NEK1 and DYNC2H1 are both involved in short rib polydactyly Majewski type but not in Beemer Langer cases

Joyce El Hokayem1, Céline Huber, Adeline Couvé

  • 1Department of Genetics, INSERM U781, Hôpital Necker, Université Paris Descartes, Sorbonne Paris Cité, Paris 75015, France.

Abstract

Insights

This study identifies NEK1 and DYNC2H1 mutations in short rib polydactyly syndrome type II (SRP type II), expanding the known genetic causes. Further research is needed as some SRP type II and IV cases remain genetically unexplained.

Area of Science:

  • Genetics
  • Developmental Biology
  • Medical Genetics

Background:

  • Short rib polydactyly syndromes (SRP) are lethal skeletal dysplasias with autosomal recessive inheritance.
  • SRP type II (Majewski) and SRP type IV (Beemer-Langer) are distinct but radiographically similar subtypes.
  • NEK1 mutations were previously linked to SRP type II, and digenic inheritance involving NEK1 and DYNC2H1 was suggested.

Purpose of the Study:

  • To investigate the roles of NEK1 and DYNC2H1 in SRP type II and SRP type IV.
  • To identify the genetic basis for SRP in affected individuals.

Main Methods:

  • Genetic screening of NEK1 and DYNC2H1 in 13 SRP type II and 7 SRP type IV patients.
  • Analysis of mutation presence and inheritance patterns.

Main Results:

  • Homozygous NEK1 mutations found in 5/13 SRP type II cases.
  • Compound heterozygous DYNC2H1 mutations identified in 4/12 SRP type II cases.
  • NEK1 and DYNC2H1 were excluded in 3 SRP type II and all SRP type IV cases, with holoprosencephaly/polymicrogyria noted in mutation-negative SRP type II patients.

Conclusions:

  • NEK1 is confirmed as a causative gene for SRP type II.
  • DYNC2H1 mutations are identified in SRP type II, broadening its phenotypic spectrum.
  • Genetic heterogeneity for SRP type II and IV is supported by unexplained cases.

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