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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.
Background:
The lethal short rib polydactyly syndromes (SRP type I-IV) are characterised by notably short ribs, short limbs, polydactyly, multiple anomalies of major organs, and autosomal recessive mode of inheritance. Among them, SRP type II (Majewski; MIM 263520) is characterised by short ovoid tibiae or tibial agenesis and is radiographically closely related to SRP type IV (Beemer-Langer; MIM 269860) which is distinguished by bowed radii and ulnae and relatively well tubulated tibiae. NEK1 mutations have been recently identified in SRP type II. Double heterozygosity for mutations in both NEK1 and DYNC2H1 in one SRP type II case supported possible digenic diallelic inheritance.
Methods:
The aim of this study was to screen DYNC2H1 and NEK1 in 13 SRP type II cases and seven SRP type IV cases. It was not possible to screen DYNC2H1 in two patients due to insufficient amount of DNA.
Results:
The study identified homozygous NEK1 mutations in 5/13 SRP type II and compound heterozygous DYNC2H1 mutations in 4/12 cases. Finally, NEK1 and DYNC2H1 were excluded in 3/12 SRP type II and in all SRP type IV cases. The main difference between the mutation positive SRP type II group and the mutation negative SRP type II group was the presence of holoprosencephaly and polymycrogyria in the mutation negative group.
Conclusion:
This study confirms that NEK1 is one gene causing SRP type II but also reports mutations in DYNC2H1, expanding the phenotypic spectrum of DYNC2H1 mutations. The exclusion of NEK1 and DYNC2H1 in 3/12 SRP type II and in all SRP type IV cases further support genetic heterogeneity.
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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