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Published on: August 15, 2019
Homozygous mutation in PRUNE1 in an Oji-Cree male with a complex neurological phenotype
Gregory Costain1,2, Andrea Shugar2,3, Pradeep Krishnan4
1Medical Genetics Residency Training Program, University of Toronto, Ontario, Canada.
Insights
New research identifies a PRUNE1 gene mutation causing brain malformations in a young boy. This finding expands understanding of PRUNE1-related syndromes and aids in diagnosing rare neurological disorders.
Area of Science:
- Genetics
- Neuroscience
- Molecular Biology
Background:
- The PRUNE1 gene, encoding a DHH superfamily phosphoesterase, is crucial for human fetal brain development and cell migration.
- Mutations in PRUNE1 have been previously linked to brain malformations.
Observation:
- A 2-year-old male presented with complex neurological issues and brain MRI abnormalities.
- Re-analysis of whole-exome sequencing data identified a homozygous likely pathogenic PRUNE1 variant (c.521-2A>G).
Findings:
- This case further establishes a novel PRUNE1-related syndrome.
- The identified variant contributes to the spectrum of PRUNE1-associated neurodevelopmental disorders.
Implications:
- Highlights the significance of periodic re-annotation of genomic data for undiagnosed cases.
- Advances the diagnostic framework for congenital brain malformations and neurodevelopmental disorders.
Abstract:
The PRUNE1 gene encodes a member of the phosphoesterases (DHH) protein superfamily that is highly expressed in the human fetal brain and involved in the regulation of cell migration. Homozygous or compound heterozygous PRUNE1 mutations were recently identified in five individuals with brain malformations from four families. We present a case of a 2-year-old male with a complex neurological phenotype and abnormalities on brain MRI. Re-annotation of clinical whole-exome sequencing data revealed a homozygous likely pathogenic variant in PRUNE1 (c.521-2A>G). These results further delineate a new PRUNE1-related syndrome, and highlight the importance of periodic data re-annotation in individuals who remain without a diagnosis after undergoing genome-wide testing. © 2017 Wiley Periodicals, Inc.
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