Identification of a novel TBX5 mutation in a Chinese family with rare symptoms of Holt–Oram syndrome

Holt–Oram syndrome (HOS) is a rare autosomal dominant disorder characterized by skeletal abnormalities of the upper limbs and often cardiac malformations. We investigated a Chinese family with clinical features suggestive of HOS. Clinical examinations revealed that both the proband and his father ha...

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Main Authors: Xia Li, Weizhe Shi, Xuejiao Ding, Jingchun Li, Yiqiang Li, Jianping Wu, Zhe Yuan, Tianying Nong, Hongwen Xu, Mingwei Zhu
Format: Article
Language:English
Published: Elsevier 2022-11-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844022030626
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author Xia Li
Weizhe Shi
Xuejiao Ding
Jingchun Li
Yiqiang Li
Jianping Wu
Zhe Yuan
Tianying Nong
Hongwen Xu
Mingwei Zhu
author_facet Xia Li
Weizhe Shi
Xuejiao Ding
Jingchun Li
Yiqiang Li
Jianping Wu
Zhe Yuan
Tianying Nong
Hongwen Xu
Mingwei Zhu
author_sort Xia Li
collection DOAJ
description Holt–Oram syndrome (HOS) is a rare autosomal dominant disorder characterized by skeletal abnormalities of the upper limbs and often cardiac malformations. We investigated a Chinese family with clinical features suggestive of HOS. Clinical examinations revealed that both the proband and his father had anomalies in the upper limbs and heart. The proband had a rare common atrium. Whole exome sequencing detected a novel small–insertion mutation (c.680_681insCTGAGAATAAT; p.Ile227fs∗) in TBX5 gene, the known disease gene for HOS. The mutation cosegregated with HOS phenotypes in the family and was predicted to cause frameshift, resulting in a truncated protein. In this study, we described a rare HOS case with common atrium. A novel small–insertion in TBX5 coding sequence was identified and speculated to be the disease–causing genetic variant in the family. Our finding expands the clinical feature spectrum and genetic aetiology spectrum of HOS.
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spelling doaj.art-10c4ce0fe901411fab2fd752ebf4762b2022-12-22T04:17:02ZengElsevierHeliyon2405-84402022-11-01811e11774Identification of a novel TBX5 mutation in a Chinese family with rare symptoms of Holt–Oram syndromeXia Li0Weizhe Shi1Xuejiao Ding2Jingchun Li3Yiqiang Li4Jianping Wu5Zhe Yuan6Tianying Nong7Hongwen Xu8Mingwei Zhu9Guangzhou Institute of Pediatrics, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, ChinaDepartment of Pediatric Orthopedics, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, ChinaGuangzhou Institute of Pediatrics, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, ChinaDepartment of Pediatric Orthopedics, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, ChinaDepartment of Pediatric Orthopedics, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, ChinaDepartment of Pediatric Orthopedics, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, ChinaDepartment of Pediatric Orthopedics, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, ChinaGuangzhou Institute of Pediatrics, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, ChinaDepartment of Pediatric Orthopedics, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, China; Corresponding author.Guangzhou Institute of Pediatrics, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, China; Corresponding author.Holt–Oram syndrome (HOS) is a rare autosomal dominant disorder characterized by skeletal abnormalities of the upper limbs and often cardiac malformations. We investigated a Chinese family with clinical features suggestive of HOS. Clinical examinations revealed that both the proband and his father had anomalies in the upper limbs and heart. The proband had a rare common atrium. Whole exome sequencing detected a novel small–insertion mutation (c.680_681insCTGAGAATAAT; p.Ile227fs∗) in TBX5 gene, the known disease gene for HOS. The mutation cosegregated with HOS phenotypes in the family and was predicted to cause frameshift, resulting in a truncated protein. In this study, we described a rare HOS case with common atrium. A novel small–insertion in TBX5 coding sequence was identified and speculated to be the disease–causing genetic variant in the family. Our finding expands the clinical feature spectrum and genetic aetiology spectrum of HOS.http://www.sciencedirect.com/science/article/pii/S2405844022030626Holt–Oram syndromeCommon atriumWhole exome sequencingTBX5Novel mutation
spellingShingle Xia Li
Weizhe Shi
Xuejiao Ding
Jingchun Li
Yiqiang Li
Jianping Wu
Zhe Yuan
Tianying Nong
Hongwen Xu
Mingwei Zhu
Identification of a novel TBX5 mutation in a Chinese family with rare symptoms of Holt–Oram syndrome
Heliyon
Holt–Oram syndrome
Common atrium
Whole exome sequencing
TBX5
Novel mutation
title Identification of a novel TBX5 mutation in a Chinese family with rare symptoms of Holt–Oram syndrome
title_full Identification of a novel TBX5 mutation in a Chinese family with rare symptoms of Holt–Oram syndrome
title_fullStr Identification of a novel TBX5 mutation in a Chinese family with rare symptoms of Holt–Oram syndrome
title_full_unstemmed Identification of a novel TBX5 mutation in a Chinese family with rare symptoms of Holt–Oram syndrome
title_short Identification of a novel TBX5 mutation in a Chinese family with rare symptoms of Holt–Oram syndrome
title_sort identification of a novel tbx5 mutation in a chinese family with rare symptoms of holt oram syndrome
topic Holt–Oram syndrome
Common atrium
Whole exome sequencing
TBX5
Novel mutation
url http://www.sciencedirect.com/science/article/pii/S2405844022030626
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