SPRED1 Mutations in a Neurofibromatosis Clinic

被引:26
作者
Muram-Zborovski, Talia M. [1 ,2 ]
Stevenson, David A. [3 ]
Viskochil, David H. [3 ]
Dries, David C. [4 ]
Wilson, Andrew R. [2 ]
Mao, Rong [1 ,2 ]
机构
[1] Univ Utah, Dept Pathol, Salt Lake City, UT USA
[2] ARUP Labs, Salt Lake City, UT USA
[3] Univ Utah, Dept Pediat, Salt Lake City, UT USA
[4] Univ Utah, Dept Ophthalmol, Salt Lake City, UT USA
关键词
neurofibromatosis type 1 (NF1); Legius syndrome; Ras pathway; SPRED1; AU-LAIT SPOTS; WATSON SYNDROME; TYPE-1; FAMILY;
D O I
10.1177/0883073809359540
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Legius syndrome, caused by SPRED1 mutations, has phenotypic overlap with neurofibromatosis type 1 (NF1) without tumorigenic manifestations. Patients fulfilling the National Institutes of Health (NIH) diagnostic criteria for NF1 were enrolled at the University of Utah NF Clinic, and SPRED1 mutation analysis was performed to identify the frequency of Legius syndrome within an NF1 clinic population. SPRED1 sequencing was performed on 151 individuals with the clinical diagnosis of NF1, and 2 individuals (1.3%) were found to have novel SPRED1 mutations, p.R18X and p.Q194X. The phenotypes for the 2 individuals with SPRED1 mutations included altered pigmentation without tumorigenesis. A specific SPRED1 haplotype allele was identified in 27 individuals. The frequency of SPRED1 mutations in patients meeting diagnostic criteria for NF1 in a hospital-based clinic is 1% to 2%. The likelihood an individual is harboring a SPRED1 mutation increases with age if multiple, nonpigmentary NF1 findings are absent. Legius syndrome patients may benefit from altered medical surveillance.
引用
收藏
页码:1203 / 1209
页数:7
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