Document Detail


Clinical variability of Waardenburg-Shah syndrome in patients with proximal 13q deletion syndrome including the endothelin-B receptor locus.
MedLine Citation:
PMID:  19764031     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Waardenburg-Shah syndrome (Waardenburg syndrome type IV-WS4) is an auditory-pigmentary disorder that combines clinical features of pigmentary abnormalities of the skin, hair and irides, sensorineural hearing loss, and Hirschsprung disease (HSCR). Mutations in the endothelin-B receptor (EDNRB) gene on 13q22 have been found to cause this syndrome. Mutations in both alleles cause the full phenotype, while heterozygous mutations cause isolated HSCR or HSCR with minor pigmentary anomalies and/or sensorineural deafness. We investigated the status of the EDNRB gene, by FISH analysis, in three patients with de novo proximal 13q deletions detected at cytogenetic analysis and examined the clinical variability of WS4 among these patients. Chromosome 13q was screened with locus specific FISH probes and breakpoints were determined at 13q22.1q31.3 in Patients 1 and 3, and at 13q21.1q31.3 in Patient 2. An EDNRB specific FISH probe was deleted in all three patients. All patients had common facial features seen in proximal 13q deletion syndrome and mild mental retardation. However, findings related to WS4 were variable; Patient 1 had hypopigmentation of the irides and HSCR, Patient 2 had prominent bicolored irides and mild bilateral hearing loss, and Patient 3 had only mild unilateral hearing loss. These data contribute new insights into the pathogenesis of WS4.
Authors:
Beyhan T??ys??z; Anna Collin; M??jde Arapo??lu; Nezir Suyug??l
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of medical genetics. Part A     Volume:  149A     ISSN:  1552-4833     ISO Abbreviation:  Am. J. Med. Genet. A     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-01     Completed Date:  2009-12-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101235741     Medline TA:  Am J Med Genet A     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2290-5     Citation Subset:  IM    
Affiliation:
Department of Pediatric Genetics, Cerrahpa??a Medical Faculty, Istanbul University, Istanbul, Turkey. beyhan@istanbul.edu.tr
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Child, Preschool
Chromosome Deletion*
Chromosomes, Human, Pair 13* / genetics
Eye Abnormalities / complications,  genetics
Female
Genetic Heterogeneity
Genetic Loci / genetics,  physiology
Hirschsprung Disease / complications,  genetics
Humans
Hypopigmentation / complications,  genetics
Male
Phenotype
Receptor, Endothelin B / genetics*
Syndrome
Waardenburg's Syndrome / classification,  complications,  diagnosis*,  genetics*
Chemical
Reg. No./Substance:
0/Receptor, Endothelin B

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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