Rodrigo Cabrera, Marlon Yesid Barrera Montañez, Sebastian Ramiro Gil-Quiñones, Adriana Motta Beltrán, Natalia Santiago-Tovar, Nora Contreras-Bravo, Dora Janeth Fonseca-Mendoza, Carlos Martin Restrepo, Adrien Morel
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Novel De Novo DLL4 Missense and Highly Accurate Protein Structure Prediction in Adams–Oliver Type 6 Syndrome
Adams–Oliver syndrome (AOS) is a rare disease classically described with scalp vertex aplasia cutis and terminal transverse limb defects. This syndrome is frequently misdiagnosed by taking each feature of the disease separately. A novel de novo missense variant in DLL4 (c.998G>A, p.Cys333Tyr) was identified by Whole Exome Sequencing (WES), and structural analysis using AlphaFold and PremPS confirmed its pathogenicity by disrupting the NOTCH1 signaling pathway, highlighting the power of AI-driven tools in variant interpretation.
期刊介绍:
Clinical Case Reports is different from other case report journals. Our aim is to directly improve global health and increase clinical understanding using case reports to convey important best practice information. We welcome case reports from all areas of Medicine, Nursing, Dentistry, and Veterinary Science and may include: -Any clinical case or procedure which illustrates an important best practice teaching message -Any clinical case or procedure which illustrates the appropriate use of an important clinical guideline or systematic review. As well as: -The management of novel or very uncommon diseases -A common disease presenting in an uncommon way -An uncommon disease masquerading as something more common -Cases which expand understanding of disease pathogenesis -Cases where the teaching point is based on an error -Cases which allow us to re-think established medical lore -Unreported adverse effects of interventions (drug, procedural, or other).