BRPF1‐associated intellectual disability, ptosis, and facial dysmorphism in a multiplex family

Abstract Background Over 500 epigenetic regulators have been identified throughout the human genome. Of these, approximately 30 chromatin modifiers have been implicated thus far in human disease. Recently, variants in BRPF1, encoding a chromatin reader, have been associated with a previously unrecog...

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Main Authors: Naomi Pode‐Shakked, Ortal Barel, Ben Pode‐Shakked, Aviva Eliyahu, Amihood Singer, Omri Nayshool, Nitzan Kol, Annick Raas‐Rothschild, Elon Pras, Mordechai Shohat
Format: Article
Language:English
Published: Wiley 2019-06-01
Series:Molecular Genetics & Genomic Medicine
Subjects:
Online Access:https://doi.org/10.1002/mgg3.665
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author Naomi Pode‐Shakked
Ortal Barel
Ben Pode‐Shakked
Aviva Eliyahu
Amihood Singer
Omri Nayshool
Nitzan Kol
Annick Raas‐Rothschild
Elon Pras
Mordechai Shohat
author_facet Naomi Pode‐Shakked
Ortal Barel
Ben Pode‐Shakked
Aviva Eliyahu
Amihood Singer
Omri Nayshool
Nitzan Kol
Annick Raas‐Rothschild
Elon Pras
Mordechai Shohat
author_sort Naomi Pode‐Shakked
collection DOAJ
description Abstract Background Over 500 epigenetic regulators have been identified throughout the human genome. Of these, approximately 30 chromatin modifiers have been implicated thus far in human disease. Recently, variants in BRPF1, encoding a chromatin reader, have been associated with a previously unrecognized autosomal dominant syndrome manifesting with intellectual disability (ID), hypotonia, dysmorphic facial features, ptosis, and/or blepharophimosis in 22 individuals. Patients and Methods We report a multiply affected nonconsanguineous family of mixed Jewish descent who presented due to ID in three male siblings. Molecular analysis of the family was pursued using whole exome sequencing (WES) and subsequent Sanger sequencing. Results Whole exome sequencing analysis brought to the identification of a novel heterozygous truncating mutation (c.556C>T, p.Q186*) in the BRPF1 gene in the affected siblings and their mother. The four affected individuals showed varying degrees of intellectual disability, distinct facial features including downslanted palpebral fissures, ptosis, and/or blepharophimosis. Their clinical characteristics are discussed in the context of previously reported patients with the BRPF1‐related phenotype. Conclusion The reported family contributes to the current knowledge regarding this unique and newly recognized genetic disorder, and further implicates the role of BRPF1 in human brain development.
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spelling doaj.art-b1560623a9ca450d95e163da44e0576c2022-12-21T19:46:54ZengWileyMolecular Genetics & Genomic Medicine2324-92692019-06-0176n/an/a10.1002/mgg3.665BRPF1‐associated intellectual disability, ptosis, and facial dysmorphism in a multiplex familyNaomi Pode‐Shakked0Ortal Barel1Ben Pode‐Shakked2Aviva Eliyahu3Amihood Singer4Omri Nayshool5Nitzan Kol6Annick Raas‐Rothschild7Elon Pras8Mordechai Shohat9Department of Pediatrics A Edmond and Lily Safra Children's Hospital, Sheba Medical Center Tel‐Hashomer IsraelThe Genomic Unit, Sheba Cancer Research Center Sheba Medical Center Tel‐Hashomer IsraelThe Dr. Pinchas Borenstein Talpiot Medical Leadership Program Sheba Medical Center Tel‐Hashomer IsraelSackler Faculty of Medicine Tel‐Aviv University Tel‐Aviv IsraelCommunity Genetics Public Health Services, Ministry of Health Jerusalem IsraelThe Genomic Unit, Sheba Cancer Research Center Sheba Medical Center Tel‐Hashomer IsraelThe Genomic Unit, Sheba Cancer Research Center Sheba Medical Center Tel‐Hashomer IsraelSackler Faculty of Medicine Tel‐Aviv University Tel‐Aviv IsraelSackler Faculty of Medicine Tel‐Aviv University Tel‐Aviv IsraelSackler Faculty of Medicine Tel‐Aviv University Tel‐Aviv IsraelAbstract Background Over 500 epigenetic regulators have been identified throughout the human genome. Of these, approximately 30 chromatin modifiers have been implicated thus far in human disease. Recently, variants in BRPF1, encoding a chromatin reader, have been associated with a previously unrecognized autosomal dominant syndrome manifesting with intellectual disability (ID), hypotonia, dysmorphic facial features, ptosis, and/or blepharophimosis in 22 individuals. Patients and Methods We report a multiply affected nonconsanguineous family of mixed Jewish descent who presented due to ID in three male siblings. Molecular analysis of the family was pursued using whole exome sequencing (WES) and subsequent Sanger sequencing. Results Whole exome sequencing analysis brought to the identification of a novel heterozygous truncating mutation (c.556C>T, p.Q186*) in the BRPF1 gene in the affected siblings and their mother. The four affected individuals showed varying degrees of intellectual disability, distinct facial features including downslanted palpebral fissures, ptosis, and/or blepharophimosis. Their clinical characteristics are discussed in the context of previously reported patients with the BRPF1‐related phenotype. Conclusion The reported family contributes to the current knowledge regarding this unique and newly recognized genetic disorder, and further implicates the role of BRPF1 in human brain development.https://doi.org/10.1002/mgg3.665blepharophimosisBRPF1intellectual disabilityptosis
spellingShingle Naomi Pode‐Shakked
Ortal Barel
Ben Pode‐Shakked
Aviva Eliyahu
Amihood Singer
Omri Nayshool
Nitzan Kol
Annick Raas‐Rothschild
Elon Pras
Mordechai Shohat
BRPF1‐associated intellectual disability, ptosis, and facial dysmorphism in a multiplex family
Molecular Genetics & Genomic Medicine
blepharophimosis
BRPF1
intellectual disability
ptosis
title BRPF1‐associated intellectual disability, ptosis, and facial dysmorphism in a multiplex family
title_full BRPF1‐associated intellectual disability, ptosis, and facial dysmorphism in a multiplex family
title_fullStr BRPF1‐associated intellectual disability, ptosis, and facial dysmorphism in a multiplex family
title_full_unstemmed BRPF1‐associated intellectual disability, ptosis, and facial dysmorphism in a multiplex family
title_short BRPF1‐associated intellectual disability, ptosis, and facial dysmorphism in a multiplex family
title_sort brpf1 associated intellectual disability ptosis and facial dysmorphism in a multiplex family
topic blepharophimosis
BRPF1
intellectual disability
ptosis
url https://doi.org/10.1002/mgg3.665
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