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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

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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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