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Trieschmann, G.* ; Wilhelm, C.* ; Berweck, S.* ; Zech, M.

De novo retinoic acid receptor beta (RARB) variant associated with microphthalmia and dystonia.

Eur. J. Med. Genet. 66:104802 (2023)
DOI PMC
Open Access Green as soon as Postprint is submitted to ZB.
Background: Definition of the individual genotypes that cause a Mendelian phenotype is of great importance both to clinical diagnostics and disease characterization. Heterozygous de novo gain-of-function missense variants in RARB are associated with syndromic microphthalmia 12 (MCOPS12), a developmental disorder characterized by eye malformations and variable involvement of other organs. A subset of patients were described with poorly delineated movement disorders. Additionally, RARB bi-allelic loss-of-function variants, inherited from asymptomatic heterozygous carrier parents, have been found in a recessive family with four MCOPS12-affected members. Patient/methods: We used trio whole-exome sequencing to explore the molecular basis of disease in an individual with congenital eye abnormality and movement disorder. All patients with reported RARB variants were reviewed. Results: We report on identification of a heterozygous de novo RARB nonsense variant in a girl with microphthalmia and progressive generalized dystonia. Public database entries indicate that the de novo variant is recurrently present in clinically affected subjects but a literature report has not yet been available. Conclusions: We provide the first detailed evidence for a role of dominant RARB truncating alterations in congenital eye-brain disease, expanding the spectrum of MCOPS12-associated mutations. Considered together with the published family with bi-allelic variants, the data suggest manifestation and non-manifestation of disease in relation to almost identical RARB loss-of-function variations, an apparent paradox that is seen in a growing number of human genetic conditions associated with both recessive and dominant inheritance patterns.
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Publication type Article: Journal article
Document type Scientific Article
Keywords De Novo Variant ; Dystonia ; Loss-of-function Variant ; Microphthalmia ; Movement Disorder ; Rarb; Mutations
Language english
Publication Year 2023
HGF-reported in Year 2023
ISSN (print) / ISBN 1769-7212
e-ISSN 1729-7212
Quellenangaben Volume: 66, Issue: 8, Pages: , Article Number: 104802 Supplement: ,
Publisher Elsevier
Publishing Place Radarweg 29, 1043 Nx Amsterdam, Netherlands
Reviewing status Peer reviewed
POF-Topic(s) 30205 - Bioengineering and Digital Health
Research field(s) Genetics and Epidemiology
PSP Element(s) G-503200-001
Grants German Research Foundation
Scopus ID 85163711111
PubMed ID 37321544
Erfassungsdatum 2023-10-18