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Vaisfeld A, Neri G. Simpson-Golabi-Behmel syndrome. AMERICAN JOURNAL OF MEDICAL GENETICS. PART C, SEMINARS IN MEDICAL GENETICS 2024:e32088. [PMID: 38766979 DOI: 10.1002/ajmg.c.32088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/04/2024] [Revised: 04/18/2024] [Accepted: 04/27/2024] [Indexed: 05/22/2024]
Abstract
The Simpson-Golabi-Behmel syndrome (SGBS; OMIM 312870) is an overgrowth/multiple congenital anomalies/dysplasia condition, inherited as an X-linked semi-dominant trait, with variable expressivity in males and reduced penetrance and expressivity in females. The clinical spectrum is broad, ranging from mild manifestations in both males and females to multiple malformations and neonatal death in the more severely affected cases. An increased risk of neoplasia is reported, requiring periodical surveillance. Intellectual development is normal in most cases. SGBS is caused by a loss-of-function mutation of the GPC3 gene, either deletions or point mutations, distributed all over the gene. Notably, GPC3 deletion/point mutations are not found in a significant proportion of clinically diagnosed SGBS cases. The protein product GPC3 is a glypican functioning as a receptor for Hh at the cell surface, involved in the Hh-Ptc-Smo signaling pathway, a regulator of cellular growth.
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Affiliation(s)
- Alessandro Vaisfeld
- Medical Genetics Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy
- Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy
| | - Giovanni Neri
- Institute of Genomic Medicine, Catholic University School of Medicine, Rome, Italy
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Peng HH, Yu CJ, Chen YC, Hsu CC, Chang SD, Chueh HY, Chang YL, Cheng PJ, Lee YC. Prenatal diagnosis of Simpson-Golabi-Behmel syndrome type 1 with an 814 kb Xq26.2 deletion with the initial presentation of a thick nuchal fold. Taiwan J Obstet Gynecol 2023; 62:163-166. [PMID: 36720533 DOI: 10.1016/j.tjog.2022.06.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/16/2022] [Indexed: 01/30/2023] Open
Abstract
OBJECTIVE Simpson-Golabi-Behmel syndrome type 1 (SGBS1) is a rare X-linked recessive disorder characterized by overgrowth and multiple anomalies. Most clinical diagnoses of SGBS1 are made postnatally. We present the case of a pregnant woman in whom the fetus presented with a thick nuchal fold 5.6 mm at 15 weeks of gestation, leading to the prenatal diagnosis of SGBS1 with Xq26.2 (133408101-134221889) deletion. CASE REPORT We report the case of a 34-year-old pregnant woman with the initial presentation of fetal thick nuchal fold 5.6 mm at 15 weeks of gestation. Amniocentesis of the fetal karyotype revealed a normal 46, XY, and single nucleotide polymorphism array showed Xq26.2 (133408101-134221889) deletion. Prenatal ultrasound at 21 weeks of gestation revealed a thick nuchal fold, hepatomegaly, nephromegaly, congenital diaphragmatic hernia, hypospadias, and polyhydramnios. Fetal magnetic resonance imaging revealed hepatomegaly, nephromegaly, congenital diaphragmatic hernia, and right lung hypoplasia. The woman had her pregnancy terminated at 24 weeks of gestation. The proband had a general appearance of low-set ears, hypertelorism, a large tongue, and hypospadias and some unique findings on autopsy, including hepatomegaly, right hiatal hernia, liver extensive extramedullary hematopoiesis, kidney marked congestion, and focal hemorrhage. DISCUSSION The main prenatal ultrasound findings that alert clinical doctors about the possible diagnosis of SGBS1 included macrosomia, polyhydramnios, organomegaly, renal malformations, congenital diaphragmatic hernia, and cardiac anomalies. Our case underscores the importance of fetal karyotyping combined with single nucleotide polymorphism array when a thick nuchal fold is found. Genetic counseling is essential in SGBS1, and prenatal testing or preimplantation testing for subsequent pregnancies is necessary to identify possible pathogenic variants.
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Affiliation(s)
- Hsiu-Huei Peng
- Chang Gung Memorial Hospital, Lin-ko Medical Center, Tao-Yuan, Taiwan
| | - Chung Jen Yu
- Hungchi Women and Children's Hospital, Tao-Yuan, Taiwan
| | - Yi Chi Chen
- Chang Gung Memorial Hospital, Lin-ko Medical Center, Tao-Yuan, Taiwan
| | - Chin-Chieh Hsu
- Chang Gung Memorial Hospital, Lin-ko Medical Center, Tao-Yuan, Taiwan
| | - Shuenn-Dyh Chang
- Chang Gung Memorial Hospital, Lin-ko Medical Center, Tao-Yuan, Taiwan
| | - Ho-Yen Chueh
- Chang Gung Memorial Hospital, Lin-ko Medical Center, Tao-Yuan, Taiwan
| | - Yao-Lung Chang
- Chang Gung Memorial Hospital, Lin-ko Medical Center, Tao-Yuan, Taiwan
| | - Po-Jen Cheng
- Chang Gung Memorial Hospital, Lin-ko Medical Center, Tao-Yuan, Taiwan
| | - Yen-Chang Lee
- Chang Gung Memorial Hospital, Lin-ko Medical Center, Tao-Yuan, Taiwan.
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Fiandrino G, Arossa A, Ghirardello S, Kalantari S, Rossi C, Bonasoni MP, Cesari S, Rizzuti T, Giorgio E, Bassanese F, Scatigno AL, Meroni A, Melito C, Feltri M, Longo S, Figar TA, Andorno A, Gelli MC, Bertozzi M, Spinillo A, Riccipetitoni G, Valente EM, Paulli M, Sirchia F. SIMPSON-GOLABI-BEHMEL syndrome type 1: How placental immunohistochemistry can rapidly Predict the diagnosis. Placenta 2022; 126:119-124. [DOI: 10.1016/j.placenta.2022.06.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Revised: 05/30/2022] [Accepted: 06/26/2022] [Indexed: 10/17/2022]
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Simpson-Golabi-Behmel syndrome in one of the Dichorionic-diamniotic twin: a case report and literature review. BMC Pregnancy Childbirth 2022; 22:42. [PMID: 35038998 PMCID: PMC8762945 DOI: 10.1186/s12884-021-04309-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2021] [Accepted: 11/30/2021] [Indexed: 11/10/2022] Open
Abstract
Background Simpson-Golabi-Behmel syndrome (SGBS) is a rare X-linked overgrowth syndrome. The main clinical manifestations are overgrowth and multiple malformations. Case presentation A 38-year-old Chinese woman was pregnant with dichorionic-diamniotic (DCDA) twins after in-vitro fertilization. Series of ultrasound examinations indicated that the measurements (abdominal circumference and estimated foetal weight) of one twin were significantly greater than those of the other one. The genetic testing results of the larger baby indicated of Simpson-Golabi-Behmel syndrome. Conclusion SGBS is difficult to diagnose due to different clinical manifestations. Clinicians need to be more aware of typical SGBS’s clinical findings and choose genetic testing methods individually to improve its prenatal diagnosis.
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Lan LB, Li DZ. Idiopathic polyhydramnios and foetal macrosomia in the absence of maternal diabetes: clinical vigilance for costello syndrome. J OBSTET GYNAECOL 2021; 42:704-706. [PMID: 34689704 DOI: 10.1080/01443615.2021.1959533] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Liu-Bing Lan
- Department of Obstetrics, Meizhou People's Hospital (Huangtang Hospital), Meizhou Hospital Affiliated to Sun Yat-sen University, Meizhou, China
| | - Dong-Zhi Li
- Prenatal Diagnostic Center, Guangzhou Women and Children's Medical Center affiliated to Guangzhou Medical University, Guangzhou, China
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Liu J, Liu Q, Yang S, Ma N, Pang J, Peng Y, Xi H, Jia Z, Luo Y, Jiang M, Teng Y, Yu W, Li Z, Wang H. Prenatal case of Simpson-Golabi-Behmel syndrome with a de novo 370Kb-sized microdeletion of Xq26.2 compassing partial GPC3 gene and review. Mol Genet Genomic Med 2021; 9:e1750. [PMID: 34293831 PMCID: PMC8404223 DOI: 10.1002/mgg3.1750] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Revised: 06/12/2021] [Accepted: 07/01/2021] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Simpson-Golabi-Behmel syndrome type 1 (SGBS1) is a rare X-linked recessive disorder characterized by pre- and postnatal overgrowth and a broad spectrum of anomalies including craniofacial dysmorphism, heart defects, renal, and genital anomalies. Due to the ultrasound findings are not pathognomonic for this syndrome, most clinical diagnosis of SGBS1 are made postnatally. METHODS A pregnant woman with abnormal prenatal sonographic findings was advised to perform molecular diagnosis. Single nucleotide polymorphism array (SNP array) was performed in the fetus, and the result was validated with multiplex ligation-dependent probe amplification (MLPA) and real-time quantitative PCR (qPCR). RESULTS The prenatal sonographic presented with increased nuchal translucency at 13 gestational weeks, and later at 21 weeks with cleft lip and palate, heart defect, increased amniotic fluid index and over growth. A de novo 370Kb-deletion covering the 5'-UTR and exon 1 of GPC3 gene was detected in the fetus by SNP array, which was subsequently confirmed by MLPA and qPCR. CONCLUSION The de novo 370Kb hemizygous deletion of 5'-UTR and exon 1 of GPC3 results in the SGBS1 of this Chinese family. Combination of ultrasound and genetics tests helped us effectively to diagnose the prenatal cases of SGBS1. Our findings also enlarge the spectrum of mutations in GPC3 gene.
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Affiliation(s)
- Jing Liu
- Department of Medical Genetics, Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China.,National Health Commission Key Laboratory of Birth Defects Research, Prevention and Treatment, Changsha, Hunan, China
| | - Qin Liu
- Department of Medical Genetics, Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China
| | - Shuting Yang
- Department of Medical Genetics, Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China
| | - Na Ma
- Department of Medical Genetics, Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China
| | - Jialun Pang
- Department of Medical Genetics, Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China
| | - Ying Peng
- Department of Medical Genetics, Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China.,National Health Commission Key Laboratory of Birth Defects Research, Prevention and Treatment, Changsha, Hunan, China
| | - Hui Xi
- Department of Medical Genetics, Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China.,National Health Commission Key Laboratory of Birth Defects Research, Prevention and Treatment, Changsha, Hunan, China
| | - Zhengjun Jia
- Department of Medical Genetics, Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China
| | - Yingchun Luo
- Department of Medical Genetics, Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China.,National Health Commission Key Laboratory of Birth Defects Research, Prevention and Treatment, Changsha, Hunan, China
| | - Meiping Jiang
- Department of Medical Genetics, Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China
| | - Yanling Teng
- Hunan Jiahui Genetics Hospital, Changsha, Hunan, China
| | - Wenxian Yu
- Department of Medical Genetics, Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China
| | - Zhuo Li
- Center for Medical Genetics & Hunan Key Laboratory of Medical Genetics & Hunan Key Laboratory of Animal Models for Human Diseases, School of Life Sciences, Central South University, Changsha, Hunan, China
| | - Hua Wang
- Department of Medical Genetics, Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China.,National Health Commission Key Laboratory of Birth Defects Research, Prevention and Treatment, Changsha, Hunan, China
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Application of next-generation sequencing for the diagnosis of fetuses with congenital heart defects. Curr Opin Obstet Gynecol 2020; 31:132-138. [PMID: 30608255 DOI: 10.1097/gco.0000000000000520] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
PURPOSE OF REVIEW Congenital heart defects (CHDs) are the most common type of birth defects, and are thought to result from genetic-environmental interactions. Currently, karyotype and chromosomal microarray analyses are the primary methods used to detect chromosomal abnormalities and copy number variations in fetuses with CHD. Recently, with the introduction of next-generation sequencing (NGS) in prenatal diagnosis, gene mutations have been identified in cases of CHD. The purpose of this review is to summarize current studies about the genetic cause of fetal CHD, paying particular attention to the application of NGS for fetuses with CHD. RECENT FINDINGS In addition to chromosomal abnormalities, gene mutations are an important genetic cause of fetal CHD. Furthermore, incidences of pathogenic mutations in fetuses with CHD are associated with the presence of other structural anomalies, but are irrelevant to the categories of CHD. SUMMARY Gene mutations are important causes of fetal CHD and NGS should be applied to all fetuses with normal karyotype and copy number variations, regardless of whether the CHD is isolated or syndromic.
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Xiang J, Zhang Q, Song X, Liu Y, Li H, Li H, Wang T. Whole exome sequencing aids the diagnosis of Simpson-Golabi-Behmel syndrome in two male fetuses. J Int Med Res 2019; 48:300060519859752. [PMID: 31304847 PMCID: PMC7140209 DOI: 10.1177/0300060519859752] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
Objective To diagnose and explore the genetic aetiology of Simpson–Golabi–Behmel
syndrome type 1 (SGBS1) in two male fetuses. Methods Prenatal ultrasound scans and further genetic analysis using karyotype
analysis, chromosomal microarray analysis, whole exome sequencing (WES) and
Sanger sequencing were conducted. Results Prenatal ultrasound scans of two fetuses showed multiple congenital anomalies
and hydramnios. Subsequent to termination of the pregnancies, a novel
nonsense variant (c.892G>T, p.E298*) in the glypican 3
(GPC3) gene of the two fetuses was identified by WES
and further confirmed by Sanger sequencing. The two fetuses were diagnosed
with SGBS1. The mother was heterozygous for the c.892G>T variant. Conclusion This study describes the prenatal sonographic features of SGBS1, emphasizes
the role of WES in the diagnosis of SGBS1 and expands the known mutation
spectrum of the GPC3 gene.
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Affiliation(s)
- Jingjing Xiang
- Centre for Reproduction and Genetics, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, Jiangsu Province, China.,Centre for Reproduction and Genetics, Suzhou Municipal Hospital, Suzhou, Jiangsu Province, China
| | - Qin Zhang
- Centre for Reproduction and Genetics, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, Jiangsu Province, China.,Centre for Reproduction and Genetics, Suzhou Municipal Hospital, Suzhou, Jiangsu Province, China
| | - Xiaoyan Song
- Centre for Reproduction and Genetics, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, Jiangsu Province, China.,Centre for Reproduction and Genetics, Suzhou Municipal Hospital, Suzhou, Jiangsu Province, China
| | - Yinghua Liu
- Centre for Reproduction and Genetics, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, Jiangsu Province, China.,Centre for Reproduction and Genetics, Suzhou Municipal Hospital, Suzhou, Jiangsu Province, China
| | - Haibo Li
- Centre for Reproduction and Genetics, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, Jiangsu Province, China.,Centre for Reproduction and Genetics, Suzhou Municipal Hospital, Suzhou, Jiangsu Province, China
| | - Hong Li
- Centre for Reproduction and Genetics, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, Jiangsu Province, China.,Centre for Reproduction and Genetics, Suzhou Municipal Hospital, Suzhou, Jiangsu Province, China
| | - Ting Wang
- Centre for Reproduction and Genetics, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, Jiangsu Province, China.,Centre for Reproduction and Genetics, Suzhou Municipal Hospital, Suzhou, Jiangsu Province, China
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Ridnõi K, Kurvinen E, Pajusalu S, Reimand T, Õunap K. Two Consecutive Pregnancies with Simpson-Golabi-Behmel Syndrome Type 1: Case Report and Review of Published Prenatal Cases. Mol Syndromol 2018; 9:205-213. [PMID: 30158844 DOI: 10.1159/000490083] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/24/2018] [Indexed: 11/19/2022] Open
Abstract
Fetal overgrowth and numerous congenital malformations can be detected in every trimester of pregnancy. New technologies in molecular testing, such as chromosomal microarray analysis and next-generation sequencing, continually demonstrate advantages for definitive diagnosis in fetal life. Simpson-Golabi-Behmel (SGB) syndrome is a rare but well-known overgrowth condition that is rarely diagnosed in the prenatal setting. We report 3 cases of SGB syndrome in 2 consecutive pregnancies. In our series, distinctive prenatal sonographic findings led to molecular diagnosis. Exome sequencing from fetal DNA revealed a hemizygous splice site variant in the GPC3 gene: NM_004484.3:c.1166+ 1G>T. The mother is a heterozygous carrier. We also provide an overview of the previously published 57 prenatal cases of SGB syndrome with prevalence estimation of the symptoms to aid prenatal differential diagnosis of fetal overgrowth syndromes.
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Affiliation(s)
- Konstantin Ridnõi
- Center for Perinatal Care, Women's Clinic, East-Tallinn Central Hospital, Tallinn.,Department of Clinical Genetics, Institute of Clinical Medicine
| | - Elvira Kurvinen
- Department of Clinical Genetics, United Laboratories, Tartu University Hospital, Tartu, Estonia
| | - Sander Pajusalu
- Department of Clinical Genetics, Institute of Clinical Medicine.,Department of Clinical Genetics, United Laboratories, Tartu University Hospital, Tartu, Estonia
| | - Tiia Reimand
- Department of Clinical Genetics, Institute of Clinical Medicine.,Department of Biomedicine, Institute of Biomedicine and Translational Medicine, University of Tartu.,Department of Clinical Genetics, United Laboratories, Tartu University Hospital, Tartu, Estonia
| | - Katrin Õunap
- Department of Clinical Genetics, Institute of Clinical Medicine.,Department of Clinical Genetics, United Laboratories, Tartu University Hospital, Tartu, Estonia
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Vuillaume ML, Moizard MP, Rossignol S, Cottereau E, Vonwill S, Alessandri JL, Busa T, Colin E, Gérard M, Giuliano F, Lambert L, Lefevre M, Kotecha U, Nampoothiri S, Netchine I, Raynaud M, Brioude F, Toutain A. Mutation update for the GPC3 gene involved in Simpson-Golabi-Behmel syndrome and review of the literature. Hum Mutat 2018; 39:790-805. [PMID: 29637653 DOI: 10.1002/humu.23428] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2018] [Revised: 03/22/2018] [Accepted: 04/02/2018] [Indexed: 11/08/2022]
Abstract
Simpson-Golabi-Behmel syndrome (SGBS) is an X-linked multiple congenital anomalies and overgrowth syndrome caused by a defect in the glypican-3 gene (GPC3). Until now, GPC3 mutations have been reported in isolated cases or small series and the global genotypic spectrum of these mutations has never been delineated. In this study, we review the 57 previously described GPC3 mutations and significantly expand this mutational spectrum with the description of 29 novel mutations. Compiling our data and those of the literature, we provide an overview of 86 distinct GPC3 mutations identified in 120 unrelated families, ranging from single nucleotide variations to complex genomic rearrangements and dispersed throughout the entire coding region of GPC3. The vast majority of them are deletions or truncating mutations (frameshift, nonsense mutations) predicted to result in a loss-of-function. Missense mutations are rare and the two which were functionally characterized, impaired GPC3 function by preventing GPC3 cleavage and cell surface addressing respectively. This report by describing for the first time the wide mutational spectrum of GPC3 could help clinicians and geneticists in interpreting GPC3 variants identified incidentally by high-throughput sequencing technologies and also reinforces the need for functional validation of non-truncating mutations (missense, in frame mutations, duplications).
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Affiliation(s)
- Marie-Laure Vuillaume
- Service de Génétique, CHU de Tours, Hôpital Bretonneau, Tours, France.,INSERM UMR_U930, Faculté de Médecine, Université de Tours, Tours, France
| | - Marie-Pierre Moizard
- Service de Génétique, CHU de Tours, Hôpital Bretonneau, Tours, France.,INSERM UMR_U930, Faculté de Médecine, Université de Tours, Tours, France
| | - Sylvie Rossignol
- Unité d'explorations fonctionnelles endocriniennes, CHU Paris Est, Hôpital d'Enfants Armand-Trousseau, Paris, France.,Service de génétique médicale, CHU de Strasbourg, Hôpital de Hautepierre, Strasbourg, France
| | - Edouard Cottereau
- Service de Génétique, CHU de Tours, Hôpital Bretonneau, Tours, France
| | - Sandrine Vonwill
- Service de Génétique, CHU de Tours, Hôpital Bretonneau, Tours, France.,INSERM UMR_U930, Faculté de Médecine, Université de Tours, Tours, France
| | | | - Tiffany Busa
- Unité de Génétique Clinique, Département de génétique médicale, Hôpital de la Timone, CHU de Marseille, Marseille, France
| | - Estelle Colin
- Département de biochimie et génétique, CHU d'Angers, Angers, France
| | - Marion Gérard
- Service de génétique, CHU de Caen, Hôpital Clémenceau, Avenue Georges Clémenceau, Caen, France
| | - Fabienne Giuliano
- Service de génétique médicale, CHU de Nice, Hôpital l'Archet 2, Nice, France
| | - Laetitia Lambert
- Service de Génétique Clinique, Hôpital d'Enfants, CHU de Nancy, Rue du Morvan, Vandoeuvre-Lès-Nancy, France
| | - Mathilde Lefevre
- Centre de génétique, Hôpital d'enfants, CHU Dijon Bourgogne, Dijon, France
| | - Udhaya Kotecha
- Center of Medical Genetics, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, India
| | - Sheela Nampoothiri
- Department of Pediatric Genetics, Amrita Institute of Medical Sciences and Research Center, AIMS Poneakara P O, Cochin, Kerala, India
| | - Irène Netchine
- Unité d'explorations fonctionnelles endocriniennes, CHU Paris Est, Hôpital d'Enfants Armand-Trousseau, Paris, France
| | - Martine Raynaud
- Service de Génétique, CHU de Tours, Hôpital Bretonneau, Tours, France.,INSERM UMR_U930, Faculté de Médecine, Université de Tours, Tours, France
| | - Frédéric Brioude
- Unité d'explorations fonctionnelles endocriniennes, CHU Paris Est, Hôpital d'Enfants Armand-Trousseau, Paris, France
| | - Annick Toutain
- Service de Génétique, CHU de Tours, Hôpital Bretonneau, Tours, France.,INSERM UMR_U930, Faculté de Médecine, Université de Tours, Tours, France
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Chong K, Saleh M, Injeyan M, Miron I, Fong K, Shannon P. Nonisolated diaphragmatic hernia in Simpson-Golabi-Behmel syndrome. Prenat Diagn 2018; 38:117-122. [PMID: 29240237 DOI: 10.1002/pd.5198] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2017] [Revised: 11/01/2017] [Accepted: 12/09/2017] [Indexed: 11/11/2022]
Abstract
OBJECTIVE Congenital diaphragmatic hernia (CDH) is associated with Simpson-Golabi-Behmel syndrome (SGBS), but few cases diagnosed prenatally have been reported. The aim of this series is to highlight the association of nonisolated CDH with SGBS type I on prenatal ultrasound and emphasize the importance of genetic testing, fetal autopsy, and family history in confirming this diagnosis. METHOD Retrospective review of 3 cases of SGBS type I in a single tertiary care centre. Family history, fetal ultrasound, autopsy findings, and genetic testing for GPC3 was performed for each case. RESULTS Fetal ultrasound findings in the second trimester were CDH, omphalocele, increased nuchal fold, renal anomaly, and cleft lip and palate. Fetal autopsy confirmed the prenatal ultrasound findings and also showed dysmorphic facial features and premalignant lesions on renal and gonadal histology. Microarray and DNA analysis of the GPC3 gene confirmed the diagnosis of SGBS type I in each case. CONCLUSION Nonisolated CDH in a male fetus suggests a diagnosis of SGBS type I. Fetal autopsy, pedigree analysis, and genetic testing for GPC3 are all essential to confirming the diagnosis. The histological findings of ovotestes and nephroblastomatosis indicate that cancer predisposition is established early in fetal life.
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Affiliation(s)
- Karen Chong
- Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, Toronto, ON, Canada.,Division of Clinical and Metabolic Genetics, The Hospital for Sick Children, Toronto, ON, Canada.,University of Toronto, Toronto, ON, Canada
| | - Maha Saleh
- Division of Clinical and Metabolic Genetics, The Hospital for Sick Children, Toronto, ON, Canada.,University of Toronto, Toronto, ON, Canada
| | - Marie Injeyan
- Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, Toronto, ON, Canada.,University of Toronto, Toronto, ON, Canada
| | - Ioana Miron
- Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, Toronto, ON, Canada.,University of Toronto, Toronto, ON, Canada
| | - Katherine Fong
- Department of Medical Imaging, Mount Sinai Hospital, Toronto, ON, Canada.,University of Toronto, Toronto, ON, Canada
| | - Patrick Shannon
- Department of Laboratory Medicine, Mount Sinai Hospital, Toronto, ON, Canada.,University of Toronto, Toronto, ON, Canada
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Zimmermann N, Stanek J. Perinatal Case of Fatal Simpson-Golabi-Behmel Syndrome with Hyperplasia of Seminiferous Tubules. AMERICAN JOURNAL OF CASE REPORTS 2017; 18:649-655. [PMID: 28600484 PMCID: PMC5478221 DOI: 10.12659/ajcr.903964] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Patient: Male, newborn Final Diagnosis: Simpson-Golabi-Behmel syndrome Symptoms: Dyspnea Medication: — Clinical Procedure: — Specialty: Pediatrics and Neonatology
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Affiliation(s)
- Nives Zimmermann
- Department of Pathology, University of Cincinnati, College of Medicine, Cincinnati, OH, USA.,Division of Allergy and Immunology, Cincinnati Children's Hospital, Cincinnati, OH, USA
| | - Jerzy Stanek
- Department of Pathology, University of Cincinnati, College of Medicine, Cincinnati, OH, USA.,Division of Pathology, Cincinnati Children's Hospital, Cincinnati, OH, USA
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13
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Westerfield LE, Braxton AA, Walkiewicz M. Prenatal Diagnostic Exome Sequencing: a Review. CURRENT GENETIC MEDICINE REPORTS 2017. [DOI: 10.1007/s40142-017-0120-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Støve HK, Becher N, Gjørup V, Ramsing M, Vogel I, Vestergaard EM. First reported case of Simpson-Golabi-Behmel syndrome in a female fetus diagnosed prenatally with chromosomal microarray. Clin Case Rep 2017; 5:608-612. [PMID: 28469860 PMCID: PMC5412752 DOI: 10.1002/ccr3.902] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2016] [Revised: 01/09/2017] [Accepted: 02/13/2017] [Indexed: 12/28/2022] Open
Abstract
Simpson–Golabi–Behmel syndrome (SGBS) is a rare X‐linked syndrome. Female carriers may have mild manifestations. Macrosomia, polyhydramnios, and kidney and urinary tract anomalies are common findings in male fetuses. We present the first case of a severely affected female fetus with stigmata of SGBS and a deletion involving the GPC3 gene.
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Affiliation(s)
| | - Naja Becher
- Department of Clinical Genetics Aarhus University Hospital Aarhus Denmark
| | - Vibike Gjørup
- Department of Gynecology and Obstetrics Aarhus University Hospital Aarhus Denmark
| | - Mette Ramsing
- Department of Clinical Genetics Aarhus University Hospital Aarhus Denmark.,Department of Pathology Aarhus University Hospital Aarhus Denmark
| | - Ida Vogel
- Department of Clinical Genetics Aarhus University Hospital Aarhus Denmark
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