Genetic Disorders in Prenatal Onset Syndromic Short Stature Identified by Exome Sequencing

外显子组 遗传学 突变 先证者
作者
Thaís Kataoka Homma,Bruna L Freire,Rachel Sayuri Honjo Kawahira,Andrew Dauber,Mariana Ferreira de Assis Funari,Antônio Marcondes Lerário,Mirian Yumie Nishi,Edoarda Vasco de Albuquerque Albuquerque,Gabriela de Andrade Vasques,Paulo Ferrez Collett‐Solberg,Sofia Mizuho Miura Sugayama,Débora Romeo Bertola,Chong Kim,Ivo Jorge Prado Arnhold,Alexsandra C. Malaquias,Alexander Augusto de Lima Jorge
出处
期刊:The Journal of Pediatrics [Elsevier BV]
卷期号:215: 192-198 被引量:34
标识
DOI:10.1016/j.jpeds.2019.08.024
摘要

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. 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. 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. 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. 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.
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