Abstract:
:Arthrogryposis multiplex congenita (AMC) is a heterogeneous group of congenital disorders characterized by multiple joint contractures. We report a family with two children affected with AMC. First child had a severe AMC phenotype and died in infancy. Second child, currently 4-years-old, was ascertained at the age of 30 months with mild AMC phenotype with cognitive and speech delay. On whole exome sequencing, a novel biallelic sequence variant in initiation codon of LGI4 (leucine-rich glioma-inactivated 4) gene was identified in her. Real-Time PCR revealed 50% reduction in mRNA transcript levels in subject as compared to control which explains the milder phenotype. Till date, only four families with nine affected individuals with LGI4-related AMC have been reported. Except for one child surviving up to 6 years, all others were either terminated after prenatal diagnosis or succumbed in neonatal period. This study adds to mutation spectrum of LGI4 and reports the second case of mild AMC with extended phenotype. We review the existing phenotypic and genotypic information for the individuals with this condition and highlight the intrafamilial and interfamilial variability in these individuals.
journal_name
Eur J Med Genetjournal_title
European journal of medical geneticsauthors
Mishra S,Rai A,Srivastava P,Phadke SRdoi
10.1016/j.ejmg.2019.103756subject
Has Abstractpub_date
2020-03-01 00:00:00pages
103756issue
3eissn
1769-7212issn
1878-0849pii
S1769-7212(19)30298-8journal_volume
63pub_type
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journal_title:European journal of medical genetics
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journal_title:European journal of medical genetics
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journal_title:European journal of medical genetics
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journal_title:European journal of medical genetics
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journal_title:European journal of medical genetics
pub_type: 杂志文章
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journal_title:European journal of medical genetics
pub_type: 杂志文章,评审
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journal_title:European journal of medical genetics
pub_type: 杂志文章
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journal_title:European journal of medical genetics
pub_type: 杂志文章
doi:10.1016/j.ejmg.2019.103772
更新日期:2020-04-01 00:00:00
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journal_title:European journal of medical genetics
pub_type: 杂志文章
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journal_title:European journal of medical genetics
pub_type: 杂志文章
doi:10.1016/j.ejmg.2014.10.005
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journal_title:European journal of medical genetics
pub_type: 杂志文章
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更新日期:2008-01-01 00:00:00
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journal_title:European journal of medical genetics
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journal_title:European journal of medical genetics
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journal_title:European journal of medical genetics
pub_type: 杂志文章,评审
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