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:
影响因子:
--
通讯作者:
Zackai EH
中科院分区:
文献类型:
--
作者:
Wild KT;Gordon T;Bhoj EJ;Du H;Jhangiani SN;Posey JE;Lupski JR;Scott DA;Zackai EH
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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