Familial adenomatous polyposis (FAP) is a cancer predisposition syndrome caused by changes in the APC gene, but approximately 20% of patients remain unsolved after routine diagnostics. In this work, we applied multidimensional genomic analyses to solve a case of FAP after more than 20 years. We identified a complex genomic rearrangement disrupting several coding genes […]
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Biallelic ANGPT2 loss-of-function causes severe early onset nonimmune hydrops fetalis
Variants in the angiopoietin 2 (ANGPT2) gene were recently shown to cause lymphedema in children and adults by dominant inheritance. In a single family that experienced recurrent pregnancy loss due to severe generalized swelling of the fetuses (hydrops fetalis), we identified a novel disorder caused by bi-allelic variants in the ANGPT2 gene. Angiopoietin 2 is […]
Phenotypic spectrum and clinical course of single large-scale mitochondrial DNA deletion disease in the paediatric population: a multicentre study
Large-scale mitochondrial DNA deletions are one of the most common causes of mitochondrial disease. The presentation varies greatly and understanding of the disease course has remained unclear. This large study of 80 patients with disease onset in childhood provides a detailed and improved insight into the characteristic symptoms, signs and course of the disease. It […]
Pharmacogenomic testing and prescribing patterns for cancer patients in a large national precision medicine cohort
Analyzing large cancer populations could help both patients and providers better understand current prescribing and genetic testing practices for precision medicine. In this study, we analyzed cancer patients, precision medicine drugs, and related genetic testing in the National Institutes of Health “All of Us” healthcare research database. While cancer patients frequently received precision medicine drugs, […]
Clinical and molecular features of 66 patients with musculocontractural Ehlers−Danlos syndrome caused by pathogenic variants in CHST14 (mcEDS-CHST14)
Musculocontractural Ehlers−Danlos syndrome (mcEDS) is caused by biallelic loss-of-function variants in CHST14 (mcEDS-CHST14) or DSE. To reveal the spectrum of variants, prevalence of various manifestations, and natural history of mcEDS-CHST14, we collected and evaluated detailed and comprehensive clinical and molecular information on 66 patients through international collaborations. Craniofacial, skeletal, cutaneous, and ocular features were common. […]
Variable skeletal phenotypes associated with biallelic variants in PRKG2
Although disruption of PRKG2 has been shown to cause skeletal anomalies and/or dwarfism in rodents, cattle and dogs, only two human patients have been reported in the medical literature so far. In this study, four individuals with rare PRKG2 variants are described. In one family, the variant lies close to the end of the gene; […]
New locus underlying auriculocondylar syndrome (ARCND): 430 kb duplication involving TWIST1 regulatory elements
We report a novel genetic mechanism underlying Auriculocondylar syndrome (ARCND), a rare disease that mainly affects jaw and outer ear development. In a Brazilian family we identified a large duplication of DNA within the HDAC9 gene that contains elements involved in regulation of the neighbouring gene, TWIST1. We found higher levels of HDAC9 and TWIST1 in […]
Bi-allelic loss-of-function variants in KIF21A cause severe fetal akinesia with arthrogryposis multiplex
Fetal akinesia (FA) is a multifaceted disease entity, sharing contractures of multiple joints as a common feature. Although progress has been made in defining the environmental and genetic factors involved, in many affected individuals the causes remain unknown. This study identifies bi-allelic pathogenic DNA variants in the kinesin family member 21A gene (KIF21A) as a […]
Complex pathway to identification of Fanconi anaemia due to biallelic BRCA2 variants presenting as severe chemotherapy toxicity in adulthood
We describe an interesting case of a 23 year old female with known primary ovarian failure, who was diagnosed with abdominal adenocarcinoma of gastrointestinal origin. She experienced severe and prolonged chemotherapy side effects, and was eventually diagnosed with Fanconi anaemia due to biallelic BRCA2 variants. We highlights hurdles that were encountered during diagnosis, including initial […]
SUFU haploinsufficiency causes a recognisable neurodevelopmental phenotype at the mild end of the Joubert syndrome spectrum
Joubert syndrome (JS) is a genetic neurodevelopmental condition diagnosed by characteristic brain imaging findings in patients with abnormal eye movements, ataxia, and cognitive impairment. Until recently, all JS patients have been consistent with autosomal or X-linked recessive inheritance of variants in one of >40 ciliary genes. This study and other recent work demonstrate that dominant […]