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POU3F3-related disorder: Defining the phenotype and expanding the molecular spectrum.


ABSTRACT: POU3F3 variants cause developmental delay, behavioral problems, hypotonia and dysmorphic features. We investigated the phenotypic and genetic landscape, and genotype-phenotype correlations in individuals with POU3F3-related disorders. We recruited unpublished individuals with POU3F3 variants through international collaborations and obtained updated clinical data on previously published individuals. Trio exome sequencing or single exome sequencing followed by segregation analysis were performed in the novel cohort. Functional effects of missense variants were investigated with 3D protein modeling. We included 28 individuals (5 previously published) from 26 families carrying POU3F3 variants; 23 de novo and one inherited from an affected parent. Median age at study inclusion was 7.4 years. All had developmental delay mainly affecting speech, behavioral difficulties, psychiatric comorbidities and dysmorphisms. Additional features included gastrointestinal comorbidities, hearing loss, ophthalmological anomalies, epilepsy, sleep disturbances and joint hypermobility. Autism, hearing and eye comorbidities, dysmorphisms were more common in individuals with truncating variants, whereas epilepsy was only associated with missense variants. In silico structural modeling predicted that all (likely) pathogenic variants destabilize the DNA-binding region of POU3F3. Our study refined the phenotypic and genetic landscape of POU3F3-related disorders, it reports the functional properties of the identified pathogenic variants, and delineates some genotype-phenotype correlations.

SUBMITTER: Rossi A 

PROVIDER: S-EPMC10330344 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature

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POU3F3-related disorder: Defining the phenotype and expanding the molecular spectrum.

Rossi Alessandra A   Blok Lot Snijders LS   Neuser Sonja S   Klöckner Chiara C   Platzer Konrad K   Faivre Laurence Olivier LO   Weigand Heike H   Dentici Maria L ML   Tartaglia Marco M   Niceta Marcello M   Alfieri Paolo P   Srivastava Siddharth S   Coulter David D   Smith Lacey L   Vinorum Kristin K   Cappuccio Gerarda G   Brunetti-Pierri Nicola N   Torun Deniz D   Arslan Mutluay M   Lauridsen Mathilde F MF   Murch Oliver O   Irving Rachel R   Lynch Sally A SA   Mehta Sarju G SG   Carmichael Jenny J   Zonneveld-Huijssoon Evelien E   de Vries Bert B   Kleefstra Tjitske T   Johannesen Katrine M KM   Westphall Ian T IT   Hughes Susan S SS   Smithson Sarah S   Evans Julie J   Dudding-Byth Tracy T   Simon Marleen M   van Binsbergen Ellen E   Herkert Johanna C JC   Beunders Gea G   Oppermann Henry H   Bakal Mert M   Møller Rikke S RS   Rubboli Guido G   Bayat Allan A  

Clinical genetics 20230510 2


POU3F3 variants cause developmental delay, behavioral problems, hypotonia and dysmorphic features. We investigated the phenotypic and genetic landscape, and genotype-phenotype correlations in individuals with POU3F3-related disorders. We recruited unpublished individuals with POU3F3 variants through international collaborations and obtained updated clinical data on previously published individuals. Trio exome sequencing or single exome sequencing followed by segregation analysis were performed i  ...[more]

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