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墨西哥 Ellis-van Creveld 综合征并腭裂患者:功能性半合子与表型扩展的重要性

Mexican patient with Ellis-van Creveld syndrome and cleft palate: Importance of functional hemizygosity and phenotype expansion.

机构信息

Medical Genetics Department, Hospital General de México Dr. Eduardo Liceaga, Mexico City, Mexico.

Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico City, Mexico.

出版信息

Mol Genet Genomic Med. 2024 May;12(5):e2451. doi: 10.1002/mgg3.2451.

DOI:10.1002/mgg3.2451
PMID:38760995
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11101913/
Abstract

BACKGROUND

Ellis-van Creveld syndrome (EvCS) is a chondroectodermal dysplasia caused by germline pathogenic variants in ciliary complex subunit 1 and 2 genes (EVC, EVC2) on chromosome 4p16.2. This disease has a broad phenotype, and there are few described phenotype-genotype correlations.

METHODS

Ethical Compliance: Written informed consent was obtained from the parents. Here, we report a genetically confirmed Mexican patient with EvCS having two inherited pathogenic variants in trans in EVC2: c.[1195C>T];[2161delC].

RESULTS

This patient allowed a genotypic-phenotypic comparison with another Mexican subject who presented a more attenuated phenotype; furthermore, our patient also presented cleft palate, a rarely reported feature.

CONCLUSION

Our case shows the importance of comparing functional hemizygosity between patient's phenotypes when they share a variant, and our case also supports the association of alterations in the palate as part of the EvCS phenotype.

摘要

背景

Ellis-van Creveld 综合征(EvCS)是一种软骨外胚层发育不良,由纤毛复合体亚单位 1 和 2 基因(EVC、EVC2)在 4p16.2 上的种系致病性变异引起。这种疾病有广泛的表型,描述的表型-基因型相关性很少。

方法

伦理合规:已从父母处获得书面知情同意。在这里,我们报告了一名经基因证实的墨西哥患者,其 EVC2 中存在两个遗传性致病性变异:c.[1195C>T];[2161delC]。

结果

该患者允许与另一名具有更轻微表型的墨西哥受试者进行基因型-表型比较;此外,我们的患者还存在腭裂,这是一种罕见的特征。

结论

我们的病例表明,当患者具有相同的变异时,比较其表型之间功能性半合子的重要性,并且我们的病例还支持腭改变作为 EvCS 表型的一部分的关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08b2/11101913/fd4bc0b22310/MGG3-12-e2451-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08b2/11101913/fd4bc0b22310/MGG3-12-e2451-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08b2/11101913/fd4bc0b22310/MGG3-12-e2451-g001.jpg

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ClinGen guidance for use of the PP1/BS4 co-segregation and PP4 phenotype specificity criteria for sequence variant pathogenicity classification.ClinGen 使用 PP1/BS4 共分离和 PP4 表型特异性标准对序列变异致病性分类的指导。
Am J Hum Genet. 2024 Jan 4;111(1):24-38. doi: 10.1016/j.ajhg.2023.11.009. Epub 2023 Dec 15.
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Using the ACMG/AMP framework to capture evidence related to predicted and observed impact on splicing: Recommendations from the ClinGen SVI Splicing Subgroup.
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