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Pathogenic variants in the cohesin loader subunit MAU2 underlie a distinct Cornelia de Lange Syndrome subtype.

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Cornelia de Lange Spectrum.

Ángela Ascaso1, María Arnedo2, Beatriz Puisac2

  • 1Consulta de Pediatría, Centro de Salud Delicias Sur, Zaragoza, Spain.

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|May 12, 2024
PubMed
Summary

Cornelia de Lange syndrome (CdLS) is a rare genetic disorder affecting multiple body systems. Early diagnosis and management of complications like GER are crucial for affected children.

Keywords:
CdLSCdLSpCohesinCohesinaCornelia de Lange spectrumCornelia de Lange syndromeECdLEspectro Cornelia de LangeHDAC8NIPBLRAD21SCdLSMC1ASMC3Síndrome Cornelia de Lange

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Area of Science:

  • Genetics
  • Developmental Biology
  • Pediatrics

Background:

  • Cornelia de Lange syndrome (CdLS) is a rare congenital disorder with significant clinical variability.
  • Features range from classic phenotypes with distinctive facial features and growth retardation to milder, non-classic forms.
  • Diagnostic challenges arise due to overlapping symptoms with other neurodevelopmental disorders.

Purpose of the Study:

  • To provide an overview of Cornelia de Lange syndrome (CdLS).
  • To highlight diagnostic criteria and genetic underpinnings.
  • To inform pediatricians about management and complications.

Main Methods:

  • Review of clinical presentations and diagnostic approaches for CdLS.
  • Analysis of genetic variants associated with CdLS, focusing on the cohesin complex.
  • Discussion of symptomatic treatments and common medical complications.

Main Results:

  • Pathogenic variants in NIPBL are found in over 60% of CdLS cases, with other cohesin-related genes implicated in 15%.
  • Additional genes like BRD4, ANKRD11, and MAU2 have been identified through advanced sequencing.
  • A significant percentage of individuals lack a molecular diagnosis, indicating potential for undiscovered genetic factors.

Conclusions:

  • CdLS diagnosis can be aided by clinical criteria and AI tools, despite its heterogeneity.
  • While no cure exists, early recognition and management of complications, particularly gastro-esophageal reflux (GER), are vital.
  • Further research is needed to identify all causative genes and mechanisms for CdLS.