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A case with Rubinstein-Taybi syndrome: A novel frameshift mutation in the CREBBP gene
Metin Eser1, Akif Ayaz2, Gözde Yeşil3
1Department of Medical Genetics, Aydın State Hospital, Aydın, Turkey.
Insights
Rubinstein-Taybi syndrome (RSTS) is a rare developmental disorder. This study identifies a new CREBBP gene mutation, expanding the known genetic causes of RSTS.
Area of Science:
- Genetics
- Developmental Biology
- Medical Science
Background:
- Rubinstein-Taybi syndrome (RSTS) is a genetic disorder.
- It is characterized by intellectual disability and distinctive physical features.
- Mutations in CREBBP and EP300 genes are the primary causes of RSTS.
Observation:
- A 2-month-old male infant presented with atypical facial features.
- These included a low anterior hairline, triangular face, hirsutism, down-slanting palpebral fissures, a beaked nose, broad nasal bridge, triangular mouth, and pointed chin.
- Skeletal findings included broad thumbs and halluces, and an accessory nipple.
Findings:
- A novel frameshift mutation, c.2057dupC, was identified in the CREBBP gene.
- This mutation leads to a premature stop codon.
- This finding expands the known spectrum of CREBBP gene mutations associated with RSTS.
Implications:
- This discovery contributes to a deeper understanding of RSTS genetics.
- It may aid in more accurate genetic diagnosis and counseling for RSTS patients.
- Further research into the functional impact of this mutation is warranted.
Abstract:
Rubinstein-Taybi syndrome (RSTS) is a developmental disorder characterized by a wide spectrum of multiple congenital anomalies and cognitive impairment. RSTS is primarily due to mutations in CREBBP (approximately 55% of cases) or EP300 (approximately 8% of cases) genes. A 2 month-old boy had atypical facial findings such as low anterior hairline, triangular face, hirsutism on forehead, down-slanting palpebral fissures, beaked nose, broad nasal bridge, triangular mouth and pointed chin and skeletal finding including broad great thumbs and halluces, and accessory nipple. With this paper, we reported a novel frameshift mutation which is led to premature stop codon in CREBBP gene. As a result, c.2057dupC, reported in this paper enlarges the molecular spectrum of disease-causing CREBBP gene.
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