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Coffin-Lowry syndrome in Chinese
Jasmine L F Fung1, Kavitha Rethanavelu1, Ho-Ming Luk2
1Department of Paediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong.
Coffin-Lowry syndrome (CLS) is an X-linked disorder affecting males more severely. This study details nine Chinese CLS patients, identifying five new RPS6KA3 gene variants and confirming comparable phenotypes across ethnicities.
Area of Science:
- Genetics
- Clinical Medicine
- Rare Diseases
Background:
- Coffin-Lowry syndrome (CLS) is an X-linked genetic disorder.
- Characterized by intellectual disability, growth retardation, dysmorphic features, and skeletal abnormalities.
- Males typically exhibit more severe symptoms than females, who present with variable clinical manifestations.
Observation:
- A case series of nine genetically confirmed Chinese patients with Coffin-Lowry syndrome from six families.
- Three families had familial variants, and three had de novo variants.
- Analysis revealed a broad genotypic spectrum, including five previously undescribed variants in the RPS6KA3 gene.
Findings:
- The identified variants in the RPS6KA3 gene contribute to the genotypic diversity of Coffin-Lowry syndrome.
- Clinical phenotypes and characteristic facial features in the Chinese cohort align with previous descriptions in other ethnic groups.
- This study expands the known mutational landscape of CLS.
Implications:
- Highlights the importance of genetic testing for RPS6KA3 in diagnosing Coffin-Lowry syndrome.
- Suggests that CLS genetic and phenotypic profiles are conserved across diverse populations.
- Provides valuable data for understanding the genotype-phenotype correlation in Coffin-Lowry syndrome and aids in genetic counseling.
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