Atypical phenotypes and novel OCRL variations in southern Chinese patients with Lowe syndrome.

Background: Lowe syndrome is characterized by the presence of congenital cataracts, psychomotor retardation, and dysfunctional proximal renal tubules. This study presents a case of an atypical phenotype, investigates the genetic characteristics of eight children diagnosed with Lowe syndrome in south...

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Published in:Pediatric Nephrology Vol. 39; no. 8; pp. 2377 - 2392
Main Authors: Du, Rong, Zhou, Chengcheng, Chen, Shehong, Li, Tong, Lin, Yunting, Xu, Aijing, Huang, Yonglan, Mei, Huifen, Huang, Xiaoli, Tan, Dongdong, Zheng, Ruidan, Liang, Cuili, Cai, Yanna, Shao, Yongxian, Zhang, Wen, Liu, Li, Zeng, Chunhua
Format: research tables/charts Journal Article
Published: Springer Nature Aug2024
Online Access:View this record in EBSCOhost
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        atl: Atypical phenotypes and novel OCRL variations in southern Chinese patients with Lowe syndrome.
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          Du, Rong
          Zhou, Chengcheng
          Chen, Shehong
          Li, Tong
          Lin, Yunting
          Xu, Aijing
          Huang, Yonglan
          Mei, Huifen
          Huang, Xiaoli
          Tan, Dongdong
          Zheng, Ruidan
          Liang, Cuili
          Cai, Yanna
          Shao, Yongxian
          Zhang, Wen
          Liu, Li
          Zeng, Chunhua
        affil: Department of Genetics and Endocrinology, Guangzhou Women and Children's Medical Center, Guangdong Provincial Clinical Research Center for Child Health, National Children's Medical Center for South Central Region, Guangzhou Medical University, 510623, Guangzhou, China
      sug:
        subj:
          Oculocerebrorenal Syndrome Symptoms
          Oculocerebrorenal Syndrome Familial and Genetic
          Oculocerebrorenal Syndrome Physiopathology
          Diagnostic Errors Prevention and Control
          Phenotype
          Mutation
          Genetic Screening
          Chinese Persons
          Human
          China
          Funding Source
          Oculocerebrorenal Syndrome Diagnosis
          Multicenter Studies
          Retrospective Design
          Record Review
          Genetic Variation
          Proteinuria
          Cognition Disorders
          Gene Expression
          Sequence Analysis
          Case Studies
      ab: Background: Lowe syndrome is characterized by the presence of congenital cataracts, psychomotor retardation, and dysfunctional proximal renal tubules. This study presents a case of an atypical phenotype, investigates the genetic characteristics of eight children diagnosed with Lowe syndrome in southern China, and performs functional analysis of the novel variants. Methods: Whole-exome sequencing was conducted on eight individuals diagnosed with Lowe syndrome from three medical institutions in southern China. Retrospective collection and analysis of clinical and genetic data were performed, and functional analysis was conducted on the five novel variants. Results: In our cohort, the clinical symptoms of the eight Lowe syndrome individuals varied. One patient was diagnosed with Lowe syndrome but did not present with congenital cataracts. Common features among all patients included cognitive impairment, short stature, and low molecular weight proteinuria. Eight variations in the OCRL gene were identified, encompassing three previously reported and five novel variations. Among the novel variations, three nonsense mutations were determined to be pathogenic, and two patients harboring novel missense variations of uncertain significance exhibited severe typical phenotypes. Furthermore, all novel variants were associated with altered protein expression levels and impacted primary cilia formation. Conclusion: This study describes the first case of an atypical Lowe syndrome patient without congenital cataracts in China and performs a functional analysis of novel variants in the OCRL gene, thereby expanding the understanding of the clinical manifestations and genetic diversity associated with Lowe syndrome.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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