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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
11
pubmed:dateCreated
2010-11-10
pubmed:abstractText
We present clinical and molecular findings of three patients with an EDS VIB phenotype from two consanguineous families. The clinical findings of EDS kyphoscoliotic type (EDS type VIA and B) comprise kyphoscoliosis, muscular hypotonia, hyperextensible, thin and bruisable skin, atrophic scarring, joint hypermobility and variable ocular involvement. Distinct craniofacial abnormalities, joint contractures, wrinkled palms, and normal urinary pyridinoline ratios distinguish EDS VIB from EDS VIA. A genome-wide SNP scan and sequence analyses identified a homozygous frameshift mutation (NM_130468.2:c.145delG, NP_569735.1:p.Val49*) in CHST14, encoding dermatan-4-sulfotransferase 1 (D4ST-1), in two Turkish siblings. Subsequent sequence analysis of CHST14 identified a homozygous 20-bp duplication (NM_130468.2:c.981_1000dup, NP_569735.1:p.Glu334Glyfs*107) in an Indian patient. Loss-of-function mutations in CHST14 were recently reported in adducted thumb–clubfoot syndrome (ATCS). Patients with ATCS present similar craniofacial and musculoskeletal features as the EDS VIB patients reported here, but lack the severe skin manifestations. By identifying an identical mutation in patients with EDS VIB and ATCS, we show that both conditions form a phenotypic continuum. Our findings confirm that the EDS-variant associated with CHST14 mutations forms a clinical spectrum, which we propose to coin as “musculocontractural EDS” and which results from a defect in dermatan sulfate biosynthesis, perturbing collagen assembly.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
1098-1004
pubmed:author
pubmed:copyrightInfo
© 2010 Wiley-Liss, Inc.
pubmed:issnType
Electronic
pubmed:volume
31
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1233-9
pubmed:dateRevised
2011-4-28
pubmed:meshHeading
pubmed-meshheading:20842734-Abnormalities, Multiple, pubmed-meshheading:20842734-Adolescent, pubmed-meshheading:20842734-Base Sequence, pubmed-meshheading:20842734-Child, pubmed-meshheading:20842734-Clubfoot, pubmed-meshheading:20842734-Consanguinity, pubmed-meshheading:20842734-Contracture, pubmed-meshheading:20842734-DNA, Complementary, pubmed-meshheading:20842734-DNA Mutational Analysis, pubmed-meshheading:20842734-Ehlers-Danlos Syndrome, pubmed-meshheading:20842734-Female, pubmed-meshheading:20842734-Frameshift Mutation, pubmed-meshheading:20842734-Genes, Recessive, pubmed-meshheading:20842734-Humans, pubmed-meshheading:20842734-Male, pubmed-meshheading:20842734-Mutagenesis, Insertional, pubmed-meshheading:20842734-Pedigree, pubmed-meshheading:20842734-Phenotype, pubmed-meshheading:20842734-Sequence Deletion, pubmed-meshheading:20842734-Sulfotransferases, pubmed-meshheading:20842734-Thumb, pubmed-meshheading:20842734-Young Adult
pubmed:year
2010
pubmed:articleTitle
Musculocontractural Ehlers-Danlos Syndrome (former EDS type VIB) and adducted thumb clubfoot syndrome (ATCS) represent a single clinical entity caused by mutations in the dermatan-4-sulfotransferase 1 encoding CHST14 gene.
pubmed:affiliation
Center for Medical Genetics, Ghent University Hospital, De Pintelaan 185, B-9000 Ghent, Belgium. Fransiska.Malfait@UGent.be
pubmed:publicationType
Journal Article, Case Reports, Research Support, Non-U.S. Gov't