Case Reports in GeneticsPub Date : 2019-12-28eCollection Date: 2019-01-01DOI: 10.1155/2019/7250838
Cristian Petter, Lilia Maria Azevedo Moreira, Mariluce Riegel
{"title":"Towards New Approaches to Evaluate Dynamic Mosaicism in Ring Chromosome 13 Syndrome.","authors":"Cristian Petter, Lilia Maria Azevedo Moreira, Mariluce Riegel","doi":"10.1155/2019/7250838","DOIUrl":"https://doi.org/10.1155/2019/7250838","url":null,"abstract":"<p><p>Individuals with ring chromosome 13 may show characteristics observed in a deletion syndrome and could present a set of dismorphies along with intellectual disability, according to chromosomal segments involved in the genetic imbalance. Nevertheless, ring anomalies likewise is called \"dynamic mosaicism\", phenomena triggered by the inner instability concerning the ring structure, thus leading to the establishment of different cell clones with secondary aberrations. Phenotypic features, such as growth failure and other anomalies in patients with this condition have been associated with an inherent ring chromosome mitotic instability, while recent studies offer evidence on a role played by the differential loss of genes implicated in development. Here, we observed similar mosaicism rates and specific gene loss profile among three individuals with ring chromosome 13 using GTW-banding karyotype analyses along with FISH and CGH-array approaches. Karyotypes results were: patient 1-r(13)(p13q32.3), patient 2-r(13)(p11q33.3), and patient 3-r(13)(p12q31.1). Array-CGH has revealed qualitative genetic differences among patients in this study and it was elusive in precise chromosomal loss statement, ranging from 13 Mb, 6.8 Mb, and 30 Mb in size. MIR17HG and ZIC2 loss was observed in a patient with digital anomalies, severe growth failure, microcephaly and corpus callosum agenesis while hemizygotic EFNB2 gene loss was identified in two patients, one of them with microphtalmia. According to these findings, it can be concluded that specific hemizygotic loss of genes related to development, more than dynamic mosaicism, may be causative of congenital anomalies shown in patients with ring 13 chromosome.</p>","PeriodicalId":30325,"journal":{"name":"Case Reports in Genetics","volume":"2019 ","pages":"7250838"},"PeriodicalIF":0.0,"publicationDate":"2019-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/7250838","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37574504","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 : 2019-12-22eCollection Date: 2019-01-01DOI: 10.1155/2019/1398250
A H Sabir, G Ryan, Z Mohammed, J Kirk, N Kiely, M Thyagarajan, T Cole
{"title":"Familial Russell-Silver Syndrome like Phenotype in the PCNA Domain of the <i>CDKN1C</i> Gene, a Further Case.","authors":"A H Sabir, G Ryan, Z Mohammed, J Kirk, N Kiely, M Thyagarajan, T Cole","doi":"10.1155/2019/1398250","DOIUrl":"https://doi.org/10.1155/2019/1398250","url":null,"abstract":"<p><p>We present two half siblings with significant short stature who proved a diagnostic challenge for several years. Radiological findings included subtle epiphyseal changes. The diagnosis was made through whole genome sequencing via the 100,000 genome project. A maternally inherited pathogenic heterozygous <i>CDKN1C</i> variant was found in the PCNA (proliferating cell nuclear antigen) domain. Mutations of the PCNA domain of the <i>CDKN1C</i> gene are known to be associated with IMAGe syndrome thus with adrenal disease, although neither affected patient in our case had evidence of adrenal dysfunction. This report supports the previously reported findings of Russell-Silver syndrome (RSS) like phenotype caused by this unusual mechanism (CDKN1C mutations in the PCNA domain), highlights subtle radiological features not described previously and the phenotypic variability between two affected siblings. Additionally it reminds clinicians of the importance of considering associated adrenal disease/diabetes mellitus for variants within the PCNA domain. Finally it confirms RSS-like disorders should be considered in patients who have epiphyseal or metaphyseal changes and short stature, since CDKN1C PCNA domain mutations can result in this phenotype.</p>","PeriodicalId":30325,"journal":{"name":"Case Reports in Genetics","volume":"2019 ","pages":"1398250"},"PeriodicalIF":0.0,"publicationDate":"2019-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/1398250","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37574503","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 : 2019-11-24eCollection Date: 2019-01-01DOI: 10.1155/2019/4361630
Jacquelyn D Riley, Catherine M Stefaniuk, Francine Erenberg, Angelika L Erwin, Lauren Palange, Caroline Astbury
{"title":"Corrigendum to \"Chromosome 3p Inverted Duplication with Terminal Deletion: Second Postnatal Case Report with Additional Clinical Features\".","authors":"Jacquelyn D Riley, Catherine M Stefaniuk, Francine Erenberg, Angelika L Erwin, Lauren Palange, Caroline Astbury","doi":"10.1155/2019/4361630","DOIUrl":"https://doi.org/10.1155/2019/4361630","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1155/2019/5384295.].</p>","PeriodicalId":30325,"journal":{"name":"Case Reports in Genetics","volume":"2019 ","pages":"4361630"},"PeriodicalIF":0.0,"publicationDate":"2019-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/4361630","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37487003","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}
D. Hettiarachchi, B. A. P. S. Pathirana, P. Kumarasiri, V. Dissanayake
{"title":"Two Novel Variants in the ATRX Gene Associated with Variable Phenotypes","authors":"D. Hettiarachchi, B. A. P. S. Pathirana, P. Kumarasiri, V. Dissanayake","doi":"10.1155/2019/2687595","DOIUrl":"https://doi.org/10.1155/2019/2687595","url":null,"abstract":"The X-linked alpha-thalassemia mental retardation (ATR-X) syndrome is a rare genetic condition caused by mutations in the X‐encoded gene ATRX. Here we describe two unrelated patients of Sri Lankan origin with novel missense variants in the ATRX gene: c.839C>T|p.Cys280Tyr and c.5369C>T|p.Ala1790Val. These two novel variants were associated with variable phenotypes which clinically resembled X-linked mental retardation-hypotonic facies syndrome and Smith-Fineman-Myers syndrome respectively. These cases expand the clinical spectrum of ATR-X syndrome and open new opportunities for the molecular diagnosis of ATRX mutations in male patients with severe global developmental delay and intellectual disabilities.","PeriodicalId":30325,"journal":{"name":"Case Reports in Genetics","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87162087","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}
B. Alkšere, D. Bērziņa, A. Dudorova, U. Conka, S. Andersone, E. Pimane, S. Krasucka, Arita Blumberga, A. Dzalbs, I. Grīnfelde, N. Vedmedovska, V. Fodina, J. Ērenpreiss
{"title":"Case of Inherited Partial AZFa Deletion without Impact on Male Fertility","authors":"B. Alkšere, D. Bērziņa, A. Dudorova, U. Conka, S. Andersone, E. Pimane, S. Krasucka, Arita Blumberga, A. Dzalbs, I. Grīnfelde, N. Vedmedovska, V. Fodina, J. Ērenpreiss","doi":"10.1155/2019/3802613","DOIUrl":"https://doi.org/10.1155/2019/3802613","url":null,"abstract":"Male factor infertility accounts for 40–50% of all infertility cases. Deletions of one or more AZF region parts in chromosome Y are one of the most common genetic causes of male infertility. Usually full or partial AZF deletions, including genes involved in spermatogenesis, are associated with spermatogenic failure. Here we report a case of a Caucasian man with partial AZFa region deletion from a couple with secondary infertility. Partial AZFa deletion, involving part of USP9Y gene appears to be benign, as we proved transmission from father to son. According to our results, it is recommended to revise guidelines on markers selected for testing of AZFa region deletion, to be more selective against DDX3Y gene and exclude probably benign microdeletions involving only USP9Y gene.","PeriodicalId":30325,"journal":{"name":"Case Reports in Genetics","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86538511","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}
M. Senthilraja, A. Chapla, F. Jebasingh, Dukhabhandhu Naik, T. Paul, N. Thomas
{"title":"Parallel Multi-Gene Panel Testing for Diagnosis of Idiopathic Hypogonadotropic Hypogonadism/Kallmann Syndrome","authors":"M. Senthilraja, A. Chapla, F. Jebasingh, Dukhabhandhu Naik, T. Paul, N. Thomas","doi":"10.1155/2019/4218514","DOIUrl":"https://doi.org/10.1155/2019/4218514","url":null,"abstract":"Kallmann syndrome (KS)/Idiopathic hypogonadotropic hypogonadism (IHH) is characterized by hypogonadotropic hypogonadism and anosmia or hyposmia due to the abnormal migration of olfactory and gonadotropin releasing hormone producing neurons. Multiple genes have been implicated in KS/IHH. Sequential testing of these genes utilising Sanger sequencing is time consuming and not cost effective. The introduction of parallel multigene panel sequencing of small gene panels for the identification of causative gene variants has been shown to be a robust tool in the clinical setting. Utilizing multiplex PCR for the four gene KS/IHH panel followed by NGS, we describe herewith two cases of hypogonadotropic hypogonadism with a Prokineticin receptor 2 (PROKR2) gene and KAL1 gene mutation. The subject with a PROKR2 mutation had a normal perception of smell and normal olfactory bulbs on imaging. The subject with a KAL1 gene mutation had anosmia and a hypoplastic olfactory bulb.","PeriodicalId":30325,"journal":{"name":"Case Reports in Genetics","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84888517","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}
Case Reports in GeneticsPub Date : 2019-10-09eCollection Date: 2019-01-01DOI: 10.1155/2019/2403024
Nivedita U Jerath
{"title":"Resolving a Multi-Generational Neuromuscular Mystery in a Family Presenting with a Variable Scapuloperoneal Syndrome in a c.464G>A, p.Arg155His <i>VCP</i> Mutation.","authors":"Nivedita U Jerath","doi":"10.1155/2019/2403024","DOIUrl":"https://doi.org/10.1155/2019/2403024","url":null,"abstract":"<p><p>Valosin containing protein (VCP) mutations have been reported to present with a high degree of variability and can be present in patients even if they may have an initial normal work up. A 55-year-old woman was labeled as \"normal\" and \"pain medication seeking\" after an unrevealing work up of clinical, laboratory, electrodiagnostic, radiographic, pathologic, and genetic testing. She continued to present with chronic neck pain, and had variable features of scapuloperoneal atrophy, which was also seen in her family. The patient and her family were found to have a known pathogenic c.464G>A, p.Arg155His (R<sup>155</sup>H) mutation in the <i>VCP</i> gene. Despite traditional thinking of attempting to localize neurological syndromes, <i>VCP</i> mutations are difficult to localize as they can present with significant clinical heterogeneity including a scapuloperoneal syndrome with variable neuropathic and myopathic features.</p>","PeriodicalId":30325,"journal":{"name":"Case Reports in Genetics","volume":"2019 ","pages":"2403024"},"PeriodicalIF":0.0,"publicationDate":"2019-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/2403024","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41214680","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":"Identifying a Novel DPYD Polymorphism Associated with Severe Toxicity to 5-FU Chemotherapy in a Saudi Patient","authors":"N. Bukhari, F. Azam, M. Alfawaz, M. Zahrani","doi":"10.1155/2019/5150725","DOIUrl":"https://doi.org/10.1155/2019/5150725","url":null,"abstract":"Dihydropyrimidine dehydrogenase (DPD) is the major enzyme in the catabolism of 5-Fluorouracil (5-FU) and its prodrug capecitabine. We report a 65-year-old female with rectal adenocarcinoma who experienced severe toxicities secondary to standard dose 5-FU based chemotherapy. She was found to be heterozygous for rs371313778, c.2434G>A. This finding prompted restarting 5-FU at 50% dose reduction with further titration in subsequent cycles. We herein report the first case of rs371313778, c.2434G>A (p.Val812lle) DPYD polymorphism leading to severe 5-FU toxicities. The patient eventually completed a 6-month course of adjuvant treatment with modification of 5-FU dose.","PeriodicalId":30325,"journal":{"name":"Case Reports in Genetics","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74533081","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}
Case Reports in GeneticsPub Date : 2019-07-28eCollection Date: 2019-01-01DOI: 10.1155/2019/9650184
Gustav Askaner, Ulrikke Lei, Birgitte Bertelsen, Alessandro Venzo, Karin Wadt
{"title":"Novel <i>SUFU</i> Frameshift Variant Leading to Meningioma in Three Generations in a Family with Gorlin Syndrome.","authors":"Gustav Askaner, Ulrikke Lei, Birgitte Bertelsen, Alessandro Venzo, Karin Wadt","doi":"10.1155/2019/9650184","DOIUrl":"https://doi.org/10.1155/2019/9650184","url":null,"abstract":"<p><p>Gorlin syndrome is mainly caused by pathogenic germline variants in the tumour suppressor genes <i>PTCH1</i> and <i>SUFU</i>, both regulatory genes in the hedgehog pathway. However, the phenotypes of patients with <i>PTCH1</i> and <i>SUFU</i> pathogenic variants seem to differ. We present a family with a frameshift variant in the <i>SUFU</i> gene c.954del, p.Asn319Thrfs<i>∗</i>42 leading to meningiomas and multiple basal cell-carcinomas.</p>","PeriodicalId":30325,"journal":{"name":"Case Reports in Genetics","volume":"2019 ","pages":"9650184"},"PeriodicalIF":0.0,"publicationDate":"2019-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/9650184","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41214679","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}
Jacquelyn D Riley, C. Stefaniuk, F. Erenberg, Angelika L Erwin, Lauren Palange, C. Astbury
{"title":"Chromosome 3p Inverted Duplication with Terminal Deletion: Second Postnatal Case Report with Additional Clinical Features","authors":"Jacquelyn D Riley, C. Stefaniuk, F. Erenberg, Angelika L Erwin, Lauren Palange, C. Astbury","doi":"10.1155/2019/5384295","DOIUrl":"https://doi.org/10.1155/2019/5384295","url":null,"abstract":"Distal deletions and duplications of 3p are individually well-characterized chromosome abnormalities. Here, we report an inverted duplication of 3p with an adjacent terminal 3p deletion in a 17-month-old girl who had prenatal intrauterine growth restriction and cardiac defects. Other findings included hemangiomas, neutropenia, umbilical hernia, hypotonia, gross motor delay, microcephaly, and ptosis. Family history was noncontributory. Microarray analysis revealed a 5.37 Mb deletion of chromosome bands 3p26.1 to 3p26.3 and a 13.68 Mb duplication of 3p24.3 to 3p26.1. FISH analysis confirmed that the duplication was inverted. Upon literature review, only one postnatal patient and one second trimester pregnancy have been reported with this finding. Many of our patient's features are present in both 3p deletion and 3p duplication syndromes, including congenital heart disease, growth restriction, microcephaly, hypotonia, and developmental delay. Our patient has additional features not commonly reported in 3p deletion or duplication patients, such as aortic dilation, hemangiomas, and neutropenia. The identification of this patient contributes to additional understanding of features associated with concurrent deletion and inverted duplication in the distal 3p chromosome. This report may assist clinicians working with patients who have constellations of similar features or similar cytogenomic abnormalities.","PeriodicalId":30325,"journal":{"name":"Case Reports in Genetics","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85316267","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}