a reduction in the occurrence of fractures. An early diagnosis of GO is warranted to prevent or reduce bone density loss due to osteoporosis via initiation of bisphosphonate treatment. Whole exome sequencing remains the gold standard for diagnosing GO and ruling out phenotypically similar disorders.</p>","PeriodicalId":30325,"journal":{"name":"Case Reports in Genetics","volume":"2024 ","pages":"1397713"},"PeriodicalIF":0.0,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Intellectual Disability and Blended Phenotypes: Insights from a Centre in North India.","authors":"Inusha Panigrahi, Sudha Rao, Shalu Verma Kumar, Divya Kumari, Parminder Kaur","doi":"10.1155/2024/6009569","DOIUrl":"https://doi.org/10.1155/2024/6009569","url":null,"abstract":"<p><p>Intellectual disability (ID) is seen in around 2.5% of global population and can vary from mild to severe and profound ID. There can be multiple affected family members if it is inherited, though many autosomal dominant ID cases would be due to de novo mutations are very less likely to recur in families. A confirmatory diagnosis is facilitated by genetic testing like chromosomal microarray and next generation sequencing. We describe here our cohort of 15 patients: children and adolescents with ID diagnosed by using sequencing technologies and parental segregation studies. Most of the variants identified were de novo variants and consistent with sporadic occurrence, and blended phenotypes were identified. Appropriate genetic counseling was performed and options for prenatal diagnosis were discussed. Thus, advanced sequencing technologies enable identification of likely causative de novo variants associated with intellectual disability and dysmorphism.</p>","PeriodicalId":30325,"journal":{"name":"Case Reports in Genetics","volume":"2024 ","pages":"6009569"},"PeriodicalIF":0.0,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11390182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A <i>De Novo</i> Missense <i>MYLK</i> Variant Leading to Nonsyndromic Thoracic Aortic Aneurysm and Dissection Identified by Segregation Analysis.","authors":"Daigo Nishijo, Hiroki Yagi, Nana Akiyama, Norifumi Takeda, Masahiko Ando, Haruo Yamauchi, Norihiko Takeda, Issei Komuro","doi":"10.1155/2024/4281972","DOIUrl":"10.1155/2024/4281972","url":null,"abstract":"<p><p>Nonsyndromic hereditary thoracic aortic aneurysm and dissection (TAAD) is an autosomal dominant disease; however, it is frequently difficult to identify the causative genes. We report in this study a 33-year-old Japanese male with TAAD (Stanford type A) that is complicated with severe aortic regurgitation. There was no family history of aortic diseases in the patient nor any specific clinical features suggestive of connective tissue diseases, such as Marfan syndrome. Genetic testing identified candidate causative variants in two different genes: <i>MYLK</i> (c.4819G > A, p.[Gly1607Ser]) and <i>FBN1</i> (c.365G > A, p.[Arg122His]). Familial cosegregation analysis revealed that the novel de novo <i>MYLK</i> variant was present only in the proband, and the <i>FBN1</i> variant was also found in his nonaffected mother, and thus the <i>MYLK</i> variant was classified as likely pathogenic. <i>MYLK</i> is a causative gene for nonsyndromic TAAD that requires careful management; however, the number of reports is limited. Accumulating data on the pathogenicity of rare variants by performing a comprehensive pedigree analysis would help establish better treatment strategies for life-threatening hereditary TAAD cases.</p>","PeriodicalId":30325,"journal":{"name":"Case Reports in Genetics","volume":"2024 ","pages":"4281972"},"PeriodicalIF":0.0,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11343627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142056713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Two Pediatric Cases of Primary Ciliary Dyskinesia Caused by Loss-of-Function Variants in Oral-Facial-Digital Syndrome Gene, <i>OFD1</i>.","authors":"Yifei Xu, Yuki Tsurinaga, Tsubasa Matsumoto, Ryuji Muta, Taichi Yano, Hiroshi Sakaida, Sawako Masuda, Koki Ueda, Guofei Feng, Shimpei Gotoh, Satoru Ogawa, Makoto Ikejiri, Kaname Nakatani, Mizuho Nagao, Masaki Tanabe, Kazuhiko Takeuchi","doi":"10.1155/2024/1595717","DOIUrl":"10.1155/2024/1595717","url":null,"abstract":"<p><p>Primary ciliary dyskinesia (PCD) is a hereditary disease caused by genes related to motile cilia. We report two male pediatric cases of PCD caused by hemizygous pathogenic variants in the OFD1 centriole and centriolar satellite protein (<i>OFD1</i>) gene. The variants were NM_003611.3: c.[2789_2793delTAAAA] (p.[Ile930LysfsTer8]) in Case 1 and c.[2632_2635delGAAG] (p.[Glu878LysfsTer9]) in Case 2. Both cases had characteristic recurrent respiratory infections. Neither case had symptoms of oral-facial-digital syndrome type I. We identified a variant (c.2632_2635delGAAG) that has not been previously reported in any case of <i>OFD1</i>-PCD.</p>","PeriodicalId":30325,"journal":{"name":"Case Reports in Genetics","volume":"2024 ","pages":"1595717"},"PeriodicalIF":0.0,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11329306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Case Reports in GeneticsPub Date : 2024-07-30eCollection Date: 2024-01-01DOI: 10.1155/2024/2926555
Fiona Whitaker, Alvaro Serrano
{"title":"Discovery of a Novel DYRK1A Mutation (c.524del) in Intellectual Development Disorder Autosomal Dominant 7 (MRD7): A Comprehensive Case Analysis.","authors":"Fiona Whitaker, Alvaro Serrano","doi":"10.1155/2024/2926555","DOIUrl":"10.1155/2024/2926555","url":null,"abstract":"<p><p>Dual-specificity tyrosine kinase 1A (DYRK1A) is a member of the CMGC family that is linked to a multitude of neuronal development pathways. Both overexpression and insufficiency of this gene are associated with many recognizable disorders, including Down syndrome and DYRK1A-related intellectual disability syndrome which is characterized by distinct physical features with microcephaly and global developmental delay. We report a case of DYRK1A-related intellectual disability syndrome caused by a novel mutation.</p>","PeriodicalId":30325,"journal":{"name":"Case Reports in Genetics","volume":"2024 ","pages":"2926555"},"PeriodicalIF":0.0,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11303064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Case Reports in GeneticsPub Date : 2024-07-17eCollection Date: 2024-01-01DOI: 10.1155/2024/9936936
Madeline Snipes, Stephanie Stokes, Amy Vidalin, Lee D Moore, Natalia Schlabritz-Lutsevich, James Maher
{"title":"Phenotype-Genotype Discordance and a Case of a Disorder of Sexual Differentiation.","authors":"Madeline Snipes, Stephanie Stokes, Amy Vidalin, Lee D Moore, Natalia Schlabritz-Lutsevich, James Maher","doi":"10.1155/2024/9936936","DOIUrl":"https://doi.org/10.1155/2024/9936936","url":null,"abstract":"<p><p>Discordance between the genetic sex and phenotype seen on ultrasound can identify disorders of sexual development (DSD) that previously escaped detection until puberty. We describe a 46, XY disorder of sexual differentiation caused by a rare mutation in the <i>SF1</i> gene (OMIM]184757, (<i>NR5A1</i>). The mutation (<i>NR5A1</i>)-c.205C > G (p. Arg69Gly) was discovered after a phenotype-genotype discrepancy was encountered during prenatal care. The baby with 46, XY DSD has female external genitalia but evidence of Y chromosome-related regression of Müllerian structures and the absence of palpable gonads. We discussed the literature on phenotype-genotype discrepancy and the importance of care coordination between the antenatal and postnatal teams to ensure a timely diagnosis of DSD.</p>","PeriodicalId":30325,"journal":{"name":"Case Reports in Genetics","volume":"2024 ","pages":"9936936"},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11268958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Case Reports in GeneticsPub Date : 2024-06-30eCollection Date: 2024-01-01DOI: 10.1155/2024/8099373
Surasak Puvabanditsin, Ian Lee, Natasha Cordero, Keisha Target, Su Young Park, Rajeev Mehta
{"title":"A Fatal Case of 3-Hydroxyisobutyryl-CoA Hydrolase Deficiency in a Term Infant with Severe High Anion Gap Acidosis and Review of the Literature.","authors":"Surasak Puvabanditsin, Ian Lee, Natasha Cordero, Keisha Target, Su Young Park, Rajeev Mehta","doi":"10.1155/2024/8099373","DOIUrl":"10.1155/2024/8099373","url":null,"abstract":"<p><p>3-hydroxy isobutyl-CoA hydrolase (HIBCH) deficiency is a recently described, rare inborn error of valine metabolism associated with a Leigh syndrome-like phenotype, neurodegenerative symptoms, and caused by recessive mutations in the HIBCH gene. We report the most severe case to date of an intrauterine growth-restricted term male who presented with severe acidosis and a high anion gap soon after birth. The manifestation was fatal that led to death within 36 hours of life. The diagnosis was made postnatally by Whole Genome Sequencing (WGS). We report a rapid and fatal event of HIBCN in a neonate and review of the literature.</p>","PeriodicalId":30325,"journal":{"name":"Case Reports in Genetics","volume":"2024 ","pages":"8099373"},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11227944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}