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Updated: Feb 28, 2026

In Vivo Functional Study of Disease-associated Rare Human Variants Using Drosophila
Published on: August 20, 2019
Further delineation of the phenotype caused by biallelic variants in the WDR4 gene
A Trimouille1, E Lasseaux1, P Barat2
1Service de Génétique Médicale, CHU Bordeaux, Bordeaux, France.
Abstract:
Microcephalic primordial dwarfisms are a group of rare Mendelian disorders characterized by severe growth retardation and microcephaly. The molecular basis is heterogeneous, with disease-causing genes implicated in different cellular functions. Recently, 2 patients were reported with the same homozygous variant in the WDR4 gene, coding for an enzyme responsible for the m7 G46 post transcriptional modification of tRNA. We report here 2 sisters harboring compound heterozygous variants of WDR4. Their phenotype differs from that of the first 2 described patients: they both have a severe microcephaly but only one of the 2 sisters had a head circumference at birth below -2 SD, their intellectual deficiency is less severe, and they have a growth hormone deficiency and a partial hypogonadotropic hypogonadotropism. One of the 2 variants is a frameshift mutation, and the other one is a missense occurring in the same nucleotide affected by the first reported pathogenic variant, which could therefore be a mutational hot spot. The description of these 2 sisters allow us to confirm that biallelic variants in the WDR4 gene can lead to a specific phenotype, characterized by severe growth retardation and microcephaly.
Insights
Genetic variants in the WDR4 gene cause microcephalic primordial dwarfism. This study identifies new WDR4 variants in two sisters, expanding the understanding of this rare genetic disorder.
Area of Science:
- Genetics
- Molecular Biology
- Endocrinology
Background:
- Microcephalic primordial dwarfisms are rare Mendelian disorders.
- These conditions involve severe growth retardation and microcephaly.
- The WDR4 gene, involved in tRNA modification, was recently linked to this condition.
Purpose of the Study:
- To investigate the role of WDR4 gene variants in microcephalic primordial dwarfism.
- To describe the phenotype associated with compound heterozygous WDR4 variants.
- To confirm WDR4 as a causative gene for this group of disorders.
Main Methods:
- Genetic analysis of two affected sisters.
- Phenotypic characterization including growth, head circumference, and hormonal evaluation.
- Comparison with previously reported WDR4 variant cases.
Main Results:
- Two sisters presented with compound heterozygous variants in the WDR4 gene.
- Phenotype included severe microcephaly, intellectual deficiency, growth hormone deficiency, and hypogonadotropic hypogonadism.
- The identified variants expand the known spectrum of WDR4-associated phenotypes.
Conclusions:
- Biallelic WDR4 variants cause a specific phenotype characterized by severe growth retardation and microcephaly.
- WDR4 is confirmed as a significant gene in microcephalic primordial dwarfism.
- Further research into WDR4 function and its role in development is warranted.
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