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Baga M, Ivanovski I, Contrò G, Caraffi SG, Spagnoli C, Cesaroni CA, Neri A, Peluso F, Pollazzon M, Garavelli L, Fusco C. Novel Insights from Clinical Practice: Xia-Gibbs Syndrome with Pes Cavus, Conjunctival Melanosis, and Eye Asymmetry due to a de novo AHDC1 Gene Variant - A Case Report and a Brief Review of the Literature. Mol Syndromol 2024; 15:63-70. [PMID: 38357260 PMCID: PMC10862326 DOI: 10.1159/000530410] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Accepted: 03/06/2023] [Indexed: 02/16/2024] Open
Abstract
Introduction Xia-Gibbs syndrome (OMIM 615829) is a rare developmental disorder, caused by heterozygous de novo variants in the AHDC1 gene. Hallmark features include global developmental delay, facial dysmorphisms, and behavioral problems. To date, more than 250 individuals have been diagnosed worldwide. Case Report We report a 13-year-old female who, in association with typical features of Xia-Gibbs syndrome, presented with macrocrania, pes cavus, and conjunctival melanosis. Whole-exome sequencing identified a de novo frameshift variant, which had not been reported in the literature before. Conclusion We summarized the main clinical and phenotypic features of patients described in the literature, and in addition, we discuss another feature found in our patient and observed in other cases described, eye asymmetry, which has never been highlighted, and suggest that it could be part of the typical clinical presentation of this condition.
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Affiliation(s)
- Margherita Baga
- Neuropsychiatric Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Ivan Ivanovski
- Medical Genetics Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Gianluca Contrò
- Medical Genetics Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | | | - Carlotta Spagnoli
- Neuropsychiatric Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | | | - Alberto Neri
- Ophthalmology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Francesca Peluso
- Medical Genetics Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Marzia Pollazzon
- Medical Genetics Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Livia Garavelli
- Medical Genetics Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Carlo Fusco
- Neuropsychiatric Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
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Cesaroni CA, Spagnoli C, Baga M, Rizzi S, Frattini D, Caraffi SG, Pollazzon M, Garavelli L, Fusco C. Expanding Phenotype of SYT1-Related Neurodevelopmental Disorder: Case Report and Literature Review. Mol Syndromol 2023; 14:493-497. [PMID: 38058756 PMCID: PMC10697692 DOI: 10.1159/000530586] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2022] [Accepted: 03/28/2023] [Indexed: 12/08/2023] Open
Abstract
Introduction Synaptotagmin 1 (SYT1), the predominant SYT isoform in the central nervous system, likely acts by promoting vesicle docking, deforming the plasma membrane via Ca2+-dependent membrane penetration. Case Presentation Here, we describe a 21-year-old woman harboring a novel variant in the SYT1 gene, who presents with a complex phenotype, featuring severe intellectual disability, absent speech, behavioral abnormalities, motor stereotypies, dystonic posturing of her hands, a hyperkinetic movement disorder in her childhood, infantile hypotonia, sialorrhea, mild dysmorphic features, epilepsy, peculiar EEG findings, and severe scoliosis. Discussion Based on our case and literature review on the 22 previously described patients, we can confirm a complex neurodevelopmental disorder in which, unlike other synaptopathies, epilepsy is present in a subset of cases (including our patient: 5/23, 22%), although characteristic EEG changes are far more common (10/23, 43.5%). Our patient's age allows us to provide long-term follow-up data and thus better delineate the SYT1-related clinical phenotype.
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Affiliation(s)
- Carlo Alberto Cesaroni
- Dipartimento Materno-Infantile, Struttura Complessa di Neuropsichiatria Infantile, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
- IRCCS Istituto delle Scienze Neurologiche di Bologna, U.O.C. Neuropsichiatria dell’età pediatrica, Bologna, Italy
| | - Carlotta Spagnoli
- Dipartimento Materno-Infantile, Struttura Complessa di Neuropsichiatria Infantile, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Margherita Baga
- Dipartimento Materno-Infantile, Struttura Complessa di Neuropsichiatria Infantile, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Susanna Rizzi
- Dipartimento Materno-Infantile, Struttura Complessa di Neuropsichiatria Infantile, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Daniele Frattini
- Dipartimento Materno-Infantile, Struttura Complessa di Neuropsichiatria Infantile, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Stefano Giuseppe Caraffi
- Dipartimento Materno-Infantile, Struttura Complessa di Genetica Medica, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Marzia Pollazzon
- Dipartimento Materno-Infantile, Struttura Complessa di Genetica Medica, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Livia Garavelli
- Dipartimento Materno-Infantile, Struttura Complessa di Genetica Medica, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Carlo Fusco
- Dipartimento Materno-Infantile, Struttura Complessa di Neuropsichiatria Infantile, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
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Baga M, Rizzi S, Spagnoli C, Frattini D, Pisani F, Fusco C. A Novel Family with Demyelinating Charcot-Marie-Tooth Disease Caused by a Mutation in the PMP2 Gene: A Case Series of Nine Patients and a Brief Review of the Literature. Children (Basel) 2023; 10:children10050901. [PMID: 37238449 DOI: 10.3390/children10050901] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Revised: 04/27/2023] [Accepted: 05/17/2023] [Indexed: 05/28/2023]
Abstract
INTRODUCTION Charcot-Marie-Tooth (CMT) is a group of inherited peripheral neuropathies characterized by wide genotypic and phenotypic variability. The onset is typically in childhood, and the most frequent clinical manifestations are predominantly distal muscle weakness, hypoesthesia, foot deformity (pes cavus) and areflexia. In the long term, complications such as muscle-tendon retractions, extremity deformities, muscle atrophy and pain may occur. Among CMT1, demyelinating and autosomal dominant forms, CMT1G is determined by mutations in the PMP2 myelin protein. RESULTS Starting from the index case, we performed a clinical, electrophysiological, neuroradiological and genetic evaluation of all family members for three generations; we identified p.Ile50del in PMP2 in all the nine affected members. They presented a typical clinical phenotype, with childhood-onset variable severity between generations and a chronic demyelinating sensory-motor polyneuropathy on the electrophysiologic examination; the progression was slow to very slow and predominant in the lower limbs. Our study reports a relatively large sample of patients, members of the same family, with CMT1G by PMP2, which is a rare form of demyelinating CMT, highlighting the genetic variability of the CMT family instead of the overlapping clinical phenotypes within demyelinating forms. To date, only supportive and preventive measures for the most severe complications are available; therefore, we believe that early diagnosis (clinical, electrophysiological and genetic) allows access to specialist follow-up and therapies, thereby improving the quality of life of patients.
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Affiliation(s)
- Margherita Baga
- Child Neurology and Psychiatry Unit, Department of Pediatrics, AUSL-IRCCS di Reggio Emilia, 42100 Reggio Emilia, Italy
| | - Susanna Rizzi
- Child Neurology and Psychiatry Unit, Department of Pediatrics, AUSL-IRCCS di Reggio Emilia, 42100 Reggio Emilia, Italy
| | - Carlotta Spagnoli
- Child Neurology and Psychiatry Unit, Department of Pediatrics, AUSL-IRCCS di Reggio Emilia, 42100 Reggio Emilia, Italy
| | - Daniele Frattini
- Child Neurology and Psychiatry Unit, Department of Pediatrics, AUSL-IRCCS di Reggio Emilia, 42100 Reggio Emilia, Italy
| | - Francesco Pisani
- Child Neuropsychiatric Unit, Human Neuroscience Department, Sapienza University of Rome, 00100 Rome, Italy
| | - Carlo Fusco
- Child Neurology and Psychiatry Unit, Department of Pediatrics, AUSL-IRCCS di Reggio Emilia, 42100 Reggio Emilia, Italy
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Frongia I, Rizzi S, Baga M, Ceteroni LM, Spagnoli C, Salerno GG, Frattini D, Kaare M, Pisani F, Fusco C. Infantile-Onset Charcot-Marie-Tooth Disease With Pyramidal Features and White Matter Abnormalities Due to a De novo MORC2 Gene Variant: A Case Report and Brief Review of the Literature. Front Neurol 2021; 12:718808. [PMID: 34630290 PMCID: PMC8493287 DOI: 10.3389/fneur.2021.718808] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Accepted: 08/19/2021] [Indexed: 12/02/2022] Open
Abstract
Background: Charcot–Marie–Tooth (CMT) is the most frequent group of inherited neuropathies and includes several heterogeneous phenotypes. Over 80 causative genes have been described so far. Variants in the microrchidia family CW-type zinc finger 2 (MORC2) gene have been described in several axonal polyneuropathy (CMT2) patients with childhood or adult onset. Occasionally more complex phenotypes with delayed milestones, severe hypotonia, intellectual disability, dystonic postures, pyramidal signs, and neuroimaging abnormalities have been reported. Case Presentation: We report on a patient with a de novo MORC2 gene variant (c.1181A>G p.Tyr394Cys) with a history of developmental delay, axial hypotonia, progressive gait disorder with dystonic features, and intentional tremor. At the age of 8 years, he showed bilateral pyramidal signs (clonus, increased tendon reflexes, and Babinski sign) and bilateral pes cavus. The first neuroimaging performed at the age of 3 years demonstrated white matter abnormalities in the posterior periventricular zone, in the frontal lobes bilaterally and at the midbrain, stable during childhood and adolescence. Nerve conduction studies (NCS) were negative until the age of 15 years, when a sensory axonal neuropathy appeared. The association between pyramidal signs and neuropathy due to the MORC2 gene variant is increasingly being highlighted, although a neuroradiological correlate is evident only in about half of the cases. Longitudinal nerve conduction velocity (NCV) are helpful to identify late-onset features and provide useful information for diagnosis in patients with rare neurogenetic disorders. Conclusions: Characterization of complex neurological disorders is important to delineate the expanding phenotypic spectrum of MORC2-related disease, to confirm if possible the pathogenicity of the variants and to deepen the genotype–phenotype correlation.
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Affiliation(s)
- Ivana Frongia
- Struttura Complessa di Neuropsichiatria Infantile, Dipartimento Materno-Infantile, Azienda Unità Sanitaria Locale - Istituto di Ricerca e Cura a Carattere Scientifico di Reggio Emilia, Reggio Emilia, Italy
| | - Susanna Rizzi
- Struttura Complessa di Neuropsichiatria Infantile, Dipartimento Materno-Infantile, Azienda Unità Sanitaria Locale - Istituto di Ricerca e Cura a Carattere Scientifico di Reggio Emilia, Reggio Emilia, Italy
| | - Margherita Baga
- Struttura Complessa di Neuropsichiatria Infantile, Dipartimento Materno-Infantile, Azienda Unità Sanitaria Locale - Istituto di Ricerca e Cura a Carattere Scientifico di Reggio Emilia, Reggio Emilia, Italy
| | - Laura Maria Ceteroni
- Struttura Complessa di Neuropsichiatria Infantile, Dipartimento Materno-Infantile, Azienda Unità Sanitaria Locale - Istituto di Ricerca e Cura a Carattere Scientifico di Reggio Emilia, Reggio Emilia, Italy
| | - Carlotta Spagnoli
- Struttura Complessa di Neuropsichiatria Infantile, Dipartimento Materno-Infantile, Azienda Unità Sanitaria Locale - Istituto di Ricerca e Cura a Carattere Scientifico di Reggio Emilia, Reggio Emilia, Italy
| | - Grazia Gabriella Salerno
- Struttura Complessa di Neuropsichiatria Infantile, Dipartimento Materno-Infantile, Azienda Unità Sanitaria Locale - Istituto di Ricerca e Cura a Carattere Scientifico di Reggio Emilia, Reggio Emilia, Italy
| | - Daniele Frattini
- Struttura Complessa di Neuropsichiatria Infantile, Dipartimento Materno-Infantile, Azienda Unità Sanitaria Locale - Istituto di Ricerca e Cura a Carattere Scientifico di Reggio Emilia, Reggio Emilia, Italy
| | | | - Francesco Pisani
- Child Neuropsychiatry Unit, Medicine and Surgery Department, Neuroscience Section, University of Parma, Parma, Italy
| | - Carlo Fusco
- Struttura Complessa di Neuropsichiatria Infantile, Dipartimento Materno-Infantile, Azienda Unità Sanitaria Locale - Istituto di Ricerca e Cura a Carattere Scientifico di Reggio Emilia, Reggio Emilia, Italy
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Lan H, Hoover R, Jayakody L, Liu Q, Donner E, Baga M, Asare E, Hucl P, Chibbar R. Impact of annealing on the molecular structure and physicochemical properties of normal, waxy and high amylose bread wheat starches. Food Chem 2008. [DOI: 10.1016/j.foodchem.2008.04.055] [Citation(s) in RCA: 109] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Michel D, Salamini F, Bartels D, Dale P, Baga M, Szalay A. Analysis of a desiccation and ABA-responsive promoter isolated from the resurrection plant Craterostigma plantagineum. Plant J 1993; 4:29-40. [PMID: 8220473 DOI: 10.1046/j.1365-313x.1993.04010029.x] [Citation(s) in RCA: 29] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
The resurrection plant Craterostigma plantagineum can recover from severe desiccation within 24 h of contact with water, and it is used as a model system to analyse desiccation tolerance in higher plants. During drying or ABA treatment a specific set of transcripts accumulates rapidly in leaves and other tissues. In order to study transcriptional mechanisms of stress-induced gene expression one gene (CDeT27-45) was selected for promoter analysis. Chimeric gene fusions were constructed of the CDeT27-45 promoter and beta-glucuronidase or luciferase. These constructs were tested in a homologous transient expression system which allowed the identification of promoter elements conferring ABA inducibility. By introducing the chimeric gene fusions into tobacco via Agrobacterium-mediated transformation we found that the promoter activity is under strict tissue-specific and developmental control. In tobacco the promoter was only active in developing embryos and in mature pollen grains-two tissues which are naturally desiccation tolerant in tobacco. The specific temporal expression pattern was attributed to particular 5' upstream sequences. The promoter analysis presented here should allow the separation of important regulatory components as a first step in dissecting events in the signal transduction chain.
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Affiliation(s)
- D Michel
- Max Planck Institut für Züchtungsforschung, Köln, Germany
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Fraser KS, Baga M. Re: Balloon ureteral occlusion: a new reversible technique in the management of ureteral fistulas. J Urol 1992; 148:1565. [PMID: 1290540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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