Neurofibromatosis-Noonan syndrome and growth deficiency in an Iranian girl due to a pathogenic variant in NF1 gene

Abstract Background Mutations in NF1 gene could cause allelic disorders with clinical spectrum of Neurofibromatosis type 1 to Noonan syndrome. Here, a 7-year-old Iranian girl is described with Neurofibromatosis-Noonan syndrome due to a pathogenic variant in NF1 gene. Methods Clinical evaluations wer...

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Main Authors: Setila Dalili, Seyyedeh Azade Hoseini Nouri, Reza Bayat, Shahin Koohmanaee, Manijeh Tabrizi, Marjaneh Zarkesh, Alireza Tarang, Nejat Mahdieh
Format: Article
Language:English
Published: BMC 2023-02-01
Series:Human Genomics
Subjects:
Online Access:https://doi.org/10.1186/s40246-023-00460-0
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author Setila Dalili
Seyyedeh Azade Hoseini Nouri
Reza Bayat
Shahin Koohmanaee
Manijeh Tabrizi
Marjaneh Zarkesh
Alireza Tarang
Nejat Mahdieh
author_facet Setila Dalili
Seyyedeh Azade Hoseini Nouri
Reza Bayat
Shahin Koohmanaee
Manijeh Tabrizi
Marjaneh Zarkesh
Alireza Tarang
Nejat Mahdieh
author_sort Setila Dalili
collection DOAJ
description Abstract Background Mutations in NF1 gene could cause allelic disorders with clinical spectrum of Neurofibromatosis type 1 to Noonan syndrome. Here, a 7-year-old Iranian girl is described with Neurofibromatosis-Noonan syndrome due to a pathogenic variant in NF1 gene. Methods Clinical evaluations were performed along with genetic testing using whole exome sequencing (WES). The variant analysis including pathogenicity prediction was also done using bioinformatics tools. Results The chief compliant of the patient was short stature and lack of proper weight gain. Other symptoms were developmental delay, learning disability, inadequate speech skill, broad forehead, hypertelorism, and epicanthal folds, low set ears and webbed neck. A small deletion, c.4375-4377delGAA, was found in NF1 gene using WES. This variant was classified as pathogenic according to ACMG. Conclusions NF1 variants may show variable phenotypes among the patients; identifying such variants is helpful in therapeutic management of the disease. WES is considered as an appropriate test to diagnose Neurofibromatosis-Noonan syndrome.
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spelling doaj.art-cc075eee30654e3784c217ff1b0fbc4b2023-03-22T11:50:11ZengBMCHuman Genomics1479-73642023-02-011711610.1186/s40246-023-00460-0Neurofibromatosis-Noonan syndrome and growth deficiency in an Iranian girl due to a pathogenic variant in NF1 geneSetila Dalili0Seyyedeh Azade Hoseini Nouri1Reza Bayat2Shahin Koohmanaee3Manijeh Tabrizi4Marjaneh Zarkesh5Alireza Tarang6Nejat Mahdieh7Pediatric Diseases Research Center, Guilan University of Medical SciencesPediatric Diseases Research Center, Guilan University of Medical SciencesPediatric Diseases Research Center, Guilan University of Medical SciencesPediatric Diseases Research Center, Guilan University of Medical SciencesPediatric Diseases Research Center, Guilan University of Medical SciencesPediatric Diseases Research Center, Guilan University of Medical SciencesAgriculture Biotechnology Research Institute, Agricultural Research, Education and Extension Organization (AREEO)Growth and Development Research Center, Tehran University of Medical SciencesAbstract Background Mutations in NF1 gene could cause allelic disorders with clinical spectrum of Neurofibromatosis type 1 to Noonan syndrome. Here, a 7-year-old Iranian girl is described with Neurofibromatosis-Noonan syndrome due to a pathogenic variant in NF1 gene. Methods Clinical evaluations were performed along with genetic testing using whole exome sequencing (WES). The variant analysis including pathogenicity prediction was also done using bioinformatics tools. Results The chief compliant of the patient was short stature and lack of proper weight gain. Other symptoms were developmental delay, learning disability, inadequate speech skill, broad forehead, hypertelorism, and epicanthal folds, low set ears and webbed neck. A small deletion, c.4375-4377delGAA, was found in NF1 gene using WES. This variant was classified as pathogenic according to ACMG. Conclusions NF1 variants may show variable phenotypes among the patients; identifying such variants is helpful in therapeutic management of the disease. WES is considered as an appropriate test to diagnose Neurofibromatosis-Noonan syndrome.https://doi.org/10.1186/s40246-023-00460-0Neurofibromatosis type 1Neurofibromatosis-Noonan syndromeNF1Growth deficiency
spellingShingle Setila Dalili
Seyyedeh Azade Hoseini Nouri
Reza Bayat
Shahin Koohmanaee
Manijeh Tabrizi
Marjaneh Zarkesh
Alireza Tarang
Nejat Mahdieh
Neurofibromatosis-Noonan syndrome and growth deficiency in an Iranian girl due to a pathogenic variant in NF1 gene
Human Genomics
Neurofibromatosis type 1
Neurofibromatosis-Noonan syndrome
NF1
Growth deficiency
title Neurofibromatosis-Noonan syndrome and growth deficiency in an Iranian girl due to a pathogenic variant in NF1 gene
title_full Neurofibromatosis-Noonan syndrome and growth deficiency in an Iranian girl due to a pathogenic variant in NF1 gene
title_fullStr Neurofibromatosis-Noonan syndrome and growth deficiency in an Iranian girl due to a pathogenic variant in NF1 gene
title_full_unstemmed Neurofibromatosis-Noonan syndrome and growth deficiency in an Iranian girl due to a pathogenic variant in NF1 gene
title_short Neurofibromatosis-Noonan syndrome and growth deficiency in an Iranian girl due to a pathogenic variant in NF1 gene
title_sort neurofibromatosis noonan syndrome and growth deficiency in an iranian girl due to a pathogenic variant in nf1 gene
topic Neurofibromatosis type 1
Neurofibromatosis-Noonan syndrome
NF1
Growth deficiency
url https://doi.org/10.1186/s40246-023-00460-0
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