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Misceo D, Senaratne LDS, Mero IL, Sundaram AYM, Bjørnstad PM, Szczałuba K, Gasperowicz P, Kamien B, Nedregaard B, Holmgren A, Strømme P, Frengen E. Novel Loss of Function Variants in CENPF Including a Large Intragenic Deletion in Patients with Strømme Syndrome. Genes (Basel) 2023; 14:1985. [PMID: 38002928 PMCID: PMC10671177 DOI: 10.3390/genes14111985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Revised: 10/19/2023] [Accepted: 10/23/2023] [Indexed: 11/26/2023] Open
Abstract
Strømme syndrome is an ultra-rare primary ciliopathy with clinical variability. The syndrome is caused by bi-allelic variants in CENPF, a protein with key roles in both chromosomal segregation and ciliogenesis. We report three unrelated patients with Strømme syndrome and, using high-throughput sequencing approaches, we identified novel pathogenic variants in CENPF, including one structural variant, giving a genetic diagnosis to the patients. Patient 1 was a premature baby who died at 26 days with congenital malformations affecting many organs including the brain, eyes, and intestine. She was homozygous for a donor splice variant in CENPF, NM_016343.3:c.1068+1G>A, causing skipping of exon 7, resulting in a frameshift. Patient 2 was a female with intestinal atresia, microcephaly, and a Peters anomaly. She had normal developmental milestones at the age of 7 years. She is compound heterozygous for CENPF NM_016343.3:c.5920dup and c.8991del, both frameshift. Patient 3 was a male with anomalies of the brain, eye, intestine, and kidneys. He was compound heterozygous for CENPF p.(Glu298Ter), and a 5323 bp deletion covering exon 1. CENPF exon 1 is flanked by repetitive sequences that may represent a site of a recurrent structural variation, which should be a focus in patients with Strømme syndrome of unknown etiology.
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Affiliation(s)
- Doriana Misceo
- Department of Medical Genetics, Oslo University Hospital, 0450 Oslo, Norway; (D.M.); (L.D.S.S.); (I.-L.M.); (A.Y.M.S.); (A.H.)
- Faculty of Medicine, University of Oslo, 0450 Oslo, Norway;
| | - Lokuliyanage Dona Samudita Senaratne
- Department of Medical Genetics, Oslo University Hospital, 0450 Oslo, Norway; (D.M.); (L.D.S.S.); (I.-L.M.); (A.Y.M.S.); (A.H.)
- Faculty of Medicine, University of Oslo, 0450 Oslo, Norway;
| | - Inger-Lise Mero
- Department of Medical Genetics, Oslo University Hospital, 0450 Oslo, Norway; (D.M.); (L.D.S.S.); (I.-L.M.); (A.Y.M.S.); (A.H.)
| | - Arvind Y. M. Sundaram
- Department of Medical Genetics, Oslo University Hospital, 0450 Oslo, Norway; (D.M.); (L.D.S.S.); (I.-L.M.); (A.Y.M.S.); (A.H.)
- Faculty of Medicine, University of Oslo, 0450 Oslo, Norway;
| | - Pål Marius Bjørnstad
- Department of Medical Genetics, Oslo University Hospital, 0450 Oslo, Norway; (D.M.); (L.D.S.S.); (I.-L.M.); (A.Y.M.S.); (A.H.)
- Faculty of Medicine, University of Oslo, 0450 Oslo, Norway;
| | - Krzysztof Szczałuba
- Department of Medical Genetics, Medical University of Warsaw, Żwirki i Wigury 61, 02-091 Warszawa, Poland; (K.S.)
| | - Piotr Gasperowicz
- Department of Medical Genetics, Medical University of Warsaw, Żwirki i Wigury 61, 02-091 Warszawa, Poland; (K.S.)
| | - Benjamin Kamien
- Genetic Services of Western Australia, King Edward Memorial Hospital, 374 Bagot Rd, Subiaco, WA 6008, Australia;
| | - Bård Nedregaard
- Department of Radiology and Nuclear Medicine, Section of Neuroradiology, Oslo University Hospital, 0450 Oslo, Norway;
| | - Asbjørn Holmgren
- Department of Medical Genetics, Oslo University Hospital, 0450 Oslo, Norway; (D.M.); (L.D.S.S.); (I.-L.M.); (A.Y.M.S.); (A.H.)
- Faculty of Medicine, University of Oslo, 0450 Oslo, Norway;
| | - Petter Strømme
- Faculty of Medicine, University of Oslo, 0450 Oslo, Norway;
- Division of Pediatric and Adolescent Medicine, Oslo University Hospital, 0450 Oslo, Norway
| | - Eirik Frengen
- Department of Medical Genetics, Oslo University Hospital, 0450 Oslo, Norway; (D.M.); (L.D.S.S.); (I.-L.M.); (A.Y.M.S.); (A.H.)
- Faculty of Medicine, University of Oslo, 0450 Oslo, Norway;
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