American Journal of Medical Genetics Part A最新文献

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From Desbuquois Dysplasia to Multiple Epiphyseal Dysplasia: The Clinical Impact of a CANT1 Variant Across Five Unrelated Families. 从Desbuquois发育不良到多发性骨骺发育不良:CANT1变异在5个不相关家族中的临床影响。
IF 1.7 4区 生物学
American Journal of Medical Genetics Part A Pub Date : 2024-12-02 DOI: 10.1002/ajmg.a.63950
Tuğba Daşar, Gizem Ürel Demir, Gözde İmren, Gülen Eda Utine, Güney Yilmaz, Pelin Özlem Şimşek Kiper
{"title":"From Desbuquois Dysplasia to Multiple Epiphyseal Dysplasia: The Clinical Impact of a CANT1 Variant Across Five Unrelated Families.","authors":"Tuğba Daşar, Gizem Ürel Demir, Gözde İmren, Gülen Eda Utine, Güney Yilmaz, Pelin Özlem Şimşek Kiper","doi":"10.1002/ajmg.a.63950","DOIUrl":"https://doi.org/10.1002/ajmg.a.63950","url":null,"abstract":"<p><p>Multiple epiphyseal dysplasia (MED) is a heterogeneous group of chondrodysplasia characterized by arthralgia, early onset osteoarthropathy, and the radiographic findings of small, flat, and irregular-shaped epiphyses. Some patients with MED have mild short stature as well. MED is genetically heterogeneous caused by pathogenic variants in COMP, MATN3, COL9A1, COL9A2, COL9A3, and SLC26A2. In 2017, pathogenic variants in CANT1, which are responsible for Desbuquois dysplasia, have also been reported in the genetic etiology of MED. To date, only three patients have been reported with CANT1-related MED. Herein, we present clinical and radiographic findings of six additional patients from five unrelated families, all sharing the same c.375G > C; p.(Trp125Cys) variant in CANT1 gene. These patients exhibited the features of multiple epiphyseal dysplasia, along with some similarities to Desbuquois dysplasia, thereby broadening the clinical spectrum of CANT1-related disorders.</p>","PeriodicalId":7507,"journal":{"name":"American Journal of Medical Genetics Part A","volume":" ","pages":"e63950"},"PeriodicalIF":1.7,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dr. Peter Emil Becker and the Third Reich: Correspondence. 彼得·埃米尔·贝克尔博士与第三帝国:通信。
IF 1.7 4区 生物学
American Journal of Medical Genetics Part A Pub Date : 2024-11-30 DOI: 10.1002/ajmg.a.63955
Tilman Becker
{"title":"Dr. Peter Emil Becker and the Third Reich: Correspondence.","authors":"Tilman Becker","doi":"10.1002/ajmg.a.63955","DOIUrl":"https://doi.org/10.1002/ajmg.a.63955","url":null,"abstract":"<p><p>Peter Emil Becker was a German neurologist who is remembered for his studies of muscular dystrophies. Becker muscular dystrophy and Becker myotonia are named after him. His biography appeared in the American Journal of Medical Genetics in 1985. Later, an article by Frank Hill in the same journal was focusing on the role of Becker in the Third Reich. The article by Hill makes conjectures about the involvement of Becker in the T4 Euthanasia Program based on an incorrect interpretation of literature references and by artificially constructing connections of Becker to this program. This needs to be corrected. The \"Nazi Past\" of Becker was investigated very thoroughly in an article in the Journal of Child Neurology. Peter Emil Becker had no leading positions in Nazi organizations nor was he involved in Nazi crimes. He did not praise the leader state, like other researchers in his field did. A thorough inspection of his work shows that he was avoiding national socialistic topics such as racial biology and eugenics. But to further his academic career, however, he became a member of Nazi organizations.</p>","PeriodicalId":7507,"journal":{"name":"American Journal of Medical Genetics Part A","volume":" ","pages":"e63955"},"PeriodicalIF":1.7,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142754512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Implementing a Quality Improvement Initiative to Screen for Dementia in a Down Syndrome Specialty Clinic. 在唐氏综合症专科诊所实施质量改进计划,筛查痴呆症。
IF 1.7 4区 生物学
American Journal of Medical Genetics Part A Pub Date : 2024-11-28 DOI: 10.1002/ajmg.a.63948
Stephanie L Santoro, Ayesha Harisinghani, Caroline Bregman, Clorinda Cottrell, Margaret B Pulsifer, Mikayla Shaffer, Amy Torres, Brian G Skotko, Nicolas M Oreskovic
{"title":"Implementing a Quality Improvement Initiative to Screen for Dementia in a Down Syndrome Specialty Clinic.","authors":"Stephanie L Santoro, Ayesha Harisinghani, Caroline Bregman, Clorinda Cottrell, Margaret B Pulsifer, Mikayla Shaffer, Amy Torres, Brian G Skotko, Nicolas M Oreskovic","doi":"10.1002/ajmg.a.63948","DOIUrl":"https://doi.org/10.1002/ajmg.a.63948","url":null,"abstract":"<p><p>Using quality improvement methods, we aimed to implement a protocol to assess for dementia among adults with Down syndrome (DS). To track implementation, interval retrospective chart review of patients with DS with visits to the Massachusetts General Hospital DS Program (MGH DSP) was conducted quarterly. The impact of a newly implemented protocol created and informed by clinical experts in the MGH DSP including laboratory tests, imaging, referrals, and screening tools for dementia and mental health concerns, was analyzed using statistical process control charts. From December 2021 to December 2022, the MGH DSP developed and implemented a new clinical protocol to screen for dementia in 44 adults with DS, ages 40 and above, at a total of 48 visits. We found high rates of completion of two screening surveys (85% and 81%, respectively) and an 84% adherence to our overall protocol elements by clinical staff. Among those with dementia-like symptoms, medical evaluation was collected and summarized. We show that it is possible to successfully implement a new protocol, including the use of a dementia screener, in line with published evidence-based care guidelines for adults with DS. We present our protocol as one successful approach focused on pre-visit screening for symptoms of dementia and mental health concerns and evaluating for co-occurring medical conditions in adults with DS.</p>","PeriodicalId":7507,"journal":{"name":"American Journal of Medical Genetics Part A","volume":" ","pages":"e63948"},"PeriodicalIF":1.7,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health Care Transition Programs for Adolescents and Young Adults With Hereditary Cancer Predisposition: A Scoping Review. 针对有遗传性癌症倾向的青少年的医疗保健过渡计划:范围综述》。
IF 1.7 4区 生物学
American Journal of Medical Genetics Part A Pub Date : 2024-11-25 DOI: 10.1002/ajmg.a.63931
Jazmine Gabriel, Tierney Lyons, Victoria Schlieder, Sarah Zultevicz, Bryel Frasch, Thomas W Davis, Adam H Buchanan, Gemme Campbell-Salome
{"title":"Health Care Transition Programs for Adolescents and Young Adults With Hereditary Cancer Predisposition: A Scoping Review.","authors":"Jazmine Gabriel, Tierney Lyons, Victoria Schlieder, Sarah Zultevicz, Bryel Frasch, Thomas W Davis, Adam H Buchanan, Gemme Campbell-Salome","doi":"10.1002/ajmg.a.63931","DOIUrl":"https://doi.org/10.1002/ajmg.a.63931","url":null,"abstract":"<p><p>Adolescents and young adults (AYA) with increased risk for cancer due to hereditary predisposition, previous cancer treatment, or both are eligible for increased surveillance, chemoprevention, and prophylactic surgery that can improve early detection and prevention of cancers. One way to ensure continuity of cancer prevention care is to support adolescents through the transition from pediatric to adult health care. Yet, there are limited data on the impl ementation of health care transition (HCT) programs for AYA with increased risk for cancer. We conducted a scoping review of the literature on transition programs for AYA at increased risk of cancer due to known germline risk or prior cancer diagnosis, with a focus on implementation factors relevant to designing, implementing, and sustaining a new program. Data from 54 articles were extracted and analyzed using the RE-AIM implementation science framework. Few HCT programs have been implemented for AYA with hereditary cancer syndromes. Several groups have done preimplementation work for future hereditary cancer programs, but programs for cancer survivors are farther along the translational spectrum. We identified implementation factors along the five RE-AIM dimensions to assist preimplementation planning for HCT programs for AYA with increased risk for cancer.</p>","PeriodicalId":7507,"journal":{"name":"American Journal of Medical Genetics Part A","volume":" ","pages":"e63931"},"PeriodicalIF":1.7,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142714857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
2q13 Distal Microdeletion: Considering Evidence for an Emerging Syndrome Versus Susceptibility Locus: Twenty-Five New Cases and Review of the Literature. 2q13 远端微缺失:考虑新出现的综合征证据与易感基因位点:25例新病例及文献综述。
IF 1.7 4区 生物学
American Journal of Medical Genetics Part A Pub Date : 2024-11-25 DOI: 10.1002/ajmg.a.63946
Eyal Elron, Mordechai Shohat, Lina Basel-Salmon, Sarit Kahana, Reut Matar, Kochav Klein, Ifaat Agmon-Fishman, Merav Gurevitch, Rachel Berger, Dana Brabbing-Goldstein, Michal Levy, Idit Maya
{"title":"2q13 Distal Microdeletion: Considering Evidence for an Emerging Syndrome Versus Susceptibility Locus: Twenty-Five New Cases and Review of the Literature.","authors":"Eyal Elron, Mordechai Shohat, Lina Basel-Salmon, Sarit Kahana, Reut Matar, Kochav Klein, Ifaat Agmon-Fishman, Merav Gurevitch, Rachel Berger, Dana Brabbing-Goldstein, Michal Levy, Idit Maya","doi":"10.1002/ajmg.a.63946","DOIUrl":"https://doi.org/10.1002/ajmg.a.63946","url":null,"abstract":"<p><p>This study investigates distal 2q13 microdeletion, presenting the largest cohort to date, including prenatal cases, alongside a comprehensive literature review. A retrospective analysis was conducted on distal 2q13 microdeletions from clinical charts and laboratory reports. The cohort was divided into \"clinically indicated\" and \"not-clinically indicated\" groups based on the reason for chromosomal microarray testing. Clinical cases from medical literature were reviewed and compared with our cohort. The study included 25 cases: 17 index patients and 8 family members, with 47% males and 53% females. Of these, 2 were postnatal and 15 were prenatal. In the \"clinically indicated\" group, 35% had abnormalities on prenatal ultrasound, while 65% in the \"not-clinically indicated\" group had no major anomalies. Inheritance was 50% paternal in the \"clinically indicated\" group, and in the \"not-clinically indicated\" group, 44% paternal, 22% maternal, and 33% de novo. Symptoms varied from asymptomatic to severe developmental issues. Literature review identified 51 postnatal cases, with intellectual disability, and dysmorphism being common features. Familial cases showed 20% de novo, 20% maternal, 21.5% paternal, and 40% unknown inheritance. Distal 2q13 microdeletion is linked to cognitive impairment risk and should be reported in test results based on parental preferences, requiring special considerations for clinical classification and reporting.</p>","PeriodicalId":7507,"journal":{"name":"American Journal of Medical Genetics Part A","volume":" ","pages":"e63946"},"PeriodicalIF":1.7,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142714854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
De Novo Balanced Translocations Disrupting the FBN1 Gene Diagnosed by Genome Sequencing: An Uncommon Cause of Marfan Syndrome Modifying Genetic Counseling. 通过基因组测序诊断出干扰 FBN1 基因的新平衡易位:马凡综合征的一个不常见病因,改变遗传咨询。
IF 1.7 4区 生物学
American Journal of Medical Genetics Part A Pub Date : 2024-11-25 DOI: 10.1002/ajmg.a.63923
C Racine, P Callier, R Touraine, A Vitobello, N Hanna, P Arnaud, G Jondeau, C Boileau, C Thauvin-Robinet, I Creveaux, V Gatinois, M Willems, L Faivre
{"title":"De Novo Balanced Translocations Disrupting the FBN1 Gene Diagnosed by Genome Sequencing: An Uncommon Cause of Marfan Syndrome Modifying Genetic Counseling.","authors":"C Racine, P Callier, R Touraine, A Vitobello, N Hanna, P Arnaud, G Jondeau, C Boileau, C Thauvin-Robinet, I Creveaux, V Gatinois, M Willems, L Faivre","doi":"10.1002/ajmg.a.63923","DOIUrl":"https://doi.org/10.1002/ajmg.a.63923","url":null,"abstract":"<p><p>Marfan syndrome (MFS) is a well-characterized rare genetic connective tissue disorder. The features of MFS are primarily skeletal, ocular, and cardiovascular and are mainly caused by single-nucleotide variants (SNVs) in the FBN1 gene (MIM#134797) located on chromosome 15q21.1. We describe two patients, a 26-year-old male and a 10-year-old female from unrelated distinct families, with clinically diagnosed sporadic MFS. After years of unsuccessful molecular diagnosis for genetic counseling purposes, genome sequencing was performed and revealed a balanced translocation in both patients: de novo t(9;15)(p13.3;q21.1) translocation in the male patient, and de novo t(15;16)(q21.1;p13.13) translocation in the female patient, respectively, disrupting intron 40 and 45 of FBN1. The other breakpoints were not clinically relevant. These translocations were confirmed by specific fluorescence in situ hybridization probes and conventional karyotyping. In the literature, only one family has been described, leading to four cases of MFS caused by balanced translocations. Genetic counseling for balanced translocations differs from SNVs and even interstitial deletions since it is not restricted to MFS recurrence, but also involves the risk of unbalanced gametes, leading to miscarriage or unbalanced progeny. In case of clinical certainty, MFS patients should be screened for balanced translocations to ensure appropriate genetic counseling.</p>","PeriodicalId":7507,"journal":{"name":"American Journal of Medical Genetics Part A","volume":" ","pages":"e63923"},"PeriodicalIF":1.7,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142708520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Extended Phenotype of PPP1R13L Cardiocutaneous Syndrome. PPP1R13L心皮综合征的扩展表型
IF 1.7 4区 生物学
American Journal of Medical Genetics Part A Pub Date : 2024-11-23 DOI: 10.1002/ajmg.a.63932
Alicia Coudert, Julien Thevenon, Quentin Testard, Véronique Satre, Radu Harbuz, Patrice Bouvagnet, Pierre-Yves Rabattu, Charles Coutton, Pauline Le Tanno
{"title":"An Extended Phenotype of PPP1R13L Cardiocutaneous Syndrome.","authors":"Alicia Coudert, Julien Thevenon, Quentin Testard, Véronique Satre, Radu Harbuz, Patrice Bouvagnet, Pierre-Yves Rabattu, Charles Coutton, Pauline Le Tanno","doi":"10.1002/ajmg.a.63932","DOIUrl":"https://doi.org/10.1002/ajmg.a.63932","url":null,"abstract":"<p><p>Dilated cardiomyopathy (DCM) is a rare disease in children and a leading cause of heart failure. There are numerous causes of DCM including genetic causes leading to isolated or syndromic presentations, with a wide variety of implicated genes. Among them, PPP1R13L is associated with a recessive syndrome leading to cardiac anomalies with skin, teeth, and hair abnormalities. Fifteen patients have been described so far. We report a patient born to unrelated parents with early-onset and progressive DCM, skin appendage anomalies, and an anorectal anomaly. Her late brother shared the same phenotype. Exome sequencing revealed biallelic loss-of-function (LoF) variants of PPP1R13L in the proband, also present in her affected brother. To our knowledge, anorectal anomalies had never been previously described in PPP1R13L mutated individuals. As exome sequencing did not identify any other candidate variant to explain this malformation, this feature may expand the phenotype of PPP1R13L LoF disorder.</p>","PeriodicalId":7507,"journal":{"name":"American Journal of Medical Genetics Part A","volume":" ","pages":"e63932"},"PeriodicalIF":1.7,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quality of Life in Short Stature Children With Skeletal Dysplasia: A Cross Sectional Study Using the Quality of Life in Short Stature Youth Questionnaire. 患有骨骼发育不良的矮身材儿童的生活质量:使用矮身材青少年生活质量问卷进行的横断面研究。
IF 1.7 4区 生物学
American Journal of Medical Genetics Part A Pub Date : 2024-11-21 DOI: 10.1002/ajmg.a.63942
Yasunari Kamiya, Masaki Matsushita, Kenichi Mishima, Kenta Sawamura, Hiroshi Kitoh
{"title":"Quality of Life in Short Stature Children With Skeletal Dysplasia: A Cross Sectional Study Using the Quality of Life in Short Stature Youth Questionnaire.","authors":"Yasunari Kamiya, Masaki Matsushita, Kenichi Mishima, Kenta Sawamura, Hiroshi Kitoh","doi":"10.1002/ajmg.a.63942","DOIUrl":"https://doi.org/10.1002/ajmg.a.63942","url":null,"abstract":"<p><p>Patients with skeletal dysplasia, including achondroplasia (ACH) and osteogenesis imperfecta (OI), exhibit a variety of short stature, which affect various aspects of their quality of life (QoL). The QoL of adult patients with skeletal dysplasia have been reported; however, research on QoL in children remains limited. The QoL in Short Stature Youth (QoLISSY) is a QoL survey tool developed specifically for short stature children and adolescent. We assessed the QoLISSY scores in children with various skeletal dysplasias presenting with short stature and compared the scores among ACH, OI, and other dysplasias. Forty and 72 questionnaires were sent to the children with various skeletal dysplasias and their parents, respectively, and 24 and 54 valid questionnaires, respectively, were collected. There were no significant differences in age, sex, or height between the patients with ACH, OI, and other skeletal dysplasias. Parents' social, emotional, and total QoL scores were significantly lower in the ACH group than in the OI group. A sub-analysis revealed that the height standard deviation score did not correlate with the QoLISSY scores in all groups except for the belief score of OI parents.</p>","PeriodicalId":7507,"journal":{"name":"American Journal of Medical Genetics Part A","volume":" ","pages":"e63942"},"PeriodicalIF":1.7,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142680378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Chronic Catatonia in an Individual With a De Novo Missense SHANK1 Variant. 一名患有新发缺义 SHANK1 变异的患者的慢性紧张症
IF 1.7 4区 生物学
American Journal of Medical Genetics Part A Pub Date : 2024-11-21 DOI: 10.1002/ajmg.a.63943
Paige M Dahlberg, Holly K Harris, J Lloyd Holder
{"title":"Chronic Catatonia in an Individual With a De Novo Missense SHANK1 Variant.","authors":"Paige M Dahlberg, Holly K Harris, J Lloyd Holder","doi":"10.1002/ajmg.a.63943","DOIUrl":"https://doi.org/10.1002/ajmg.a.63943","url":null,"abstract":"<p><p>SHANK1 encodes a scaffolding protein of the SHANK family that includes SHANK1, SHANK2 and SHANK3. All of the SHANK proteins are enriched at the post-synaptic density of excitatory synapses. Here, we present an 11-year-old boy with a history of developmental delays and no family history of psychiatric disorders who developed catatonia. MRI of his brain and spine were negative as was a workup for autoimmune encephalitis. The proband's genetic testing revealed a de novo heterozygous SHANK1 missense variant. Although catatonia has been reported previously in individuals with SHANK3 loss-of-function mutations, this is the first time catatonia has been described in an individual with a SHANK1 variant.</p>","PeriodicalId":7507,"journal":{"name":"American Journal of Medical Genetics Part A","volume":" ","pages":"e63943"},"PeriodicalIF":1.7,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142680170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From Clinical Observation to Genetic Confirmation: Somatic Mosaic Mutations in RHOA on Ectodermal Dysplasia With Multi-System Involvement. 从临床观察到基因确认:外胚层发育不良伴多系统参与的 RHOA 基因体细胞马赛克突变。
IF 1.7 4区 生物学
American Journal of Medical Genetics Part A Pub Date : 2024-11-20 DOI: 10.1002/ajmg.a.63934
Enise Avci Durmusalioglu, Yusuf Can Dogan, Turkan Turkut Tan, Dilsah Cogulu, Esra Isik, Ozgur Cogulu, Tahir Atik
{"title":"From Clinical Observation to Genetic Confirmation: Somatic Mosaic Mutations in RHOA on Ectodermal Dysplasia With Multi-System Involvement.","authors":"Enise Avci Durmusalioglu, Yusuf Can Dogan, Turkan Turkut Tan, Dilsah Cogulu, Esra Isik, Ozgur Cogulu, Tahir Atik","doi":"10.1002/ajmg.a.63934","DOIUrl":"https://doi.org/10.1002/ajmg.a.63934","url":null,"abstract":"<p><p>Ectodermal dysplasia with facial dysmorphism and acral, ocular, and brain anomalies (EDFAOB) is a rare neuroectodermal syndrome caused by somatic mosaic mutations in the RHOA gene. It presents with linear skin hypopigmentation, facial and limb asymmetry, dental and acral anomalies, and leukoencephalopathy, generally preserving intellectual and neurological functions. We report two cases of EDFAOB. Both cases initially presented with notable facial-body asymmetry, thin hair, dental issues, digital anomalies, and Blaschko's lines-aligned hypopigmentation. A 6-year-old girl exhibited esotropia, visual center atrophy, and bilateral white matter hyperintensities on MRI. A 10-year-old girl had unilateral hyperintense lesions in the left cerebral hemisphere on MRI. Both had normal neuromotor development without intellectual impairment. RHOA gene sequencing from hypopigmented skin biopsies revealed the c.139G > A (p.Glu47Lys) mutation, with allele fractions of 20% and 10%, respectively, absent in blood leukocytes and parental DNA. These cases highlight the clinical and genetic features of EDFAOB and underscore the importance of thorough clinical evaluation to guide precise genetic testing. The identification of mutations exclusively in affected tissues supports a postzygotic mosaic distribution, refining the diagnostic approach for this syndrome.</p>","PeriodicalId":7507,"journal":{"name":"American Journal of Medical Genetics Part A","volume":" ","pages":"e63934"},"PeriodicalIF":1.7,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142674817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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