Intrafamiliar clinical variability of circumferential skin creases Kunze type caused by a novel heterozygous mutation of N-terminal TUBB gene
Autor: | A Terracciano, B Dallapiccola, Rossella Capolino, M.L. Dentici, Antonio Novelli, Emanuele Bellacchio, M. C. Digilio |
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Rok vydání: | 2018 |
Předmět: |
Male
0301 basic medicine Heterozygote Microcephaly Hamartoma Michelin tire baby syndrome Biology medicine.disease_cause Cutis Laxa 03 medical and health sciences Facial dysmorphism symbols.namesake Imaging Three-Dimensional 0302 clinical medicine Tubulin Genetics medicine Humans Computer Simulation Family Child Gene Genetics (clinical) Skin Cortical atrophy Heterozygous mutation Sanger sequencing Mutation Middle Aged medicine.disease 030104 developmental biology Skin Abnormalities symbols 030217 neurology & neurosurgery |
Zdroj: | Clinical Genetics. 93:1223-1228 |
ISSN: | 0009-9163 |
DOI: | 10.1111/cge.13232 |
Popis: | Circumferential skin creases Kunze type (CSC-KT; OMIM 156610, 616734) is a rare disorder characterized by folding of excess skin, which leads to ringed creases, known as Michelin Tire Baby Syndrome (MTBS). CSC-KT patients also exhibit facial dysmorphism, growth retardation, intellectual disability (ID) and multiple congenital malformations. Recently, 2 heterozygous mutations in TUBB gene and 4 mutations (both homozygous and heterozygous) in MAPRE2 gene were identified in 3 and 4 CSC-KT patients, respectively. In the 3 TUBB gene-related CSC-KT patients, all mutations fall in the N-terminal gene domain and were de novo. Mutations in the C-terminal of TUBB gene have been associated to microcephaly and structural brain malformation, in the absence of CSC-KT features. We report a 9-year-old boy with a diagnosis of CSC-KT based on MTBS, facial dysmorphism, microcephaly, severe ID, cortical atrophy and corpus callosum hypoplasia. Sanger sequencing identified a novel heterozygous c.218T>C (p.Met73Thr) mutation in the N-terminal of TUBB gene, that was inherited from the mother affected by isolated MTBS. This is the first report of inherited TUBB gene-related CSC-KT resulting from a novel heterozygous mutation in the N-terminal domain. Present data support the role of TUBB mutations in CSC-KT and definitely includes CSC-KT syndrome within the tubulinopathies. |
Databáze: | OpenAIRE |
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