小头畸形
移码突变
遗传学
错义突变
表型
生物
基因
孟德尔遗传
复合杂合度
突变
作者
Aurélien Trimouille,Eulalie Lasseaux,P. Barat,Caroline Deiller,Séverine Drunat,Caroline Rooryck,Benoı̂t Arveiler,Didier Lacombe
摘要
Microcephalic primordial dwarfisms are a group of rare Mendelian disorders characterized by severe growth retardation and microcephaly. The molecular basis is heterogeneous, with disease‐causing genes implicated in different cellular functions. Recently, 2 patients were reported with the same homozygous variant in the WDR4 gene, coding for an enzyme responsible for the m 7 G 46 post transcriptional modification of tRNA . We report here 2 sisters harboring compound heterozygous variants of WDR4 . Their phenotype differs from that of the first 2 described patients: they both have a severe microcephaly but only one of the 2 sisters had a head circumference at birth below −2 SD , their intellectual deficiency is less severe, and they have a growth hormone deficiency and a partial hypogonadotropic hypogonadotropism. One of the 2 variants is a frameshift mutation, and the other one is a missense occurring in the same nucleotide affected by the first reported pathogenic variant, which could therefore be a mutational hot spot. The description of these 2 sisters allow us to confirm that biallelic variants in the WDR4 gene can lead to a specific phenotype, characterized by severe growth retardation and microcephaly.
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