Language:
English
In:
Journal of medical genetics, 2011-06, Vol.48 (6), p.396-406
Description:
BackgroundSubmicroscopic deletions in 14q12 spanning FOXG1 or intragenic mutations have been reported in patients with a developmental disorder described as a congenital variant of Rett syndrome. This study aimed to further characterise and delineate the phenotype of FOXG1 mutation positive patients.MethodThe study mapped the breakpoints of a 2;14 translocation by fluorescence in situ hybridisation and analysed three chromosome rearrangements in 14q12 by cytogenetic analysis and/or array comparative genomic hybridisation. The FOXG1 gene was sequenced in 210 patients, including 129 patients with unexplained developmental disorders and 81 MECP2 mutation negative individuals.ResultsOne known mutation, seen in two patients, and nine novel mutations of FOXG1 including two deletions, two chromosome rearrangements disrupting or displacing putative cis-regulatory elements from FOXG1, and seven sequence changes, are reported. Analysis of 11 patients in this study, and a further 15 patients reported in the literature, demonstrates a complex constellation of features including mild postnatal growth deficiency, severe postnatal microcephaly, severe mental retardation with absent language development, deficient social reciprocity resembling autism, combined stereotypies and frank dyskinesias, epilepsy, poor sleep patterns, irritability in infancy, unexplained episodes of crying, recurrent aspiration, and gastro-oesophageal reflux. Brain imaging studies reveal simplified gyral pattern and reduced white matter volume in the frontal lobes, corpus callosum hypogenesis, and variable mild frontal pachgyria.ConclusionsThese findings have significantly expanded the number of FOXG1 mutations and identified two affecting possible cis-regulatory elements. While the phenotype of the patients overlaps both classic and congenital Rett syndrome, extensive clinical evaluation demonstrates a distinctive and clinically recognisable phenotype which the authors suggest designating as the FOXG1 syndrome.
Subject(s):
Artificial chromosomes ; Base Sequence ; Biological and medical sciences ; Child ; Child development deviations ; Child, Preschool ; Children & youth ; Chromosome deletion ; Chromosomes, Human, Pair 14 - chemistry ; clinical genetics ; Cloning ; Comparative Genomic Hybridization ; Congenital diseases ; Corpus Callosum - pathology ; Deoxyribonucleic acid ; Developmental disabilities ; DNA ; Dyskinesias - genetics ; Female ; Forkhead Transcription Factors - genetics ; FOXG1 ; Fundamental and applied biological sciences. Psychology ; Gene mutations ; General aspects. Genetic counseling ; Genes ; Genetic aspects ; Genetic Association Studies ; Genetic testing ; Genetics of eukaryotes. Biological and molecular evolution ; Genomes ; Genotype ; Genotype & phenotype ; Health aspects ; Humans ; Intellectual disabilities ; Intellectual Disability - genetics ; Male ; Malformations of the nervous system ; Medical genetics ; Medical imaging ; Medical sciences ; mental retardation ; Methyl-CpG-Binding Protein 2 - genetics ; microcephaly ; Microcephaly - genetics ; Molecular and cellular biology ; Molecular Sequence Data ; Molecular Typing ; Mutation ; Nerve Tissue Proteins - genetics ; Neurology ; Patients ; Phenotype ; Physiological aspects ; Rett syndrome ; Rett Syndrome - classification ; Rett Syndrome - genetics ; Sequence Deletion ; Software
ISSN:
0022-2593
E-ISSN:
1468-6244
DOI:
10.1136/jmg.2010.087528
Source:
Hellenic Academic Libraries Link
Source:
BMJ Journals - NESLi2
URL:
http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24232051$$DView record in Pascal Francis
URL:
https://www.ncbi.nlm.nih.gov/pubmed/21441262$$D View this record in MEDLINE/PubMed
URL:
https://hal.archives-ouvertes.fr/hal-00616882$$DView record in HAL
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