Genetic disorders in prenatal onset syndromic short stature identified by exome sequencing
TK Homma, BL Freire, RSH Kawahira, A Dauber… - The Journal of …, 2019 - Elsevier
The Journal of Pediatrics, 2019•Elsevier
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 …
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 …
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.
Elsevier