Genetic and phenotypic continuum of HOXA genes: A case with double HOXA9/HOXA13 mutations - Aix-Marseille Université Access content directly
Journal Articles Molecular Medicine Reports Year : 2023

Genetic and phenotypic continuum of HOXA genes: A case with double HOXA9/HOXA13 mutations

Abstract

The HOXA genes cluster plays a key role in embryologic development. Mutations in HOXA genes have been linked to different human phenotypes, including developmental delay, limb anomalies, and urogenital malformations. The present study reported a clinical and genetic investigation of a female patient with polymalformative syndrome including left arm agenesis, bicornuate uterus and bicuspid aortic valve. using whole exome sequencing, two heterozygous missense variants were identified. Of these, one was a novel variant in the HOXA13 gene [p.(Tyr290Ser)] and the second a heterozygous variant in the HOXA9 gene [p.(ala102Pro)]. To the best of our knowledge, this is the first association of HOXA9/HOXA13 point mutations linked to a syndromic case. in conclusion, the present study suggested that the phenotypic spectrum of vertebral anomalies, anal atresia, cardiac defects, tracheo-esophageal fistula, renal anomalies and limb abnormalities/hand-foot-genital syndrome may be attributable to the combination of different HOXA variants, particularly in patients with a severe clinical presentation. The current report contributed as well to the molecular understanding of HOXA genes-related phenotypes via the identification of novel variant and genes associations.
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Dates and versions

hal-03975064 , version 1 (06-02-2023)

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Attribution - NonCommercial - NoDerivatives

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Hager Jaouadi, Alexis Theron, Giulia Norscini, Jean-François Avierinos, Stéphane Zaffran. Genetic and phenotypic continuum of HOXA genes: A case with double HOXA9/HOXA13 mutations. Molecular Medicine Reports, 2023, 27, ⟨10.3892/mmr.2023.12946⟩. ⟨hal-03975064⟩
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