Phenotypic heterogeneity of ZMPSTE24 deficiency

被引:10
作者
Cassini, Thomas A. [1 ,2 ]
Robertson, Amy K. [2 ]
Bican, Anna G. [2 ]
Cogan, Joy D. [2 ]
Hannig, Vickie L. [2 ]
Newman, John H. [1 ]
Hamid, Rizwan [2 ]
Phillips, John A., III [2 ]
机构
[1] Vanderbilt Univ, Med Ctr, Dept Med, 1211 21st Ave S Ste 2, Nashville, TN 37212 USA
[2] Vanderbilt Univ, Med Ctr, Dept Pediat, Nashville, TN 37232 USA
关键词
mandibuloacral dysplasia; progeria; restrictive dermopathy; undiagnosed diseases network (udn); uniparental disomy; zmpste24; deficiency; COMPOUND HETEROZYGOUS MUTATIONS; RESTRICTIVE DERMOPATHY; MANDIBULOACRAL DYSPLASIA; LAMIN-A; GENE; LAMINOPATHY; PROGERIA;
D O I
10.1002/ajmg.a.38493
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
A 4-year-old girl was referred to the Undiagnosed Diseases Network with a history of short stature, thin and translucent skin, macrocephaly, small hands, and camptodactyly. She had been diagnosed with possible Hallerman-Streiff syndrome. Her evaluation showed that she was mosaic for uniparental isodisomy of chromosome 1, which harbored a pathogenic c.1077dupT variant in ZMPSTE24 which predicts p.(Leu362fsX18). ZMPSTE24 is a zinc metalloproteinase that is involved in processing farnesylated proteins and pathogenic ZMPSTE24 variants cause accumulation of abnormal farnesylated forms of prelamin A. This, in turn, causes a spectrum of disease severity which is based on enzyme activity. The current patient has an intermediate form, which is a genocopy of severe Progeria.
引用
收藏
页码:1175 / 1179
页数:5
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