A patient with polymerase E1 deficiency (POLE1): clinical features and overlap with DNA breakage/instability syndromes

Autor: Lauren E. Grote, Greyson P Twist, Mukta Sharma, Nicole P. Safina, Emily G. Farrow, Carol J Saunders, Janda L Jenkins, Nikita Raje, Stephen F. Kingsmore, Isabelle Thiffault, Holly I Welsh, Kristi Canty, Neil A. Miller, Lee Zellmer, David L. Zwick
Rok vydání: 2015
Předmět:
Zdroj: BMC Medical Genetics
ISSN: 1471-2350
DOI: 10.1186/s12881-015-0177-y
Popis: Background Chromosome instability syndromes are a group of inherited conditions associated with chromosomal instability and breakage, often leading to immunodeficiency, growth retardation and increased risk of malignancy. Case presentation We performed exome sequencing on a girl with a suspected chromosome instability syndrome that manifested as growth retardation, microcephaly, developmental delay, dysmorphic features, poikiloderma, immune deficiency with pancytopenia, and myelodysplasia. She was homozygous for a previously reported splice variant, c.4444 + 3A > G in the POLE1 gene, which encodes the catalytic subunit of DNA polymerase E. Conclusion This is the second family with POLE1-deficency, with the affected individual demonstrating a more severe phenotype than previously described. Electronic supplementary material The online version of this article (doi:10.1186/s12881-015-0177-y) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE