Refining the Primrose syndrome phenotype: A study of five patients with ZBTB20 de novo variants and a review of the literature

Primrose syndrome is a rare autosomal dominant condition caused by heterozygous missense variants within ZBTB20. Through an exome sequencing approach (as part of the Deciphering Developmental Disorders [DDD] study) we have identified five unrelated individuals with previously unreported, de novo ZBT...

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Main Authors: Cleaver, RJ, Berg, J, Craft, E, Foster, A, Gibbons, RJ, Hobson, E, Lachlan, K, Naik, S, Sampson, JR, Sharif, S, Smithson, S, Deciphering Developmental Disorders Study, Parker, MJ, Tatton-Brown, K
Format: Journal article
Language:English
Published: Wiley 2019
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author Cleaver, RJ
Berg, J
Craft, E
Foster, A
Gibbons, RJ
Hobson, E
Lachlan, K
Naik, S
Sampson, JR
Sharif, S
Smithson, S
Deciphering Developmental Disorders Study,
Parker, MJ
Tatton-Brown, K
author_facet Cleaver, RJ
Berg, J
Craft, E
Foster, A
Gibbons, RJ
Hobson, E
Lachlan, K
Naik, S
Sampson, JR
Sharif, S
Smithson, S
Deciphering Developmental Disorders Study,
Parker, MJ
Tatton-Brown, K
author_sort Cleaver, RJ
collection OXFORD
description Primrose syndrome is a rare autosomal dominant condition caused by heterozygous missense variants within ZBTB20. Through an exome sequencing approach (as part of the Deciphering Developmental Disorders [DDD] study) we have identified five unrelated individuals with previously unreported, de novo ZBTB20 pathogenic missense variants. All five missense variants targeted the C2H2 zinc finger domains. This genotype-up approach has allowed further refinement of the Primrose syndrome phenotype. Major characteristics (>90% individuals) include an intellectual disability (most frequently in the moderate range), a recognizable facial appearance and brain MRI abnormalities, particularly abnormalities of the corpus callosum. Other frequent clinical associations (in 50-90% individuals) include sensorineural hearing loss (83%), hypotonia (78%), cryptorchidism in males (75%), macrocephaly (72%), behavioral issues (56%), and dysplastic/hypoplastic nails (57%). Based upon these clinical data we discuss our current management of patients with Primrose syndrome.
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spelling oxford-uuid:448347c3-5f6a-416b-b5e3-fed3f188d2e22022-03-26T15:01:58ZRefining the Primrose syndrome phenotype: A study of five patients with ZBTB20 de novo variants and a review of the literatureJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:448347c3-5f6a-416b-b5e3-fed3f188d2e2EnglishSymplectic Elements at OxfordWiley2019Cleaver, RJBerg, JCraft, EFoster, AGibbons, RJHobson, ELachlan, KNaik, SSampson, JRSharif, SSmithson, SDeciphering Developmental Disorders Study,Parker, MJTatton-Brown, KPrimrose syndrome is a rare autosomal dominant condition caused by heterozygous missense variants within ZBTB20. Through an exome sequencing approach (as part of the Deciphering Developmental Disorders [DDD] study) we have identified five unrelated individuals with previously unreported, de novo ZBTB20 pathogenic missense variants. All five missense variants targeted the C2H2 zinc finger domains. This genotype-up approach has allowed further refinement of the Primrose syndrome phenotype. Major characteristics (>90% individuals) include an intellectual disability (most frequently in the moderate range), a recognizable facial appearance and brain MRI abnormalities, particularly abnormalities of the corpus callosum. Other frequent clinical associations (in 50-90% individuals) include sensorineural hearing loss (83%), hypotonia (78%), cryptorchidism in males (75%), macrocephaly (72%), behavioral issues (56%), and dysplastic/hypoplastic nails (57%). Based upon these clinical data we discuss our current management of patients with Primrose syndrome.
spellingShingle Cleaver, RJ
Berg, J
Craft, E
Foster, A
Gibbons, RJ
Hobson, E
Lachlan, K
Naik, S
Sampson, JR
Sharif, S
Smithson, S
Deciphering Developmental Disorders Study,
Parker, MJ
Tatton-Brown, K
Refining the Primrose syndrome phenotype: A study of five patients with ZBTB20 de novo variants and a review of the literature
title Refining the Primrose syndrome phenotype: A study of five patients with ZBTB20 de novo variants and a review of the literature
title_full Refining the Primrose syndrome phenotype: A study of five patients with ZBTB20 de novo variants and a review of the literature
title_fullStr Refining the Primrose syndrome phenotype: A study of five patients with ZBTB20 de novo variants and a review of the literature
title_full_unstemmed Refining the Primrose syndrome phenotype: A study of five patients with ZBTB20 de novo variants and a review of the literature
title_short Refining the Primrose syndrome phenotype: A study of five patients with ZBTB20 de novo variants and a review of the literature
title_sort refining the primrose syndrome phenotype a study of five patients with zbtb20 de novo variants and a review of the literature
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