Uncovering somatic mosaic variants of PIK3CA-related overgrowth disorders – three cases with different clinical presentations

Bibliographic Details
Title: Uncovering somatic mosaic variants of PIK3CA-related overgrowth disorders – three cases with different clinical presentations
Authors: M. Tooming, P. Mertsina, T. Kahre, R. Teek, I. Vainumäe, S. Lilles, M. H. Wojcik, P. Ilves, K. Õunap
Source: Frontiers in Genetics, Vol 15 (2025)
Publisher Information: Frontiers Media S.A., 2025.
Publication Year: 2025
Collection: LCC:Genetics
Subject Terms: PIK3CA-related overgrowth syndrome, PIK3CA somatic mosaic variants, overgrowth syndrome, next-generation sequencing-based genomic profiling, PIK3CA, PIK3CA somatic mutation, Genetics, QH426-470
More Details: IntroductionPIK3CA related disorders (PRD, OMIM: *171834) are genetic disorders resulting from pathogenic somatic mosaic variants in the PIK3CA gene, which encodes a protein crucial for regulating cell growth and division. PRD typically manifest during the post-zygotic phase, leading to a broad spectrum of overgrowth and vascular malformations affecting various body regions.MethodsConventional diagnostic methods struggle to detect and confirm pathogenic PIK3CA gene variants due to the mosaic nature of these disorders and the limited accessibility of affected tissues. In this study, we conducted comprehensive genomic profiling on a cohort of individuals with PRD to address these diagnostic challenges.ResultsOur analysis revealed significant diagnostic challenges posed by somatic mosaicism in PRD. The comprehensive genomic profiling allowed for the meticulous evaluation of potentially pathogenic gene variants in affected individuals and their corresponding tissues.DiscussionOur findings advocate for the adoption of comprehensive genomic profiling in clinical practice to improve the detection and management of PRD. This approach can enhance patient care by providing a more accurate diagnosis and better understanding of the genetic underpinnings of PRD.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1664-8021
Relation: https://www.frontiersin.org/articles/10.3389/fgene.2024.1484651/full; https://doaj.org/toc/1664-8021
DOI: 10.3389/fgene.2024.1484651
Access URL: https://doaj.org/article/88fbd5386ab9469c92860365e6e6aea2
Accession Number: edsdoj.88fbd5386ab9469c92860365e6e6aea2
Database: Directory of Open Access Journals
More Details
ISSN:16648021
DOI:10.3389/fgene.2024.1484651
Published in:Frontiers in Genetics
Language:English