Clinical features and genotypes of six patients from four families with horizontal gaze palsy with progressive scoliosis

BackgroundHorizontal gaze palsy with progressive scoliosis (HGPPS) is a rare disorder mainly involved in ocular movement and spinal development. It is caused by a roundabout guidance receptor 3 (ROBO3) gene mutation. This study aimed to describe the clinical features of six patients with HGPPS and i...

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Main Authors: Lijuan Huang, Jianlin Guo, Yan Xie, Yunyu Zhou, Xiaofei Wu, Hui Li, Yun Peng, Ningdong Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2022.949565/full
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author Lijuan Huang
Lijuan Huang
Jianlin Guo
Yan Xie
Yunyu Zhou
Xiaofei Wu
Hui Li
Yun Peng
Ningdong Li
Ningdong Li
Ningdong Li
Ningdong Li
author_facet Lijuan Huang
Lijuan Huang
Jianlin Guo
Yan Xie
Yunyu Zhou
Xiaofei Wu
Hui Li
Yun Peng
Ningdong Li
Ningdong Li
Ningdong Li
Ningdong Li
author_sort Lijuan Huang
collection DOAJ
description BackgroundHorizontal gaze palsy with progressive scoliosis (HGPPS) is a rare disorder mainly involved in ocular movement and spinal development. It is caused by a roundabout guidance receptor 3 (ROBO3) gene mutation. This study aimed to describe the clinical features of six patients with HGPPS and investigate the corresponding ROBO3 gene mutations.MethodsPatients underwent detailed clinical and imaging examinations. Whole-exome sequencing was performed to detect nucleotide variations in the disease-causing genes of HGPPS.ResultsSix pathogenic variants were detected in the ROBO3 gene from six patients with HGPPS, including two novel compound heterozygous mutations, c.1447C > T (p.R483X) and c.2462G > C (p.R821P); c.1033G > C (p.V345L) and c.3287G > T (p.C1096F); a novel homozygous indel mutation, c.565dupC (p.R191Pfs*61); and a known missense mutation, c.416G > T (p.G139V). Patients with HGPPS had horizontal conjugated eye movement defects and scoliosis with variable degrees, as well as flattened pontine tegmentum and uncrossed corticospinal tracts on magnetic resonance imaging.ConclusionOur genetic findings will expand the spectrum of ROBO3 mutations and help inform future research on the molecular mechanism of HGPPS.
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spelling doaj.art-be34b6fe2b274337ac5106a705600bf92022-12-22T03:20:15ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-09-011010.3389/fped.2022.949565949565Clinical features and genotypes of six patients from four families with horizontal gaze palsy with progressive scoliosisLijuan Huang0Lijuan Huang1Jianlin Guo2Yan Xie3Yunyu Zhou4Xiaofei Wu5Hui Li6Yun Peng7Ningdong Li8Ningdong Li9Ningdong Li10Ningdong Li11Department of Ophthalmology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, ChinaDepartment of Ophthalmology, Beijing Children’s Hospital, Capital Medical University, Beijing, ChinaDepartment of Radiology, Beijing Children’s Hospital, Capital Medical University, Beijing, ChinaDepartment of Ophthalmology, Beijing Children’s Hospital, Capital Medical University, Beijing, ChinaDepartment of Ophthalmology, Beijing Children’s Hospital, Capital Medical University, Beijing, ChinaDepartment of Ophthalmology, Beijing Children’s Hospital, Capital Medical University, Beijing, ChinaDepartment of Ophthalmology, Changchun Children’s Hospital, Changchun, ChinaDepartment of Radiology, Beijing Children’s Hospital, Capital Medical University, Beijing, ChinaDepartment of Ophthalmology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, ChinaDepartment of Ophthalmology, Beijing Children’s Hospital, Capital Medical University, Beijing, ChinaKey Laboratory of Major Diseases in Children, Ministry of Education, Beijing, ChinaDepartment of Ophthalmology, Children’s Hospital, Capital Institute of Pediatrics, Beijing, ChinaBackgroundHorizontal gaze palsy with progressive scoliosis (HGPPS) is a rare disorder mainly involved in ocular movement and spinal development. It is caused by a roundabout guidance receptor 3 (ROBO3) gene mutation. This study aimed to describe the clinical features of six patients with HGPPS and investigate the corresponding ROBO3 gene mutations.MethodsPatients underwent detailed clinical and imaging examinations. Whole-exome sequencing was performed to detect nucleotide variations in the disease-causing genes of HGPPS.ResultsSix pathogenic variants were detected in the ROBO3 gene from six patients with HGPPS, including two novel compound heterozygous mutations, c.1447C > T (p.R483X) and c.2462G > C (p.R821P); c.1033G > C (p.V345L) and c.3287G > T (p.C1096F); a novel homozygous indel mutation, c.565dupC (p.R191Pfs*61); and a known missense mutation, c.416G > T (p.G139V). Patients with HGPPS had horizontal conjugated eye movement defects and scoliosis with variable degrees, as well as flattened pontine tegmentum and uncrossed corticospinal tracts on magnetic resonance imaging.ConclusionOur genetic findings will expand the spectrum of ROBO3 mutations and help inform future research on the molecular mechanism of HGPPS.https://www.frontiersin.org/articles/10.3389/fped.2022.949565/fullHGPPSROBO3scoliosismutationDTI
spellingShingle Lijuan Huang
Lijuan Huang
Jianlin Guo
Yan Xie
Yunyu Zhou
Xiaofei Wu
Hui Li
Yun Peng
Ningdong Li
Ningdong Li
Ningdong Li
Ningdong Li
Clinical features and genotypes of six patients from four families with horizontal gaze palsy with progressive scoliosis
Frontiers in Pediatrics
HGPPS
ROBO3
scoliosis
mutation
DTI
title Clinical features and genotypes of six patients from four families with horizontal gaze palsy with progressive scoliosis
title_full Clinical features and genotypes of six patients from four families with horizontal gaze palsy with progressive scoliosis
title_fullStr Clinical features and genotypes of six patients from four families with horizontal gaze palsy with progressive scoliosis
title_full_unstemmed Clinical features and genotypes of six patients from four families with horizontal gaze palsy with progressive scoliosis
title_short Clinical features and genotypes of six patients from four families with horizontal gaze palsy with progressive scoliosis
title_sort clinical features and genotypes of six patients from four families with horizontal gaze palsy with progressive scoliosis
topic HGPPS
ROBO3
scoliosis
mutation
DTI
url https://www.frontiersin.org/articles/10.3389/fped.2022.949565/full
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