Department of Medical Biology and Genetics, Akdeniz University Medical School, Antalya, Turkey.
Department of Pediatric Genetics, Akdeniz University Medical School, Antalya, Turkey.
Am J Med Genet A. 2019 Nov;179(11):2241-2245. doi: 10.1002/ajmg.a.61311. Epub 2019 Jul 28.
Craniosynostosis consists of premature fusion of one or more cranial sutures and can be seen as part of a syndrome or diagnosed as nonsyndromic (isolated). Although more than 180 craniosynostosis syndromes have been identified, 70% of the cases are diagnosed as nonsyndromic. On the other hand, genetic causes of the cases are mostly unknown and the overall frequency of the genetic diagnosis is around 25%. In this study, we used targeted Next Generation Sequencing (NGS) analysis to identify the genetic variations of two craniosynostosis cases. We have identified two different truncating mutations, a known NM_207036.1:c.778_779delAT;p.(Met260Valfs5) and a novel NM_207036.1:c.1102_1108delTCACCTC;p.(Pro369Glnfs26) TCF12 variants. Additionally, upon physical examination of these two cases, we have observed some shared clinical similarities as well as differences such as bilateral simian crease and hidden cleft palate. This is the first study that reports the TCF12 mutations in Turkish patients with coronal suture synostosis.
颅缝早闭由一条或多条颅骨缝过早融合引起,可作为综合征的一部分出现,也可诊断为非综合征型(孤立型)。尽管已确定超过 180 种颅缝早闭综合征,但其中 70%的病例被诊断为非综合征型。另一方面,这些病例的遗传病因大多未知,遗传诊断的总体频率约为 25%。在这项研究中,我们使用靶向二代测序(NGS)分析来鉴定两例颅缝早闭病例的遗传变异。我们鉴定出两种不同的截断突变,一种是已知的 NM_207036.1:c.778_779delAT;p.(Met260Valfs5)和一种新的 NM_207036.1:c.1102_1108delTCACCTC;p.(Pro369Glnfs26) TCF12 变异。此外,对这两例患者进行体格检查后,我们观察到一些共同的临床相似之处,也存在一些差异,如双侧猿线和隐性腭裂。这是首例报道 TCF12 突变与土耳其冠状缝早闭患者相关的研究。