Open AccessFamilial NEDD4L variant in periventricular nodular heterotopia and in a fetus with hypokinesia and flexion contractures
Author(s) -
Elbracht Miriam,
Kraft Florian,
Begemann Matthias,
Holschbach Petra,
Mull Michael,
Kabat Ildiko M.,
Müller Britta,
Häusler Martin,
Kurth Ingo,
Hehr Ute
Publication year - 2018
Publication title -
molecular genetics and genomic medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.765
H-Index - 29
ISSN - 2324-9269
DOI - 10.1002/mgg3.490
Subject(s) - syndactyly , medicine , hypokinesia , missense mutation , flna , hypoplasia , anatomy , fetus , phenotype , pathology , pediatrics , genetics , pregnancy , biology , cardiology , filamin , cytoskeleton , gene , cell
Background Mutations in the HECT domain of NEDD4L have recently been identified in a cohort of eight patients with a syndromic form of bilateral periventricular nodular heterotopia (PVNH) in association with neurodevelopmental delay, cleft palate, and toe syndactyly (PVNH7). Methods Case report based on NGS sequencing. Results Here, we describe a girl with a novel heterozygous NEDD4L missense variant, p.Tyr679His, and characteristic clinical findings, including bilateral periventricular nodular heterotopia, cleft palate and mild toe syndactyly. Molecular testing from peripheral blood identified the healthy father to carry the NEDD4L variant in mosaic state. Notably, a previous pregnancy of the couple had been terminated due to a complex fetal developmental disorder, including hypokinesia and flexion contractures. Upon review, this affected fetus was also shown to carry the familial NEDD4L variant. Conclusion Our findings may suggest a broader spectrum of NEDD4L ‐associated phenotypes, including severe prenatal neurodevelopmental manifestations, which might represent yet another genetic form of fetal hypokinesia with flexion contractures.