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October 3, 2024BMC PediatricsOpen Access

Identification of a Novel Frameshift variant of the ATRX gene: a Case Report and Review of the genotype–phenotype relationship

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Authors

YWYishan WangQMQizhou MaJCJing Chen

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Overview

Case report and literature review reveals a novel ATRX frameshift mutation in a pediatric patient, highlighting greater multi-organ severity in frameshift compared to missense variants.

Key Points

  • Identify the genetic etiology in a 3-year-old boy with developmental anomalies and characterize global genotype-phenotype patterns across ATRX pathogenic variants.
  • Performed whole-exome sequencing and family history evaluation in a 3-year-old Chinese boy presenting with intellectual disability and dysmorphic features.
  • Conducted a comprehensive literature search across the Medline database through August 1, 2023, extracting clinical and molecular data on ATRX pathogenic variants.
  • Identified a novel heterozygous frameshift variant, c.399_400dup (p.Leu134Cysfs*2), situated immediately prior to the ADD domain in the ATRX gene.
  • Showed that frameshift mutations correlate with higher frequencies of epilepsy, congenital heart disease, urogenital defects, acoustic defects, and optical defects compared to missense variants.
  • Identified a higher prevalence of urogenital defects in patients with C-terminal frameshift variants compared to N-terminal frameshift variants.

Cite This Study

Wang et al. (2024) studied this question.

synapsesocial.com/papers/6a9da040a99ff5a58a680a39https://doi.org/10.1186/s12887-024-05088-0
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Two Novel Variants in the ATRX Gene Associated with Variable Phenotypes2019 · 3 citations
  2. 2Neuroradiologic Features in X-linked α-Thalassemia/Mental Retardation Syndrome2013 · 36 citations
  3. 3The First Case of X-linked Alpha-thalassemia/Mental Retardation (ATR-X) Syndrome in Korea2010 · 11 citations
  4. 4A Novel ATRX Mutation Presenting with Intellectual Disability and Severe Kyphoscoliosis2019 · 3 citations