Department of Health Sciences, Università degli Studi di Milano, Milano, Italy.
Section for Functional Genetics, Institute of Human Genetics, University of Lübeck, Lübeck, Germany.
Clin Genet. 2020 Jan;97(1):3-11. doi: 10.1111/cge.13674. Epub 2019 Nov 24.
In recent years, many genes have been associated with chromatinopathies classified as "Cornelia de Lange Syndrome-like." It is known that the phenotype of these patients becomes less recognizable, overlapping to features characteristic of other syndromes caused by genetic variants affecting different regulators of chromatin structure and function. Therefore, Cornelia de Lange syndrome diagnosis might be arduous due to the seldom discordance between unexpected molecular diagnosis and clinical evaluation. Here, we review the molecular features of Cornelia de Lange syndrome, supporting the hypothesis that "CdLS-like syndromes" are part of a larger "rare disease family" sharing multiple clinical features and common disrupted molecular pathways.
近年来,许多基因与被归类为“Cornelia de Lange 综合征样”的染色质病相关。已知这些患者的表型变得不那么明显,与其他综合征的特征重叠,这些综合征是由影响染色质结构和功能不同调节剂的遗传变异引起的。因此,由于出乎意料的分子诊断与临床评估之间很少不一致,Cornelia de Lange 综合征的诊断可能很困难。在这里,我们回顾了 Cornelia de Lange 综合征的分子特征,支持了“CdLS 样综合征”是具有多种临床特征和共同紊乱分子途径的“罕见病家族”的一部分的假说。