Neonatal Marfan Syndrome: Report of a Case with an Inherited Splicing Mutation outside the Neonatal Domain
Author(s) -
Laurianne Le Gloan,
Quentin Hauet,
Albert David,
Nadine Hanna,
Chloé Arfeuille,
Pauline Arnaud,
Cathérine Boileau,
Bénédicte Romefort,
Nadir Benbrik,
V. Gournay,
Nicolas Joram,
Olivier Baron,
Bertrand Isidor
Publication year - 2015
Publication title -
molecular syndromology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.609
H-Index - 36
eISSN - 1661-8777
pISSN - 1661-8769
DOI - 10.1159/000443867
Subject(s) - marfan syndrome , exon , phenotype , mutation , medicine , genetics , rna splicing , genetic testing , frameshift mutation , biology , pediatrics , bioinformatics , gene , rna
We report a child and her mother affected by Marfan syndrome. The child presented with a phenotype of neonatal Marfan syndrome, revealed by acute and refractory heart failure, finally leading to death within the first 4 months of life. Her mother had a common clinical presentation. Genetic analysis revealed an inherited FBN1 mutation. This intronic mutation (c.6163+3_6163+6del), undescribed to date, leads to exon 49 skipping, corresponding to in-frame deletion of 42 amino acids (p.Ile2014_Asp2055del). FBN1 next-generation sequencing did not show any argument for mosaicism. Association in the same family of severe neonatal and classical Marfan syndrome illustrates the intrafamilial phenotype variability.
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