Olfactory Malformations in Mendelian Disorders of the Epigenetic Machinery

Usually overlooked by physicians, olfactory abnormalities are not uncommon. Olfactory malformations have recently been reported in an emerging group of genetic disorders called Mendelian Disorders of the Epigenetic Machinery (MDEM). This study aims to determine the prevalence of olfactory malformati...

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Main Authors: Sebastiano Aleo, Claudia Cinnante, Sabrina Avignone, Elisabetta Prada, Giulietta Scuvera, Paola Francesca Ajmone, Angelo Selicorni, Maria Antonella Costantino, Fabio Triulzi, Paola Marchisio, Cristina Gervasini, Donatella Milani
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-08-01
Series:Frontiers in Cell and Developmental Biology
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Online Access:https://www.frontiersin.org/article/10.3389/fcell.2020.00710/full
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author Sebastiano Aleo
Claudia Cinnante
Sabrina Avignone
Elisabetta Prada
Giulietta Scuvera
Paola Francesca Ajmone
Angelo Selicorni
Maria Antonella Costantino
Fabio Triulzi
Paola Marchisio
Paola Marchisio
Cristina Gervasini
Donatella Milani
author_facet Sebastiano Aleo
Claudia Cinnante
Sabrina Avignone
Elisabetta Prada
Giulietta Scuvera
Paola Francesca Ajmone
Angelo Selicorni
Maria Antonella Costantino
Fabio Triulzi
Paola Marchisio
Paola Marchisio
Cristina Gervasini
Donatella Milani
author_sort Sebastiano Aleo
collection DOAJ
description Usually overlooked by physicians, olfactory abnormalities are not uncommon. Olfactory malformations have recently been reported in an emerging group of genetic disorders called Mendelian Disorders of the Epigenetic Machinery (MDEM). This study aims to determine the prevalence of olfactory malformations in a heterogeneous group of subjects with MDEM. We reviewed the clinical data of 35 patients, 20 females and 15 males, with a mean age of 9.52 years (SD 4.99). All patients had a MDEM and an already available high-resolution brain MRI scan. Two experienced neuroradiologists reviewed the MR images, noting abnormalities and classifying olfactory malformations. Main findings included Corpus Callosum, Cerebellar vermis, and olfactory defects. The latter were found in 11/35 cases (31.4%), of which 7/11 had Rubinstein-Taybi syndrome (RSTS), 2/11 had CHARGE syndrome, 1/11 had Kleefstra syndrome (KLFS), and 1/11 had Weaver syndrome (WVS). The irregularities mainly concerned the olfactory bulbs and were bilateral in 9/11 patients. With over 30% of our sample having an olfactory malformation, this study reveals a possible new diagnostic marker for MDEM and links the epigenetic machinery to the development of the olfactory bulbs.
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spelling doaj.art-f3764a3467c14d6b9656f6852a32c3812022-12-22T02:21:48ZengFrontiers Media S.A.Frontiers in Cell and Developmental Biology2296-634X2020-08-01810.3389/fcell.2020.00710562015Olfactory Malformations in Mendelian Disorders of the Epigenetic MachinerySebastiano Aleo0Claudia Cinnante1Sabrina Avignone2Elisabetta Prada3Giulietta Scuvera4Paola Francesca Ajmone5Angelo Selicorni6Maria Antonella Costantino7Fabio Triulzi8Paola Marchisio9Paola Marchisio10Cristina Gervasini11Donatella Milani12Pediatric Highly Intensive Care Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, ItalyFondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Neuroradiology Unit, Università degli Studi di Milano, Milan, ItalyFondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Neuroradiology Unit, Università degli Studi di Milano, Milan, ItalyPediatric Highly Intensive Care Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, ItalyPediatric Highly Intensive Care Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, ItalyChild and Adolescent Neuropsychiatric Service (UONPIA), Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, ItalyUnit of Pediatric, Presidio S. Fermo, ASST Lariana, Como, ItalyChild and Adolescent Neuropsychiatric Service (UONPIA), Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, ItalyFondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Neuroradiology Unit, Università degli Studi di Milano, Milan, ItalyPediatric Highly Intensive Care Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, ItalyDepartment of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, ItalyDivision of Medical Genetics, Department of Health Sciences, Università degli Studi di Milano, Milan, ItalyPediatric Highly Intensive Care Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, ItalyUsually overlooked by physicians, olfactory abnormalities are not uncommon. Olfactory malformations have recently been reported in an emerging group of genetic disorders called Mendelian Disorders of the Epigenetic Machinery (MDEM). This study aims to determine the prevalence of olfactory malformations in a heterogeneous group of subjects with MDEM. We reviewed the clinical data of 35 patients, 20 females and 15 males, with a mean age of 9.52 years (SD 4.99). All patients had a MDEM and an already available high-resolution brain MRI scan. Two experienced neuroradiologists reviewed the MR images, noting abnormalities and classifying olfactory malformations. Main findings included Corpus Callosum, Cerebellar vermis, and olfactory defects. The latter were found in 11/35 cases (31.4%), of which 7/11 had Rubinstein-Taybi syndrome (RSTS), 2/11 had CHARGE syndrome, 1/11 had Kleefstra syndrome (KLFS), and 1/11 had Weaver syndrome (WVS). The irregularities mainly concerned the olfactory bulbs and were bilateral in 9/11 patients. With over 30% of our sample having an olfactory malformation, this study reveals a possible new diagnostic marker for MDEM and links the epigenetic machinery to the development of the olfactory bulbs.https://www.frontiersin.org/article/10.3389/fcell.2020.00710/fullepigeneticsneuroimagingnervous system diseases/geneticsolfactory bulbrare diseasesmendelian disorders of the epigenetic machinery
spellingShingle Sebastiano Aleo
Claudia Cinnante
Sabrina Avignone
Elisabetta Prada
Giulietta Scuvera
Paola Francesca Ajmone
Angelo Selicorni
Maria Antonella Costantino
Fabio Triulzi
Paola Marchisio
Paola Marchisio
Cristina Gervasini
Donatella Milani
Olfactory Malformations in Mendelian Disorders of the Epigenetic Machinery
Frontiers in Cell and Developmental Biology
epigenetics
neuroimaging
nervous system diseases/genetics
olfactory bulb
rare diseases
mendelian disorders of the epigenetic machinery
title Olfactory Malformations in Mendelian Disorders of the Epigenetic Machinery
title_full Olfactory Malformations in Mendelian Disorders of the Epigenetic Machinery
title_fullStr Olfactory Malformations in Mendelian Disorders of the Epigenetic Machinery
title_full_unstemmed Olfactory Malformations in Mendelian Disorders of the Epigenetic Machinery
title_short Olfactory Malformations in Mendelian Disorders of the Epigenetic Machinery
title_sort olfactory malformations in mendelian disorders of the epigenetic machinery
topic epigenetics
neuroimaging
nervous system diseases/genetics
olfactory bulb
rare diseases
mendelian disorders of the epigenetic machinery
url https://www.frontiersin.org/article/10.3389/fcell.2020.00710/full
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