Novel GLIS3 mutations demonstrate an extended multisystem phenotype
| Autor: | Andrew T. Hattersley, Sybil M. Barr, D. Hawkes, Jerry Wales, Paul Dimitri, John Gregory, Ann-Marie Patch, Justin T. Warner, Jayne A. L. Minton, Sian Ellard |
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| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty Endocrinology Diabetes and Metabolism Gene Dosage Biology medicine.disease_cause Gene dosage Exon Endocrinology Neonatal diabetes mellitus Internal medicine medicine Congenital Hypothyroidism Diabetes Mellitus Humans Mutation Haplotype Infant Newborn General Medicine Exons medicine.disease Congenital hypothyroidism DNA-Binding Proteins Repressor Proteins Phenotype Haplotypes Trans-Activators Female PAX8 SNP array Transcription Factors |
| Zdroj: | European journal of endocrinology. 164(3) |
| ISSN: | 1479-683X |
| Popis: | IntroductionMutations in the GLI-similar 3 (GLIS3) gene encoding the transcription factor GLIS3 are a rare cause of neonatal diabetes and congenital hypothyroidism with six affected cases from three families reported to date. Additional features, described previously, include congenital glaucoma, hepatic fibrosis, polycystic kidneys, developmental delay and facial dysmorphism.SubjectsWe report two new cases from unrelated families with distinct novel homozygous partial GLIS3 deletions. Both patients presented with neonatal diabetes mellitus, severe resistant hypothyroidism in the presence of elevated thyroglobulin and normal thyroid anatomy, degenerative liver disease, cystic renal dysplasia, recurrent infections and facial dysmorphism. These novel mutations have also resulted in osteopenia, bilateral sensorineural deafness and pancreatic exocrine insufficiency, features that have not previously been associated with GLIS3 mutations. Gene dosage analysis showed that the parents were carriers of a deletion encompassing exons 1–2 (case 1) or exons 1–4 (case 2) of the 11 exon gene. Genome-wide SNP analysis did not reveal a common ancestral GLIS3 haplotype in patient 2.ConclusionsOur results confirm partial gene deletions as the most common type of GLIS3 mutations, accounting for four of five families identified to date. We propose that mutations in GLIS3 lead to a wider clinical phenotype than previously recognised. We also report the first case of a recessive GLIS3 mutation causing neonatal diabetes and congenital hypothyroidism in a child from a non-consanguineous pedigree, highlighting the importance of molecular genetic testing in any patient with this phenotype. |
| Databáze: | OpenAIRE |
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