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Brar BK, Thompson MG, Vora NL, Gilmore K, Blakemore K, Miller KA, Giordano J, Dufke A, Wong B, Stover S, Lianoglou B, Van den Veyver I, Dempsey E, Rosner M, Chong K, Chitayat D, Sparks TN, Norton ME, Wapner R, Baranano K, Jelin AC. Prenatal phenotyping of fetal tubulinopathies: A multicenter retrospective case series. Prenat Diagn 2022; 42:1686-1693. [PMID: 36403095 PMCID: PMC9805891 DOI: 10.1002/pd.6269] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2022] [Revised: 11/13/2022] [Accepted: 11/14/2022] [Indexed: 11/21/2022]
Abstract
OBJECTIVE Tubulinopathies refer to conditions caused by genetic variants in isotypes of tubulin resulting in defective neuronal migration. Historically, diagnosis was primarily via postnatal imaging. Our objective was to establish the prenatal phenotype/genotype correlations of tubulinopathies identified by fetal imaging. METHODS A large, multicenter retrospective case series was performed across nine institutions in the Fetal Sequencing Consortium. Demographics, fetal imaging reports, genetic screening and diagnostic testing results, delivery reports, and neonatal imaging reports were extracted for pregnancies with a confirmed molecular diagnosis of a tubulinopathy. RESULTS Nineteen pregnancies with a fetal tubulinopathy were identified. The most common prenatal imaging findings were cerebral ventriculomegaly (15/19), cerebellar hypoplasia (13/19), absence of the cavum septum pellucidum (6/19), abnormalities of the corpus callosum (6/19), and microcephaly (3/19). Fetal MRI identified additional central nervous system features that were not appreciated on neurosonogram in eight cases. Single gene variants were reported in TUBA1A (13), TUBB (1), TUBB2A (1), TUBB2B (2), and TUBB3 (2). CONCLUSION The presence of ventriculomegaly with cerebellar abnormalities in conjunction with additional prenatal neurosonographic findings warrants additional evaluation for a tubulinopathy. Conclusive diagnosis can be achieved by molecular sequencing, which may assist in coordination, prognostication, and reproductive planning.
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Affiliation(s)
- Bobby K Brar
- Department of Gynecology and Obstetrics, Division of Maternal-Fetal Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, USA
| | | | - Neeta L Vora
- Department of Obstetrics and Gynecology, Division of Maternal - Fetal Medicine, The University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA
| | - Kelly Gilmore
- Department of Obstetrics and Gynecology, Division of Maternal - Fetal Medicine, The University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA
| | - Karin Blakemore
- Department of Gynecology and Obstetrics, Division of Maternal-Fetal Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, USA
| | - Kristen A Miller
- Department of Gynecology and Obstetrics, Division of Maternal-Fetal Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, USA
| | - Jessica Giordano
- Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, New York, USA
| | - Andreas Dufke
- Institute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany
| | - Beatrix Wong
- Division of Human Genetics, Cincinnati Children's Hospital Center, Cincinnati, Ohio, USA
| | - Samantha Stover
- Department of Obstetrics and Gynecology, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | - Billie Lianoglou
- Department of Surgery, University of California, San Francisco, California, USA
| | - Ignatia Van den Veyver
- Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas, USA
| | - Esther Dempsey
- St George's University of London, Molecular and Clinical Sciences Research Institute, London, UK
| | - Mara Rosner
- Department of Gynecology and Obstetrics, Division of Maternal-Fetal Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, USA
| | - Karen Chong
- The Prenatal Diagnosis and Medical Genetics Program, Department of Obstetrics and Gynecology, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada
| | - David Chitayat
- The Prenatal Diagnosis and Medical Genetics Program, Department of Obstetrics and Gynecology, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada
| | - Teresa N Sparks
- Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, California, USA
| | - Mary E Norton
- Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, California, USA
| | - Ronald Wapner
- Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, New York, USA
| | - Kristin Baranano
- Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - Angie C Jelin
- Department of Gynecology and Obstetrics, Division of Maternal-Fetal Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, USA
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Cabet S, Vasiljevic A, Putoux A, Labalme A, Sanlaville D, Chatron N, Lesca G, Guibaud L. PRENATAL IMAGING FEATURES RELATED TO RAC3 PATHOGENIC VARIANT AND DIFFERENTIAL DIAGNOSES. Prenat Diagn 2022; 42:478-481. [PMID: 35106783 DOI: 10.1002/pd.6106] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Revised: 01/15/2022] [Accepted: 01/22/2022] [Indexed: 11/05/2022]
Abstract
This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved. What's already known about this topic? Six individuals between 5- and 19-year-old were reported with pathogenic variants in RAC3 responsible for brain malformations involving midline What does this study add? RAC3-fetopathy is associated with fetal akinesia deformation sequence, and complex brain malformations including corpus callosum agenesis, diencephalosynapsis, kinked brainstem, and vermian hypoplasia The differential diagnoses with prenatal kinked brainstem include fetopathies related to KIAA1109, L1CAM, Walker-Warburg syndrome and tubulinopathies. The present report adds the RAC3 related condition to this list.
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Affiliation(s)
- Sara Cabet
- Imagerie pédiatrique et fœtale, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Bron, France.,Institut NeuroMyoGène, CNRS UMR5292, INSERM U1028, Université Claude Bernard Lyon 1, Lyon, France
| | - Alexandre Vasiljevic
- Centre de pathologie et de neuropathologie Est, Groupement Hospitalier Est, Hospices Civils de Lyon, Bron, France.,Université Claude Bernard Lyon1, Lyon, France
| | - Audrey Putoux
- Service de génétique - Centre de Référence Anomalies du Développement, Groupement Hospitalier Est, Hospices Civils de Lyon, Bron, France.,Institut NeuroMyoGène, CNRS UMR5292, INSERM U1028, Université Claude Bernard Lyon 1, Lyon, France
| | - Audrey Labalme
- Service de cytogénétique, Groupement Hospitalier Est, Hospices Civils de Lyon, Bron, France
| | - Damien Sanlaville
- Service de cytogénétique, Groupement Hospitalier Est, Hospices Civils de Lyon, Bron, France.,Institut NeuroMyoGène, CNRS UMR5292, INSERM U1028, Université Claude Bernard Lyon 1, Lyon, France
| | - Nicolas Chatron
- Service de cytogénétique, Groupement Hospitalier Est, Hospices Civils de Lyon, Bron, France.,Institut NeuroMyoGène, CNRS UMR5292, INSERM U1028, Université Claude Bernard Lyon 1, Lyon, France
| | - Gaetan Lesca
- Service de cytogénétique, Groupement Hospitalier Est, Hospices Civils de Lyon, Bron, France.,Institut NeuroMyoGène, CNRS UMR5292, INSERM U1028, Université Claude Bernard Lyon 1, Lyon, France
| | - Laurent Guibaud
- Imagerie pédiatrique et fœtale, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Bron, France.,Université Claude Bernard Lyon1, Lyon, France
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Cabet S, Karl K, Garel C, Delius M, Hartung J, Lesca G, Chaoui R, Guibaud L. Two different prenatal imaging cerebral patterns of tubulinopathy. Ultrasound Obstet Gynecol 2021; 57:493-497. [PMID: 32149430 DOI: 10.1002/uog.22010] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/06/2020] [Revised: 02/05/2020] [Accepted: 02/19/2020] [Indexed: 06/10/2023]
Abstract
To illustrate the prenatal cerebral imaging features associated with tubulinopathy, we report on five affected fetuses from unrelated families, with a de-novo heterozygous variant in a tubulin gene (TUBA1A, TUBB2B or TUBB3). We identified two distinct prenatal imaging patterns related to tubulinopathy: a severe form, characterized by enlarged germinal matrices, microlissencephaly and a kinked brainstem; and a mild form which has not been reported previously in the prenatal literature. The latter form is associated with non-specific features, including an asymmetric brainstem, corpus callosal dysgenesis, a lack of Sylvian fissure operculization and distortion of the anterior part of the interhemispheric fissure with subsequent impacted medial borders of the frontal lobes, the combination of which, in the absence of additional extracerebral anomalies, is highly suggestive of tubulinopathy. Copyright © 2020 ISUOG. Published by John Wiley & Sons Ltd.
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Affiliation(s)
- S Cabet
- Imagerie Pédiatrique et Fœtale, Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, Lyon-Bron, France
- Service de Génétique, Groupement Hospitalier Est, Université Claude Bernard Lyon 1, Lyon-Bron, France
| | - K Karl
- Center for Prenatal Diagnosis Munich, Munich, Germany
- Department of Obstetrics and Gynecology, University Hospital, LMU Munich, Munich, Germany
| | - C Garel
- Department of Pediatric Imaging, Hôpital d'Enfants Armand-Trousseau APHP, Paris, France
| | - M Delius
- Department of Obstetrics and Gynecology, University Hospital, LMU Munich, Munich, Germany
| | - J Hartung
- Office of Prenatal Diagnosis, Berlin, Germany
| | - G Lesca
- Service de Génétique, Groupement Hospitalier Est, Université Claude Bernard Lyon 1, Lyon-Bron, France
| | - R Chaoui
- Center for Prenatal Diagnosis and Human Genetics, Berlin, Germany
| | - L Guibaud
- Imagerie Pédiatrique et Fœtale, Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, Lyon-Bron, France
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Kumar K, Bellad A, Prasad P, Girimaji SC, Muthusamy B. KIAA1109 gene mutation in surviving patients with Alkuraya-Kučinskas syndrome: a review of literature. BMC Med Genet 2020; 21:136. [PMID: 32590954 DOI: 10.1186/s12881-020-01074-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/02/2020] [Accepted: 06/19/2020] [Indexed: 12/16/2022]
Abstract
Background Alkuraya-Kučinskas syndrome is an autosomal recessive disorder characterized by brain abnormalities associated with cerebral parenchymal underdevelopment, arthrogryposis, club foot and global developmental delay. KIAA1109, a functionally uncharacterized gene is identified as the molecular cause for Alkuraya-Kučinskas syndrome. Most of the reported mutations in KIAA1109 gene result in premature termination of pregnancies or neonatal deaths while a few mutations have been reported in surviving patients with global developmental delay and intellectual disability. To our knowledge, only three surviving patients from two families have been reported with missense variants in KIAA1109. In this study, we describe four surviving patients from two related families (a multiplex family) with global developmental delay and mild to severe intellectual disability with no other systemic manifestations. There were no miscarriages or neonatal deaths reported in these families. Methods X-chromosome exome panel sequencing was carried out in one patient and whole exome sequencing was carried out on the remaining three affected individuals and the unaffected father of the index family. Data analysis was carried out followed by variant filtering and segregation analysis. Sanger sequencing was carried out to validate the segregation of mutation in all four affected siblings and unaffected parents from both families. Results A novel homozygous missense mutation in a conserved region of KIAA1109 protein was identified. Sanger sequencing confirmed the segregation of mutation in both families in an autosomal recessive fashion. Conclusion Our study is the second study reporting a KIAA1109 variant in surviving patients with Alkuraya-Kučinskas syndrome. Our study expands the spectrum of phenotypic features and mutations associated with Alkuraya-Kučinskas syndrome.
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