Related Concept Videos
Pleiotropy
Exon Recombination
Exon shuffling follows “splice frame rules.” Each exon...
Point and Frameshift Mutations
Complementation Tests
Organisms heterozygous for different mutations are crossed pairwise in all combinations. If present on different genes, the mutations can complement each other by providing the missing...
Background and Environment Affect Phenotype
An example of how genetic background affects phenotype can be seen in horses. The Extension gene in horses is responsible for their coat color. A wild-type gene (EE) produces black pigment in the coat, while a mutant gene (ee) produces red pigment. A...
Position-effect Variegation
You might also read
Related Articles
Articles linked to this work by shared authors, journal, and citation graph.
Late Gestation Fetal Growth in Infants Undergoing Stage 1 Palliation for Single Ventricle Heart Disease.
Fetal Cardiology Prenatal Care Quality and Social Determinants of Health in Critical Congenital Heart Disease.
Rare <i>KDR</i> Variants Define a Distinct Genetic Contribution to Congenital Heart Disease.
Related Experiment Video
Updated: Mar 4, 2026

In Vivo Functional Study of Disease-associated Rare Human Variants Using Drosophila
Published on: August 20, 2019
Variable phenotype in a novel mutation in PHOX2B.
Rachel C Lombardo1, Elizabeth Kramer2, James F Cnota3
1Division of Human Genetics, Cincinnati Children's Hospital and Medical Center, Cincinnati, Ohio.
A novel PHOX2B gene mutation is linked to Hirschsprung disease and autonomic dysfunction in a family. Non-polyalanine tract mutations may not cause severe respiratory issues, but can be associated with congenital heart disease.
More Related Videos
Area of Science:
- Genetics
- Developmental Biology
- Pediatric Medicine
Background:
- Hirschsprung disease and autonomic dysfunction are associated with PHOX2B gene mutations.
- Non-polyalanine tract mutations in PHOX2B have been linked to various phenotypes.
Observation:
- A family presented with long segment colonic agangliosis, anisocoria, and mild dysmorphic features.
- Genetic analysis revealed a novel heterozygous PHOX2B mutation (c.234C>G) causing a premature stop codon.
- Two siblings were diagnosed with congenital heart disease, a previously unreported association.
Findings:
- This family supports a strong association between non-polyalanine tract PHOX2B mutations, autonomic dysfunction, and Hirschsprung disease.
- The findings suggest that PHOX2B mutations outside the polyalanine tract may not invariably lead to severe respiratory compromise.
- Congenital heart disease appears to be a rare, potentially associated feature of PHOX2B mutations.
Implications:
- This study expands the understanding of PHOX2B mutation phenotypes, particularly concerning non-polyalanine tract variants.
- The identification of congenital heart disease as a possible feature warrants further investigation into its link with PHOX2B mutations and neural crest development.
- Clinical screening for congenital heart disease may be considered in individuals with PHOX2B-related disorders.

