A novel MED12 mutation: Evidence for a fourth phenotype
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- 作者：Paolo Prontera ; Valentina Ottaviani ; Daniela Rogaia ; Ilenia Isidori ; Amedea Mencarelli ; Natascia Malerba ; Dario Cocciadiferro ; Pfundt Rolph ; Gabriela Stangoni ; Anneke Vulto-van Silfhout and Giuseppe Merla
- 刊名：American Journal of Medical Genetics Part A
- 出版年：2016
- 出版时间：September 2016
- 年：2016
- 卷：170
- 期：9
- 页码：2377-2382
- 全文大小：1232K
- ISSN：1552-4833
文摘
Mutations of the MED12 gene have been reported mainly in males with FG (Opitz–Kaveggia), Lujan–Fryns, or X-linked Ohdo syndromes. Recently, a different phenotype characterized by minor anomalies, severe intellectual disability (ID), and absent language was reported in female and male patients belonging to the same family and carrying a frameshift MED12 mutation (c.5898dupC). Here, we report on two brothers and their niece affected by severe and mild ID, respectively, where whole exome sequencing combined with variant analysis within a panel of ID-related genes, disclosed a novel c.2312T>C (p.Ile771Thr) MED12 mutation. This variant, which has not been reported as a polymorphism, was not present in a third unaffected brother, and was predicted to be deleterious by five bioinformatic databases. This finding together with the phenotypic analogies shared with the carriers of c.5898dupC mutation suggests the existence of a fourth MED12-related disorder, characterized by severe ID, absent or deficient language and, milder, clinical manifestation in heterozygotes. We have reviewed the literature on MED12 heterozygotes, their clinical manifestations, and discuss the possible biological causes of this condition.