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- Title
Further delineation of the phenotype caused by biallelic variants in the WDR4 gene.
- Authors
Trimouille, A.; Lasseaux, E.; Barat, P.; Deiller, C.; Drunat, S.; Rooryck, C.; Arveiler, B.; Lacombe, D.
- Abstract
Microcephalic primordial dwarfisms are a group of rare Mendelian disorders characterized by severe growth retardation and microcephaly. The molecular basis is heterogeneous, with disease‐causing genes implicated in different cellular functions. Recently, 2 patients were reported with the same homozygous variant in the WDR4 gene, coding for an enzyme responsible for the m7G46 post transcriptional modification of tRNA. We report here 2 sisters harboring compound heterozygous variants of WDR4. Their phenotype differs from that of the first 2 described patients: they both have a severe microcephaly but only one of the 2 sisters had a head circumference at birth below −2 SD, their intellectual deficiency is less severe, and they have a growth hormone deficiency and a partial hypogonadotropic hypogonadotropism. One of the 2 variants is a frameshift mutation, and the other one is a missense occurring in the same nucleotide affected by the first reported pathogenic variant, which could therefore be a mutational hot spot. The description of these 2 sisters allow us to confirm that biallelic variants in the WDR4 gene can lead to a specific phenotype, characterized by severe growth retardation and microcephaly.
- Subjects
ALLELES; MICROCEPHALY; FETAL growth retardation; HOMOZYGOSITY; MENDEL'S law
- Publication
Clinical Genetics, 2018, Vol 93, Issue 2, p374
- ISSN
0009-9163
- Publication type
Article
- DOI
10.1111/cge.13074