Treacher Collins syndrome: Clinical report and retrospective analysis of Chinese patients

Abstract Background Treacher Collins syndrome‐1 (TCS1; OMIM# 154500) is a rare autosomal dominant disease that is defined by congenital craniofacial dysplasia. Here, we report four sporadic and one familial case of TCS1 in Chinese patients with clinical features presenting as hypoplasia of the zygom...

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Main Authors: Zhaoyu Pan, Hongen Xu, Bei Chen, Yongan Tian, Linlin Zhang, Sen Zhang, Danhua Liu, Huanfei Liu, Ruijun Li, Xinxin Hu, Jingyuan Guan, Wenxue Tang, Wei Lu
Format: Article
Language:English
Published: Wiley 2021-02-01
Series:Molecular Genetics & Genomic Medicine
Subjects:
Online Access:https://doi.org/10.1002/mgg3.1573
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author Zhaoyu Pan
Hongen Xu
Bei Chen
Yongan Tian
Linlin Zhang
Sen Zhang
Danhua Liu
Huanfei Liu
Ruijun Li
Xinxin Hu
Jingyuan Guan
Wenxue Tang
Wei Lu
author_facet Zhaoyu Pan
Hongen Xu
Bei Chen
Yongan Tian
Linlin Zhang
Sen Zhang
Danhua Liu
Huanfei Liu
Ruijun Li
Xinxin Hu
Jingyuan Guan
Wenxue Tang
Wei Lu
author_sort Zhaoyu Pan
collection DOAJ
description Abstract Background Treacher Collins syndrome‐1 (TCS1; OMIM# 154500) is a rare autosomal dominant disease that is defined by congenital craniofacial dysplasia. Here, we report four sporadic and one familial case of TCS1 in Chinese patients with clinical features presenting as hypoplasia of the zygomatic complex and mandible, downslanting palpebral fissures, coloboma of the lower eyelids, and conductive hearing loss. Materials and Methods Audiological, radiological, and physical examinations were performed. Targeted next‐generation sequencing (NGS) was performed to examine the genetics of this disease in five probands, and Sanger sequencing was used to confirm the identified variants. A literature review discusses the pathogenesis, treatment, and prevention of TCS1. Results We identified a novel insertion of c.939_940insA (p.Gly314Argfs*35; NM_001135243.1), a novel deletion of c.1766delC (p.Pro589Leufs*7), two previously reported insertions of c.1999_2000insC (p.Arg667Profs*31) and c.4218_4219insG (p.Ser1407Valfs*23), and one previously reported deletion of c.4369_4373delAAGAA (p.Lys1457Glufs*12) in the TCOF1 gene. All five cases exhibited a degree of interfamilial and intrafamilial phenotypic variability. A review of the literature revealed no clear evidence of a genotype–phenotype correlation in TCS1. Conclusion Our results expand the variant spectrum of TCOF1 and highlight that NGS is essential for the diagnosis of TCS and that genetic counseling is beneficial for guiding prevention.
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spelling doaj.art-5429da2544b145f1942f75751e5bbcd22024-02-21T11:37:44ZengWileyMolecular Genetics & Genomic Medicine2324-92692021-02-0192n/an/a10.1002/mgg3.1573Treacher Collins syndrome: Clinical report and retrospective analysis of Chinese patientsZhaoyu Pan0Hongen Xu1Bei Chen2Yongan Tian3Linlin Zhang4Sen Zhang5Danhua Liu6Huanfei Liu7Ruijun Li8Xinxin Hu9Jingyuan Guan10Wenxue Tang11Wei Lu12Department of Otorhinolaryngology, Head and Neck Surgery The First Affiliated Hospital of Zhengzhou University Zhengzhou ChinaPrecision Medicine Center Academy of Medical ScienceZhengzhou University Zhengzhou ChinaDepartment of Otorhinolaryngology, Head and Neck Surgery The First Affiliated Hospital of Zhengzhou University Zhengzhou ChinaBGI CollegeZhengzhou University Zhengzhou ChinaDepartment of Clinical Laboratory The Third Affiliated Hospital of Zhengzhou University Zhengzhou ChinaSchool of Basic Medical Sciences Zhengzhou University Zhengzhou ChinaCenter for Applied Precision Medicine The Second Affiliated Hospital of Zhengzhou University Zhengzhou ChinaPrecision Medicine Center Academy of Medical ScienceZhengzhou University Zhengzhou ChinaPrecision Medicine Center Academy of Medical ScienceZhengzhou University Zhengzhou ChinaPrecision Medicine Center Academy of Medical ScienceZhengzhou University Zhengzhou ChinaPrecision Medicine Center Academy of Medical ScienceZhengzhou University Zhengzhou ChinaCenter for Applied Precision Medicine The Second Affiliated Hospital of Zhengzhou University Zhengzhou ChinaDepartment of Otorhinolaryngology, Head and Neck Surgery The First Affiliated Hospital of Zhengzhou University Zhengzhou ChinaAbstract Background Treacher Collins syndrome‐1 (TCS1; OMIM# 154500) is a rare autosomal dominant disease that is defined by congenital craniofacial dysplasia. Here, we report four sporadic and one familial case of TCS1 in Chinese patients with clinical features presenting as hypoplasia of the zygomatic complex and mandible, downslanting palpebral fissures, coloboma of the lower eyelids, and conductive hearing loss. Materials and Methods Audiological, radiological, and physical examinations were performed. Targeted next‐generation sequencing (NGS) was performed to examine the genetics of this disease in five probands, and Sanger sequencing was used to confirm the identified variants. A literature review discusses the pathogenesis, treatment, and prevention of TCS1. Results We identified a novel insertion of c.939_940insA (p.Gly314Argfs*35; NM_001135243.1), a novel deletion of c.1766delC (p.Pro589Leufs*7), two previously reported insertions of c.1999_2000insC (p.Arg667Profs*31) and c.4218_4219insG (p.Ser1407Valfs*23), and one previously reported deletion of c.4369_4373delAAGAA (p.Lys1457Glufs*12) in the TCOF1 gene. All five cases exhibited a degree of interfamilial and intrafamilial phenotypic variability. A review of the literature revealed no clear evidence of a genotype–phenotype correlation in TCS1. Conclusion Our results expand the variant spectrum of TCOF1 and highlight that NGS is essential for the diagnosis of TCS and that genetic counseling is beneficial for guiding prevention.https://doi.org/10.1002/mgg3.1573conductive hearing losscraniofacial dysplasiaTCOF1Treacher Collins syndrome
spellingShingle Zhaoyu Pan
Hongen Xu
Bei Chen
Yongan Tian
Linlin Zhang
Sen Zhang
Danhua Liu
Huanfei Liu
Ruijun Li
Xinxin Hu
Jingyuan Guan
Wenxue Tang
Wei Lu
Treacher Collins syndrome: Clinical report and retrospective analysis of Chinese patients
Molecular Genetics & Genomic Medicine
conductive hearing loss
craniofacial dysplasia
TCOF1
Treacher Collins syndrome
title Treacher Collins syndrome: Clinical report and retrospective analysis of Chinese patients
title_full Treacher Collins syndrome: Clinical report and retrospective analysis of Chinese patients
title_fullStr Treacher Collins syndrome: Clinical report and retrospective analysis of Chinese patients
title_full_unstemmed Treacher Collins syndrome: Clinical report and retrospective analysis of Chinese patients
title_short Treacher Collins syndrome: Clinical report and retrospective analysis of Chinese patients
title_sort treacher collins syndrome clinical report and retrospective analysis of chinese patients
topic conductive hearing loss
craniofacial dysplasia
TCOF1
Treacher Collins syndrome
url https://doi.org/10.1002/mgg3.1573
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