The Journal of pediatrics · 2019
Genetic Disorders in Prenatal Onset Syndromic Short Stature Identified by Exome Sequencing.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Homma Thais Kataoka, Freire Bruna Lucheze, Honjo Kawahira Rachel Sayuri, Dauber Andrew, Funari Mariana Ferreira de Assis, Lerario Antônio Marcondes, Nishi Mirian Yumie, Albuquerque Edoarda Vasco de, Vasques Gabriela de Andrade, Collett-Solberg Paulo Ferrez, Miura Sugayama Sofia Mizuho, Bertola Debora Romeo, Kim Chong Ae, Arnhold Ivo Jorge Prado, Malaquias Alexsandra Christianne, Jorge Alexander Augusto de Lima
Аннотация
OBJECTIVE: To perform a prospective genetic investigation using whole exome sequencing of a group of patients with syndromic short stature born small for gestational age of unknown cause.
STUDY DESIGN: For whole exome sequencing analysis, we selected 44 children born small for gestational age with persistent short stature, and additional features, such as dysmorphic face, major malformation, developmental delay, and/or intellectual disability. Seven patients had negative candidate gene testing based on clinical suspicion and 37 patients had syndromic conditions of unknown etiology.
RESULTS: Of the 44 patients, 15 (34%) had pathogenic/likely pathogenic variants in genes already associated with growth disturbance: COL2A1 (n = 2), SRCAP (n = 2), AFF4, ACTG1, ANKRD11, BCL11B, BRCA1, CDKN1C, GINS1, INPP5K, KIF11, KMT2A, and POC1A (n = 1 each). Most of the genes found to be deleterious participate in fundamental cellular processes, such as cell replication and DNA repair.
CONCLUSIONS: The rarity and heterogeneity of syndromic short stature make the clinical diagnosis difficult. Whole exome sequencing allows the diagnosis of previously undiagnosed patients with syndromic short stature.
STUDY DESIGN: For whole exome sequencing analysis, we selected 44 children born small for gestational age with persistent short stature, and additional features, such as dysmorphic face, major malformation, developmental delay, and/or intellectual disability. Seven patients had negative candidate gene testing based on clinical suspicion and 37 patients had syndromic conditions of unknown etiology.
RESULTS: Of the 44 patients, 15 (34%) had pathogenic/likely pathogenic variants in genes already associated with growth disturbance: COL2A1 (n = 2), SRCAP (n = 2), AFF4, ACTG1, ANKRD11, BCL11B, BRCA1, CDKN1C, GINS1, INPP5K, KIF11, KMT2A, and POC1A (n = 1 each). Most of the genes found to be deleterious participate in fundamental cellular processes, such as cell replication and DNA repair.
CONCLUSIONS: The rarity and heterogeneity of syndromic short stature make the clinical diagnosis difficult. Whole exome sequencing allows the diagnosis of previously undiagnosed patients with syndromic short stature.
Предметные рубрики MeSH
Abnormalities, MultipleActinsAdenosine TriphosphatasesCell Cycle ProteinsChildCyclin-Dependent Kinase Inhibitor p57Cytoskeletal ProteinsDNA-Binding ProteinsDwarfismHistone-Lysine N-MethyltransferaseHumansInfant, Small for Gestational AgeKinesinsMaleMutationMyeloid-Lymphoid Leukemia ProteinPhosphatidylinositol-3,4,5-Trisphosphate 5-PhosphatasesProspective StudiesRepressor ProteinsTranscriptional Elongation FactorsTumor Suppressor ProteinsUbiquitin-Protein LigasesExome Sequencing