Congenital diaphragmatic hernia as a prominent feature of a SPECC1L-related syndrome.

Congenital diaphragmatic hernia as a prominent feature of a SPECC1L-related syndrome.
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DOI:
10.1002/ajmg.a.61878
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发表时间:
2020-12
期刊:
American journal of medical genetics. Part A
影响因子:
--
通讯作者:
Zackai EH
Zackai EH
中科院分区:
其他
文献类型:
--
作者:
Wild KT;Gordon T;Bhoj EJ;Du H;Jhangiani SN;Posey JE;Lupski JR;Scott DA;Zackai EH

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先天性腹股沟疝(CDH)的发病率和死亡率很高。约30%的CDH患者存在遗传缺陷,包括染色体异常、拷贝数变异和序列变异。在70%的患者中尚未发现遗传病因,但是有越来越多的遗传综合征和单基因疾病与CDH相关。虽然已经有两个报告的X连锁Opitz G/BBB综合征与MID 1突变的人有CDH作为相关的功能,CDH似乎是一个更突出的特点SPECC 1 L相关的常染色体显性Opitz G/BBB综合征。常染色体显性遗传Opitz G/BBB综合征的独特特征包括鳃瘘、脐膨出和双角子子宫。在这里,我们提出了一个新的个人和五个先前报道的CDH的个人发现有SPECC 1 L突变。这些病例为SPECC 1 L是真正的CDH基因提供了强有力的证据。我们的结论是,SPECC 1 L相关的Opitz G/BBB综合征应考虑在任何CDH患者的额外功能的间距过宽,前额突出,宽鼻梁,前倾鼻孔,唇腭裂,鳃瘘,脐膨出,和/或双角子宫。
Congenital diaphragmatic hernias (CDH) confer substantial morbidity and mortality. Genetic defects, including chromosomal anomalies, copy number variants, and sequence variants are identified in ~30% of patients with CDH. A genetic etiology is not yet found in 70% of patients, however there is a growing number of genetic syndromes and single gene disorders associated with CDH. While there have been two reported individuals with X-linked Opitz G/BBB syndrome with MID1 mutations who have CDH as an associated feature, CDH appears to be a much more prominent feature of a SPECC1L-related autosomal dominant Opitz G/BBB syndrome. Features unique to autosomal dominant Opitz G/BBB syndrome include branchial fistulae, omphalocele, and a bicornuate uterus. Here we present one new individual and five previously reported individuals with CDH found to have SPECC1L mutations. These cases provide strong evidence that SPECC1L is a bona fide CDH gene. We conclude that a SPECC1L-related Opitz G/BBB syndrome should be considered in any patient with CDH who has additional features of hypertelorism, a prominent forehead, a broad nasal bridge, anteverted nares, cleft lip/palate, branchial fistulae, omphalocele, and/or bicornuate uterus.
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