Null variants in AGRN cause lethal fetal akinesia deformation sequence.

Abstract:

:We present a case of lethal fetal akinesia deformation sequence (FADS) caused by a frameshift variant in trans with a 148 kbp deletion encompassing 3-36 exons of AGRN. Pathogenic variants in AGRN have been described in families with a form of congenital myasthenic syndrome (CMS), manifesting in the early childhood with variable fatigable muscle weakness. To the best of our knowledge, this is the first case of FADS caused by defects in AGRN gene. FADS has been reported to be caused by pathogenic variants in genes previously associated with CMS including these involved in endplate development and maintenance: MuSK, DOK7, and RAPSN. FADS seems to be the most severe form of CMS. None of the reported in the literature CMS cases associated with AGRN had two null variants, like the case presented herein. This indicates a strong genotype-phenotype correlation.

journal_name

Clin Genet

journal_title

Clinical genetics

authors

Geremek M,Dudarewicz L,Obersztyn E,Paczkowska M,Smyk M,Sobecka K,Nowakowska B

doi

10.1111/cge.13677

subject

Has Abstract

pub_date

2020-04-01 00:00:00

pages

634-638

issue

4

eissn

0009-9163

issn

1399-0004

journal_volume

97

pub_type

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