Journal article
Homozygous SALL1 mutation causes a novel multiple congenital anomaly-mental retardation syndrome.
- Abstract:
- OBJECTIVE: To delineate a novel autosomal recessive multiple congenital anomaly-mental retardation (MCA-MR) syndrome in 2 female siblings of a consanguineous pedigree and to identify the disease-causing mutation. STUDY DESIGN: Both siblings were clinically characterized and homozygosity mapping and sequencing of candidate genes were applied. The contribution of nonsense-mediated messenger RNA (mRNA) decay to the expression of mutant mRNA in fibroblasts of a healthy carrier and a control was studied by pyrosequencing. RESULTS: We identified the first homozygous SALL1 mutation, c.3160C > T (p.R1054*), in 2 female siblings presenting with multiple congenital anomalies, central nervous system defects, cortical blindness, and absence of psychomotor development (ie, a novel recognizable, autosomal recessive MCA-MR). The mutant SALL1 transcript partially undergoes nonsense-mediated mRNA decay and is present at 43% of the normal transcript level in the fibroblasts of a healthy carrier. CONCLUSION: Previously heterozygous SALL1 mutations and deletions have been associated with dominantly inherited anal-renal-radial-ear developmental anomalies. We identified an allelic recessive SALL1-related MCA-MR. Our findings imply that quantity and quality of SALL1 transcript are important for SALL1 function and determine phenotype, and mode of inheritance, of allelic SALL1-related disorders. This novel MCA-MR emphasizes SALL1 function as critical for normal central nervous system development and warrants a detailed neurologic investigation in all individuals with SALL1 mutations.
- Publication status:
- Published
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- Publisher copy:
- 10.1016/j.jpeds.2012.08.042
Authors
- Journal:
- Journal of pediatrics More from this journal
- Volume:
- 162
- Issue:
- 3
- Pages:
- 612-617
- Publication date:
- 2013-03-01
- DOI:
- EISSN:
-
1097-6833
- ISSN:
-
0022-3476
- Language:
-
English
- Keywords:
- Pubs id:
-
pubs:356236
- UUID:
-
uuid:086bec9c-286c-491e-8a2d-650a748dc424
- Local pid:
-
pubs:356236
- Source identifiers:
-
356236
- Deposit date:
-
2013-11-17
- ARK identifier:
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- Copyright date:
- 2013
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