Identification of a novel variant in the gene using targeted gene panel sequencing in a 24-month-old boy with hypophosphatemic rickets

Familial hypophosphatemic rickets (FHR) is a disorder characterized by phosphate wasting and hypophosphatemia due to defects in renal phosphate transport regulation. There are 4 known inherited forms of FHR that differ in their molecular causes. Very few studies have been conducted that focused on t...

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Main Authors: Ha Young Jo, Jung Hyun Shin, Hye Young Kim, Young Mi Kim, Heirim Lee, Mi Hye Bae, Kyung Hee Park, Ja-Hyun Jang, Min Jung Kwak
Format: Article
Language:English
Published: Korean Society of Pediatric Endocrinology 2020-03-01
Series:Annals of Pediatric Endocrinology & Metabolism
Subjects:
Online Access:http://e-apem.org/upload/pdf/apem-2020-25-1-63.pdf
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author Ha Young Jo
Jung Hyun Shin
Hye Young Kim
Young Mi Kim
Heirim Lee
Mi Hye Bae
Kyung Hee Park
Ja-Hyun Jang
Min Jung Kwak
author_facet Ha Young Jo
Jung Hyun Shin
Hye Young Kim
Young Mi Kim
Heirim Lee
Mi Hye Bae
Kyung Hee Park
Ja-Hyun Jang
Min Jung Kwak
author_sort Ha Young Jo
collection DOAJ
description Familial hypophosphatemic rickets (FHR) is a disorder characterized by phosphate wasting and hypophosphatemia due to defects in renal phosphate transport regulation. There are 4 known inherited forms of FHR that differ in their molecular causes. Very few studies have been conducted that focused on the molecular analysis of FHR in Koreans. Eighteen mutations of the PHEX gene have been identified to this date in Korea. Herein, we report the clinical case of a 24-month-old boy presenting with bowed legs and short stature. The biochemical profile showed hypophosphatemia with decreased tubular reabsorption of phosphate. Several family members were identified with short stature and genu varum. Therefore, he was diagnosed with FHR. To identify the molecular causes of FHR, we performed targeted gene panel sequencing and found a novel hemizygous missense variant, c.1949T>C (p.Leu650Pro), in the PHEX gene. This variant was also detected in the boy’s mother who exhibited genu varum and short stature.
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spelling doaj.art-fa56ace688394bec988c4e0c5afb259a2022-12-22T01:51:54ZengKorean Society of Pediatric EndocrinologyAnnals of Pediatric Endocrinology & Metabolism2287-10122287-12922020-03-01251636710.6065/apem.2020.25.1.63802Identification of a novel variant in the gene using targeted gene panel sequencing in a 24-month-old boy with hypophosphatemic ricketsHa Young Jo0Jung Hyun Shin1Hye Young Kim2Young Mi Kim3Heirim Lee4Mi Hye Bae5Kyung Hee Park6Ja-Hyun Jang7Min Jung Kwak8 Department of Pediatrics, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea Department of Pediatrics, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea Department of Pediatrics, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea Department of Pediatrics, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea Department of Pediatrics, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea Department of Pediatrics, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea Department of Pediatrics, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea Green Cross Genome, Yongin, Korea Department of Pediatrics, Pusan National University Hospital, Pusan National University School of Medicine, Busan, KoreaFamilial hypophosphatemic rickets (FHR) is a disorder characterized by phosphate wasting and hypophosphatemia due to defects in renal phosphate transport regulation. There are 4 known inherited forms of FHR that differ in their molecular causes. Very few studies have been conducted that focused on the molecular analysis of FHR in Koreans. Eighteen mutations of the PHEX gene have been identified to this date in Korea. Herein, we report the clinical case of a 24-month-old boy presenting with bowed legs and short stature. The biochemical profile showed hypophosphatemia with decreased tubular reabsorption of phosphate. Several family members were identified with short stature and genu varum. Therefore, he was diagnosed with FHR. To identify the molecular causes of FHR, we performed targeted gene panel sequencing and found a novel hemizygous missense variant, c.1949T>C (p.Leu650Pro), in the PHEX gene. This variant was also detected in the boy’s mother who exhibited genu varum and short stature.http://e-apem.org/upload/pdf/apem-2020-25-1-63.pdfhypophosphatemic ricketsmutationtargeted gene panel sequencing
spellingShingle Ha Young Jo
Jung Hyun Shin
Hye Young Kim
Young Mi Kim
Heirim Lee
Mi Hye Bae
Kyung Hee Park
Ja-Hyun Jang
Min Jung Kwak
Identification of a novel variant in the gene using targeted gene panel sequencing in a 24-month-old boy with hypophosphatemic rickets
Annals of Pediatric Endocrinology & Metabolism
hypophosphatemic rickets
mutation
targeted gene panel sequencing
title Identification of a novel variant in the gene using targeted gene panel sequencing in a 24-month-old boy with hypophosphatemic rickets
title_full Identification of a novel variant in the gene using targeted gene panel sequencing in a 24-month-old boy with hypophosphatemic rickets
title_fullStr Identification of a novel variant in the gene using targeted gene panel sequencing in a 24-month-old boy with hypophosphatemic rickets
title_full_unstemmed Identification of a novel variant in the gene using targeted gene panel sequencing in a 24-month-old boy with hypophosphatemic rickets
title_short Identification of a novel variant in the gene using targeted gene panel sequencing in a 24-month-old boy with hypophosphatemic rickets
title_sort identification of a novel variant in the gene using targeted gene panel sequencing in a 24 month old boy with hypophosphatemic rickets
topic hypophosphatemic rickets
mutation
targeted gene panel sequencing
url http://e-apem.org/upload/pdf/apem-2020-25-1-63.pdf
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