Two novel mutations in the EIF2AK3 gene in children with Wolcott-Rallison syndrome

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Tipo de produção
article
Data de publicação
2011
Título da Revista
ISSN da Revista
Título do Volume
Editora
WILEY-BLACKWELL
Autores
REIS, Andre F.
KANNENGIESSER, Caroline
JENNANE, Farida
CHEURFA, Nadir
OUDIN, Claire
SAVOLDELLI, Roberta Diaz
OLIVEIRA, Carolina
GRANDCHAMP, Bernard
Citação
PEDIATRIC DIABETES, v.12, n.3, p.187-191, 2011
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Wolcott-Rallison syndrome (WRS, OMIM 226980) is a rare autosomal recessive disorder characterized by permanent neonatal diabetes mellitus, epiphyseal dysplasia, and other multisystemic clinical manifestations. We described two novel mutations in the EIF2AK3 gene in two consanguineous families with WRS from Brazil and Morocco. We have observed in case 1 a homozygous C > T replacement at base pair c.1192 at exon 7, generating a stop codon at position 398 (Gln398Stop). Both of his parents were found to be heterozygous for the mutation. We detected in both parents of case 2, a deceased Moroccan girl, a duplication of base pair c.851A at exon 5 (c.851dupA) leading to a frameshift and a stop codon at position 285 (p.Pro285AlafsX3). Both cases 1 and 2 had neonatal diabetes mellitus, multiple epiphyseal dysplasia, and growth delay, and presented episodes of acute hepatic dysfunction. Case 1 presented central hypothyroidism, developmental delay, and mild mental retardation. Case 2 presented a fatal episode of acute renal failure. The clinical phenotype associated with the syndrome can be variable, but a combination of infancy-onset diabetes mellitus, multiple epiphyseal dysplasia, and hepatic and/or renal dysfunction is the mainstay of diagnosis.
Palavras-chave
bone dysplasia, diabetes mellitus, EIF2AK3, WRS
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