Case Report: Novel pathogenic variant in NFIX in two sisters with Malan syndrome due to germline mosaicism

Malan syndrome is an autosomal dominant disorder caused by pathogenic variants in NFIX with less than 100 cases reported thus far. NFIX is important for stem cell proliferation, quiescence, and differentiation during development and its protein plays a role in replication, signal transduction, and t...

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Main Authors: Elizabeth Langley, Laura S. Farach, Kate Mowrey
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Genetics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fgene.2022.1044660/full
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author Elizabeth Langley
Laura S. Farach
Kate Mowrey
author_facet Elizabeth Langley
Laura S. Farach
Kate Mowrey
author_sort Elizabeth Langley
collection DOAJ
description Malan syndrome is an autosomal dominant disorder caused by pathogenic variants in NFIX with less than 100 cases reported thus far. NFIX is important for stem cell proliferation, quiescence, and differentiation during development and its protein plays a role in replication, signal transduction, and transcription. As a result of pathogenic variants, symptoms of Malan syndrome include overgrowth, intellectual disability, speech delay, and dysmorphic features. Currently, the recurrence risk for this disorder is indicated at less than 1%, standard for de novo autosomal dominant disorders. Herein, we report an additional set of sisters with the same novel pathogenic variant in NFIX and clinical features consistent with Malan syndrome providing evidence of germline mosaicism. Considering the rarity of this condition in conjunction with three previous reports of germline mosaicism, it is worthwhile to investigate and re-evaluate the proper recurrence risk for this condition. This discovery would be paramount for family planning and genetic counseling practices in families with affected individuals.
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spelling doaj.art-7db57b7c49ca46bcb3bd8f3520ebc3092022-12-22T04:11:35ZengFrontiers Media S.A.Frontiers in Genetics1664-80212022-11-011310.3389/fgene.2022.10446601044660Case Report: Novel pathogenic variant in NFIX in two sisters with Malan syndrome due to germline mosaicismElizabeth LangleyLaura S. FarachKate MowreyMalan syndrome is an autosomal dominant disorder caused by pathogenic variants in NFIX with less than 100 cases reported thus far. NFIX is important for stem cell proliferation, quiescence, and differentiation during development and its protein plays a role in replication, signal transduction, and transcription. As a result of pathogenic variants, symptoms of Malan syndrome include overgrowth, intellectual disability, speech delay, and dysmorphic features. Currently, the recurrence risk for this disorder is indicated at less than 1%, standard for de novo autosomal dominant disorders. Herein, we report an additional set of sisters with the same novel pathogenic variant in NFIX and clinical features consistent with Malan syndrome providing evidence of germline mosaicism. Considering the rarity of this condition in conjunction with three previous reports of germline mosaicism, it is worthwhile to investigate and re-evaluate the proper recurrence risk for this condition. This discovery would be paramount for family planning and genetic counseling practices in families with affected individuals.https://www.frontiersin.org/articles/10.3389/fgene.2022.1044660/fullNFIXmalan syndromegermline mosaicismrecurrence riskgenetic counselingintellectual disability
spellingShingle Elizabeth Langley
Laura S. Farach
Kate Mowrey
Case Report: Novel pathogenic variant in NFIX in two sisters with Malan syndrome due to germline mosaicism
Frontiers in Genetics
NFIX
malan syndrome
germline mosaicism
recurrence risk
genetic counseling
intellectual disability
title Case Report: Novel pathogenic variant in NFIX in two sisters with Malan syndrome due to germline mosaicism
title_full Case Report: Novel pathogenic variant in NFIX in two sisters with Malan syndrome due to germline mosaicism
title_fullStr Case Report: Novel pathogenic variant in NFIX in two sisters with Malan syndrome due to germline mosaicism
title_full_unstemmed Case Report: Novel pathogenic variant in NFIX in two sisters with Malan syndrome due to germline mosaicism
title_short Case Report: Novel pathogenic variant in NFIX in two sisters with Malan syndrome due to germline mosaicism
title_sort case report novel pathogenic variant in nfix in two sisters with malan syndrome due to germline mosaicism
topic NFIX
malan syndrome
germline mosaicism
recurrence risk
genetic counseling
intellectual disability
url https://www.frontiersin.org/articles/10.3389/fgene.2022.1044660/full
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