Case report: A novel mutation in RTEL1 gene in dyskeratosis congenita

Dyskeratosis congenita (DKC), also known as Zinsser–Cole–Engman syndrome, is a telomeropathy typically presenting as a triad of leukoplakia, nail dystrophy, and reticular hyperpigmentation. Reported genetic mutations linked to DKC include DKC1, TINF2, TERC, TERT, C16orf57, NOLA2, NOLA3, WRAP53/TCAB1...

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Main Authors: Haider Nisar, Memoona Khan, Qamar Un Nisa Chaudhry, Raheel Iftikhar, Tariq Ghafoor
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1098876/full
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author Haider Nisar
Memoona Khan
Qamar Un Nisa Chaudhry
Qamar Un Nisa Chaudhry
Raheel Iftikhar
Tariq Ghafoor
author_facet Haider Nisar
Memoona Khan
Qamar Un Nisa Chaudhry
Qamar Un Nisa Chaudhry
Raheel Iftikhar
Tariq Ghafoor
author_sort Haider Nisar
collection DOAJ
description Dyskeratosis congenita (DKC), also known as Zinsser–Cole–Engman syndrome, is a telomeropathy typically presenting as a triad of leukoplakia, nail dystrophy, and reticular hyperpigmentation. Reported genetic mutations linked to DKC include DKC1, TINF2, TERC, TERT, C16orf57, NOLA2, NOLA3, WRAP53/TCAB1, and RTEL1. Homozygous, compound heterozygous, and heterozygous mutations in RTEL1 (RTEL1, regulator of telomere elongation helicase 1) gene on chromosome 20q13 are known to cause autosomal dominant as well as recessive DKC. Pathogenic variants of RTEL1 gene in DKC patients include c.2288G>T (p. Gly763Val), c.3791G>A (p. Arg1264His), and RTEL p. Arg981Trp. We report a novel homozygous variant of RTEL1, transcript ID: ENST00000360203.11, exon 24, c.2060C>T (p.Ala687Val), in a patient of DKC presenting with leukoplakia, dystrophic nails, reticulate pigmentation, and positive family history of a similar phenotype. The novel variant, reported as a variant of uncertain significance, may therefore be considered diagnostic for DKC in a Pakistani population.
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spelling doaj.art-b147da54d44247dda186afa2cf3304bf2023-03-02T05:53:13ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-03-011310.3389/fonc.2023.10988761098876Case report: A novel mutation in RTEL1 gene in dyskeratosis congenitaHaider Nisar0Memoona Khan1Qamar Un Nisa Chaudhry2Qamar Un Nisa Chaudhry3Raheel Iftikhar4Tariq Ghafoor5Adult and Pediatric Transplant Unit, Armed Forces Bone Marrow Transplant Center/National Institute of Bone Marrow Transplant, Rawalpindi, PakistanPathology Department and Stem Cell Research Lab, Armed Forces Bone Marrow Transplant Center/National Institute of Bone Marrow Transplant, Rawalpindi, PakistanAdult and Pediatric Transplant Unit, Armed Forces Bone Marrow Transplant Center/National Institute of Bone Marrow Transplant, Rawalpindi, PakistanPathology Department and Stem Cell Research Lab, Armed Forces Bone Marrow Transplant Center/National Institute of Bone Marrow Transplant, Rawalpindi, PakistanAdult and Pediatric Transplant Unit, Armed Forces Bone Marrow Transplant Center/National Institute of Bone Marrow Transplant, Rawalpindi, PakistanAdult and Pediatric Transplant Unit, Armed Forces Bone Marrow Transplant Center/National Institute of Bone Marrow Transplant, Rawalpindi, PakistanDyskeratosis congenita (DKC), also known as Zinsser–Cole–Engman syndrome, is a telomeropathy typically presenting as a triad of leukoplakia, nail dystrophy, and reticular hyperpigmentation. Reported genetic mutations linked to DKC include DKC1, TINF2, TERC, TERT, C16orf57, NOLA2, NOLA3, WRAP53/TCAB1, and RTEL1. Homozygous, compound heterozygous, and heterozygous mutations in RTEL1 (RTEL1, regulator of telomere elongation helicase 1) gene on chromosome 20q13 are known to cause autosomal dominant as well as recessive DKC. Pathogenic variants of RTEL1 gene in DKC patients include c.2288G>T (p. Gly763Val), c.3791G>A (p. Arg1264His), and RTEL p. Arg981Trp. We report a novel homozygous variant of RTEL1, transcript ID: ENST00000360203.11, exon 24, c.2060C>T (p.Ala687Val), in a patient of DKC presenting with leukoplakia, dystrophic nails, reticulate pigmentation, and positive family history of a similar phenotype. The novel variant, reported as a variant of uncertain significance, may therefore be considered diagnostic for DKC in a Pakistani population.https://www.frontiersin.org/articles/10.3389/fonc.2023.1098876/fulldyskeratosis congenitaheterozygousmutationRTEL1telomere biology disorders
spellingShingle Haider Nisar
Memoona Khan
Qamar Un Nisa Chaudhry
Qamar Un Nisa Chaudhry
Raheel Iftikhar
Tariq Ghafoor
Case report: A novel mutation in RTEL1 gene in dyskeratosis congenita
Frontiers in Oncology
dyskeratosis congenita
heterozygous
mutation
RTEL1
telomere biology disorders
title Case report: A novel mutation in RTEL1 gene in dyskeratosis congenita
title_full Case report: A novel mutation in RTEL1 gene in dyskeratosis congenita
title_fullStr Case report: A novel mutation in RTEL1 gene in dyskeratosis congenita
title_full_unstemmed Case report: A novel mutation in RTEL1 gene in dyskeratosis congenita
title_short Case report: A novel mutation in RTEL1 gene in dyskeratosis congenita
title_sort case report a novel mutation in rtel1 gene in dyskeratosis congenita
topic dyskeratosis congenita
heterozygous
mutation
RTEL1
telomere biology disorders
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1098876/full
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