Homozygous GLI3 variants observed in three unrelated patients presenting with syndromic polydactyly.

Details

Serval ID
serval:BIB_067C6101290D
Type
Article: article from journal or magazin.
Publication sub-type
Minutes: analyse of a published work.
Collection
Publications
Institution
Title
Homozygous GLI3 variants observed in three unrelated patients presenting with syndromic polydactyly.
Journal
American journal of medical genetics. Part A
Author(s)
El Mouatani A., Van Winckel G., Zaafrane-Khachnaoui K., Whalen S., Achaiaa A., Kaltenbach S., Superti-Furga A., Vekemans M., Fodstad H., Giuliano F., Attie-Bitach T.
ISSN
1552-4833 (Electronic)
ISSN-L
1552-4825
Publication state
Published
Issued date
12/2021
Peer-reviewed
Oui
Volume
185
Number
12
Pages
3831-3837
Language
english
Notes
Publication types: Case Reports
Publication Status: ppublish
Abstract
Polydactyly is a hallmark of GLI3 pathogenic variants, with Greig cephalopolysyndactyly syndrome and Pallister-Hall syndrome being the two main associated clinical presentations. Homozygous GLI3 variants are rare instances in the literature, and mendelian dominance is the accepted framework for GLI3-related diseases. Herein, we report three unrelated probands, presenting with polydactyly, and homozygous variants in the GLI3 gene. First, a 10-year-old girl, whose parents were first-degree cousins, presented with bilateral postaxial polydactyly of the hands, developmental delay and multiple malformations. Second, a male newborn, whose parents were first-degree cousins, presented with isolated bilateral postaxial polysyndactyly of the hands and the feet. Third, an adult male, whose parents were first-degree cousins, had bilateral mesoaxial polydactyly of the hands, with severe intellectual disability and multiple malformations. All three probands carried homozygous GLI3 variants. Strikingly, the parents also carried the child's variant, in the heterozygous state, without any clinical sign of GLI3 disease. Given the clinical presentation of our patients, the rarity and predicted high pathogenicity of the variants observed, and the absence of other pathogenic variants, we suggest that these GLI3 homozygous variants are causal. Moreover, the parents were heterozygous for the observed variants, but were clinically unremarkable, suggesting that these variants are hypomorphic alleles.
Keywords
Adult, Child, Female, Genetic Predisposition to Disease, Heterozygote, Homozygote, Humans, Infant, Newborn, Male, Nerve Tissue Proteins/genetics, Pedigree, Polydactyly/genetics, Polydactyly/pathology, Zinc Finger Protein Gli3/genetics, GLI3, Greig cephalopolysyndactyly, OFD syndromes, Pallister-Hall, polydactyly
Pubmed
Web of science
Create date
02/08/2021 14:36
Last modification date
21/04/2023 5:53
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