The clinical spectrum of a nonsense mutation in : a case report

KAT6A syndrome is an autosomal dominant genetic disorder associated with intellectual disability due to mutations in the lysine acetyltransferase 6A ( KAT6A ) gene. There are some differences in phenotype between KAT6A gene variants. This current case report describes a 1-month-old male infant that...

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Main Authors: Dongbo Wang, Jun He, Xueyi Li, Shuyuan Yan, Linglin Pan, Tuanmei Wang, Liangrong Zhou, Jiyang Liu, Xiangwen Peng
Format: Article
Language:English
Published: SAGE Publishing 2022-12-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605221140304
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author Dongbo Wang
Jun He
Xueyi Li
Shuyuan Yan
Linglin Pan
Tuanmei Wang
Liangrong Zhou
Jiyang Liu
Xiangwen Peng
author_facet Dongbo Wang
Jun He
Xueyi Li
Shuyuan Yan
Linglin Pan
Tuanmei Wang
Liangrong Zhou
Jiyang Liu
Xiangwen Peng
author_sort Dongbo Wang
collection DOAJ
description KAT6A syndrome is an autosomal dominant genetic disorder associated with intellectual disability due to mutations in the lysine acetyltransferase 6A ( KAT6A ) gene. There are some differences in phenotype between KAT6A gene variants. This current case report describes a 1-month-old male infant that had a nonsense mutation in the KAT6A gene. Neither of his parents had the mutation. The proband had feeding difficulties and a physical examination revealed the following: moderate dysphagia, hypoplastic laryngeal cartilage, poor audio-visual response, poor head-up ability, no active grasping awareness, microcephaly, high arched palate and he was significantly behind other children of the same age. Echocardiography showed that the foramen ovale was not closed. He was diagnosed with atrial septal defect (ASD) when 2 years old. The patient received ASD repair at 32 months of age. Head colour Doppler ultrasonography and brain magnetic resonance imaging showed cysts in the right ventricle and choroid plexus, which returned to normal at 2 years of age. This current case demonstrates that immediate surgery should be considered in newborns with KAT6A syndrome presenting with a heart malformation. A new KAT6A syndrome phenotype is described in this current case report, which requires early diagnosis and treatment.
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spelling doaj.art-ae85960b2fb1480f830c68a1147a54c92022-12-27T16:03:25ZengSAGE PublishingJournal of International Medical Research1473-23002022-12-015010.1177/03000605221140304The clinical spectrum of a nonsense mutation in : a case reportDongbo WangJun HeXueyi LiShuyuan YanLinglin PanTuanmei WangLiangrong ZhouJiyang LiuXiangwen PengKAT6A syndrome is an autosomal dominant genetic disorder associated with intellectual disability due to mutations in the lysine acetyltransferase 6A ( KAT6A ) gene. There are some differences in phenotype between KAT6A gene variants. This current case report describes a 1-month-old male infant that had a nonsense mutation in the KAT6A gene. Neither of his parents had the mutation. The proband had feeding difficulties and a physical examination revealed the following: moderate dysphagia, hypoplastic laryngeal cartilage, poor audio-visual response, poor head-up ability, no active grasping awareness, microcephaly, high arched palate and he was significantly behind other children of the same age. Echocardiography showed that the foramen ovale was not closed. He was diagnosed with atrial septal defect (ASD) when 2 years old. The patient received ASD repair at 32 months of age. Head colour Doppler ultrasonography and brain magnetic resonance imaging showed cysts in the right ventricle and choroid plexus, which returned to normal at 2 years of age. This current case demonstrates that immediate surgery should be considered in newborns with KAT6A syndrome presenting with a heart malformation. A new KAT6A syndrome phenotype is described in this current case report, which requires early diagnosis and treatment.https://doi.org/10.1177/03000605221140304
spellingShingle Dongbo Wang
Jun He
Xueyi Li
Shuyuan Yan
Linglin Pan
Tuanmei Wang
Liangrong Zhou
Jiyang Liu
Xiangwen Peng
The clinical spectrum of a nonsense mutation in : a case report
Journal of International Medical Research
title The clinical spectrum of a nonsense mutation in : a case report
title_full The clinical spectrum of a nonsense mutation in : a case report
title_fullStr The clinical spectrum of a nonsense mutation in : a case report
title_full_unstemmed The clinical spectrum of a nonsense mutation in : a case report
title_short The clinical spectrum of a nonsense mutation in : a case report
title_sort clinical spectrum of a nonsense mutation in a case report
url https://doi.org/10.1177/03000605221140304
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