Fátima Lopes, Gabriela Soares, Miguel Gonçalves-Rocha, Jorge
Pinto-Basto, Patrícia Maciel. Whole Gene Deletion of EBF3 Supporting
Haploinsufficiency of This Gene as a Mechanism of Neurodevelopmental Disease. Front. Genet., 09 October 2017 | https://doi.org/10.3389/fgene.2017.00143
Mutations in early B cell factor 3 (EBF3) were recently
described in patients with a neurodevelopmental disorder (NDD) that includes
developmental delay/intellectual disability, ataxia, hypotonia, speech
impairment, strabismus, genitourinary abnormalities, and mild facial
dysmorphisms. Several large 10q terminal and interstitial deletions affecting
many genes and including EBF3 have been described in the literature. However,
small deletions (<1 MB) affecting almost exclusively EBF3 are not commonly
reported. We performed array comparative genomic hybridization (aCGH) (Agilent
180K) and quantitative PCR analysis in a female patient with intellectual
disability. A clinical comparison between our patient and overlapping cases
reported in the literature was also made. The patient carries a de novo 600 Kb
deletion at 10q26.3 affecting the MGMT, EBF3, and GLRX genes. The patient has
severe intellectual disability, language impairment, conductive hearing loss,
hypotonia, vision alterations, triangular face, short stature, and behavior
problems. This presentation overlaps that reported for patients carrying EBF3
heterozygous point mutations, as well as literature reports of patients
carrying large 10qter deletions. Our results and the literature review suggest
that EBF3 haploinsufficiency is a key contributor to the common aspects of the
phenotype presented by patients bearing point mutations and indels in this
gene, given that deletions affecting the entire gene (alone or in addition to
other genes) are causative of a similar syndrome, including intellectual
disability (ID) with associated neurological symptoms and particular facial
dysmorphisms.
See: http://childnervoussystem.blogspot.com/2017/05/a-syndromic-neurodevelopmental-disorder.html
See: http://childnervoussystem.blogspot.com/2017/05/a-syndromic-neurodevelopmental-disorder.html
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