期刊
CLINICAL GENETICS
卷 92, 期 2, 页码 158-165出版社
WILEY
DOI: 10.1111/cge.12947
关键词
DYNC2H1; dynein cytoplasmic 2 heavy chain 1; IFT-A; intraflagellar transport A; Saldino-Noonan syndrome; short rib polydactyly syndrome; short rib polydactyly syndrome type I
资金
- National Institutes of Health (NIDCR) [RO1DE01957]
- National Institutes of Health (NIAMS) [R01AR062651, RO1AR066124]
- National Human Genome Research Institute
- National Heart, Lung and Blood Institute [1U54HG006493]
- March of Dimes
- Joseph Drown Foundation
The short-rib polydactyly syndromes (SRPS) are autosomal recessively inherited, genetically heterogeneous skeletal ciliopathies. SRPS phenotypes were historically categorized as types I-IV, with type I first delineated by Saldino and Noonan in 1972. Characteristic findings among all forms of SRP include short horizontal ribs, short limbs and polydactyly. The SRP type I phenotype is characterized by a very small thorax, extreme micromelia, very short, poorly mineralized long bones, and multiple organ system anomalies. To date, the molecular basis of this most severe type of SRP, also known as Saldino-Noonan syndrome, has not been determined. We identified three SRP cases that fit the original phenotypic description of SRP type I. In all three cases, exome sequence analysis revealed compound heterozygosity for mutations in DYNC2H1, which encodes the main component of the retrograde IFT A motor, cytoplasmic dynein 2 heavy chain 1. Thus SRP type I, II, III and asphyxiating thoracic dystrophy (ATD), which also result from DYNC2H1 mutations. Herein we describe the phenotypic features, radiographic findings, and molecular basis of SRP type I.
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