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Rath, M; Spiegler, S; Strom, TM; Trenkler, J; Kroisel, PM; Felbor, U.
Identification of pathogenic YY1AP1 splice variants in siblings with Grange syndrome by whole exome sequencing.
Am J Med Genet A. 2019; 179(2):295-299 Doi: 10.1002/ajmg.a.60700 (- Case Report) [OPEN ACCESS]
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Co-Autor*innen der Med Uni Graz
Kroisel Peter
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Abstract:
Grange syndrome is an autosomal recessive condition characterized by arterial occlusions and hypertension. Syndactyly, brachydactyly, bone fragility, heart defects, and learning disabilities have also been reported. Loss-of-function variants in YY1AP1 have only recently been associated with Grange syndrome. YY1AP1 encodes for the transcription coactivator yin yang 1-associated protein 1 which regulates smooth muscle cell proliferation and differentiation. We here report on three siblings with steno-occlusive arterial disorder and syndactyly in two of them. Whole exome sequencing including near-splice regions led to the identification of two intronic YY1AP1 variants which were predicted to interfere with normal splicing. Sanger sequencing demonstrated compound-heterozygosity in all affected siblings. RT-PCR analyses confirmed skipping of exon 6 on one allele and exonization of 22 bp in intron 6 on the other. This is the first report of biallelic YY1AP1 variants in noncoding regions and just the second family with multiple affected siblings. Therefore, our report further delineates the phenotypic spectrum of Grange syndrome.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent - administration & dosage
Adult - administration & dosage
Arterial Occlusive Diseases - genetics, physiopathology
Bone and Bones - abnormalities, physiopathology
Brachydactyly - genetics, physiopathology
Cell Cycle Proteins - genetics
Child - administration & dosage
Female - administration & dosage
Genetic Predisposition to Disease - administration & dosage
Heart Defects, Congenital - genetics, physiopathology
Humans - administration & dosage
Hypertension - genetics, physiopathology
Male - administration & dosage
Middle Aged - administration & dosage
Pedigree - administration & dosage
Protein Isoforms - genetics
Syndactyly - genetics, physiopathology
Transcription Factors - genetics
Whole Exome Sequencing - administration & dosage

Find related publications in this database (Keywords)
Grange syndrome
splice variant
vascular disease
whole exome sequencing
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