Phenotypic expansion of the BPTF-related neurodevelopmental disorder with dysmorphic facies and distal limb anomalies.

Abstract

Neurodevelopmental disorder with dysmorphic facies and distal limb anomalies (NEDDFL), defined primarily by developmental delay/intellectual disability, speech delay, postnatal microcephaly, and dysmorphic features, is a syndrome resulting from heterozygous variants in the dosage-sensitive bromodomain PHD finger chromatin remodeler transcription factor BPTF gene. To date, only 11 individuals with NEDDFL due to de novo BPTF variants have been described. To expand the NEDDFL phenotypic spectrum, we describe the clinical features in 25 novel individuals with 20 distinct, clinically relevant variants in BPTF, including four individuals with inherited changes in BPTF. In addition to the previously described features, individuals in this cohort exhibited mild brain abnormalities, seizures, scoliosis, and a variety of ophthalmologic complications. These results further support the broad and multi-faceted complications due to haploinsufficiency of BPTF.

• Authors: Kevin E Glinton, Anna C E Hurst, Kevin M Bowling, Ingrid Cristian, Devon Haynes, Dusit Adstamongkonkul, Oskar Schnappauf, David B Beck, Carole Brewer, Aditi Shah Parikh, Deepali N Shinde, Alan Donaldson, Ariel Brautbar, Saskia Koene, Arie van Haeringen, Amélie Piton, Yline Capri, Margherita Furlan, Elena Gardella, Rikke Steensbjerre Møller, Irma van de Beek, Linda Zuurbier, Phillis Lakeman, Allan Bayat, Julian Martinez, Rebecca Signer, Pernille M Torring, Morten Buch Engelund, Karen W Gripp, Louise Amlie-Wolf, Lindsay B Henderson, Alina T Midro, Eugeniusz Tarasów, Beata Stasiewicz-Jarocka, Diana Moskal-Jasinska, Paul Vos, Felix Boschann, Corinna Stoltenburg, Oliver Puk, Inger-Lise Mero, Kristine Lossius, Cyril Mignot, Boris Keren, Johanna C Acosta Guio, Ignacio Briceño, Alberto Gomez, Yaping Yang, Pawel Stankiewicz
• Journal: American journal of medical genetics. Part A (Am J Med Genet A) Vol. 185 Issue 5 Pg. 1366-1378 (05 2021) ISSN: 1552-4833 [Electronic] United States
• PMID: 33522091 (Publication Type: Journal Article)
• Copyright: © 2021 The Authors. American Journal of Medical Genetics Part A published by Wiley Periodicals LLC.

Chemical References

• Transcription Factors

Topics

• Abnormalities, Multiple (genetics, physiopathology)
• Adolescent
• Adult
• Child
• Child, Preschool
• Chromatin Assembly and Disassembly (genetics)
• Chromosome Deletion
• Developmental Disabilities (genetics, physiopathology)
• Epilepsy (genetics, physiopathology)
• Facies
• Female
• Haploinsufficiency (genetics)
• Humans
• Infant
• Intellectual Disability (genetics, physiopathology)
• Language Development Disorders (genetics, physiopathology)
• Male
• Microcephaly (genetics, physiopathology)
• Middle Aged
• Neurodevelopmental Disorders (genetics, physiopathology)
• Phenotype
• Transcription Factors (genetics)
• Young Adult