Comprehensive review and expanding the genetic landscape of Cornelia-de-Lange spectrum: insights from novel mutations and skin biopsy in exome-negative cases

Bibliographic Details
Title: Comprehensive review and expanding the genetic landscape of Cornelia-de-Lange spectrum: insights from novel mutations and skin biopsy in exome-negative cases
Authors: Sahand Tehrani Fateh, Nadia Mohammad Zadeh, Shadab Salehpour, Farzad Hashemi-Gorji, Ashkan Omidi, Hossein Sadeghi, Reza Mirfakhraie, Parinaz Moghimi, Sepideh Keyvanfar, Sepideh Mohammadi Sarvaleh, Mohammad Miryounesi, Mohammad-Reza Ghasemi
Source: BMC Medical Genomics, Vol 17, Iss 1, Pp 1-9 (2024)
Publisher Information: BMC, 2024.
Publication Year: 2024
Collection: LCC:Internal medicine
LCC:Genetics
Subject Terms: Cornelia de Lange Syndrome (CdLS), Whole exome sequencing, Novel variant, NIPBL gene, SMC1A gene, Mosaicism, Internal medicine, RC31-1245, Genetics, QH426-470
More Details: Abstract Background Cornelia de Lange Syndrome (CdLS) is a rare genetic disorder characterized by a range of physical, cognitive, and behavioral abnormalities. This study aimed to perform a comprehensive review of the literature on CdLS and investigate two cases of CdLS with distinct phenotypes that underwent WES to aid in their diagnosis. Methods We conducted a comprehensive review of the literature on CdLS along with performing whole-exome sequencing on two CdLS patients with distinct phenotypes, followed by Sanger sequencing validation and in-silico analysis. Results The first case exhibited a classic CdLS phenotype, but the initial WES analysis of blood-derived DNA failed to identify any mutations in CdLS-related genes. However, a subsequent WES analysis of skin-derived DNA revealed a novel heterozygous mutation in the NIPBL gene (NM_133433.4:c.6534_6535del, p.Met2178Ilefs*8). The second case was presented with a non-classic CdLS phenotype, and WES analysis of blood-derived DNA identified a heterozygous missense variant in the SMC1A gene (NM_006306.4:c.2320G>A, p.Asp774Asn). Conclusions The study shows the importance of considering mosaicism in classic CdLS cases and the value of WES for identifying genetic defects. These findings contribute to our understanding of CdLS genetics and underscore the need for comprehensive genetic testing to enhance the diagnosis and management of CdLS patients.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1755-8794
Relation: https://doaj.org/toc/1755-8794
DOI: 10.1186/s12920-024-01798-7
Access URL: https://doaj.org/article/5ebbdb586b0648b19407e2f71ebb7369
Accession Number: edsdoj.5ebbdb586b0648b19407e2f71ebb7369
Database: Directory of Open Access Journals
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More Details
ISSN:17558794
DOI:10.1186/s12920-024-01798-7
Published in:BMC Medical Genomics
Language:English