A novel biallelic loss‐of‐function mutation in TMCO1 gene confirming and expanding the phenotype spectrum of cerebro‐facio‐thoracic dysplasia. Issue 7 (18th May 2019)

• Record Type: Journal Article
• Authors: Sharkia, Rajech; Zalan, Abdelnaser; Jabareen‐Masri, Azhar; Hengel, Holger; Schöls, Ludger; Kessel, Amit; Azem, Abdussalam; Mahajnah, Muhammad
• Is Part Of: American journal of medical genetics. Volume 179:Issue 7(2019)
• Page Start: 1338
• Page End: 1345
• Publication Date: 2019-05-18
• Subjects: Arabs in Israel -- cerebro‐facio‐thoracic dysplasia -- epilepsy -- TMCO1 mutation; Medical genetics -- Periodicals; 616.14205
• DOI: 10.1002/ajmg.a.61168
• Languages: English
• ISSNs: 1552-4825

Abstract

Abstract: The main clinical features of cerebro‐facio‐thoracic dysplasia (CFTD) syndrome, which were described over four decades ago, include facial dysmorphism, multiple malformations of the vertebrae and ribs, and intellectual disability. Recently, a TMCO1 gene mutation was shown to be responsible for an autosomal recessive CFTD syndrome characterized by craniofacial dysmorphism, skeletal anomalies, and intellectual disability. In the current report, we describe two members of a consanguineous family from an Arab community in Israel who were clinically diagnosed as suffering from craniofacial dysmorphism, skeletal anomalies, intellectual disability, and epilepsy. Both affected siblings had behavioral difficulties such as anxiety and emotional instability with impulsive behaviors. Whole‐exome sequencing revealed a homozygous stop‐gain mutation NM_019026.4: c.616C > T; p.(Arg206*) in exon 6 of the TMCO1 gene. Bioinformatics analysis suggested a structural model for the TMCO1 protein and its homologues. The clinical features of our patients were compared with those of the only other five studies available in the literature. We conclude that this mutation in the TMCO1 gene is responsible for the various clinical manifestations of CFTD syndrome exhibited by the patients studied that expand the phenotypic spectrum of the disease to include epilepsy as a characteristic feature of this syndrome.