Publications by authors named "Gillessen-kaesbach G"

Article Synopsis
  • The study analyzed the effectiveness of using trio exome sequencing (ES) to diagnose genetic disorders in families with neurodevelopmental delays, involving 37 families with affected children.
  • Findings revealed that 40.5% of index patients had either likely pathogenic or pathogenic genetic variants, with rare variants and two notable genes (GLRA4, NRXN2) identified that need further evaluation.
  • No relationship was found between the diagnostic yield and the clinical specificity of the phenotypes, suggesting that trio-ES should be utilized early in the diagnostic process, regardless of the patient's clinical uniqueness.
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Purpose: We aimed to identify the underlying genetic cause for a novel form of distal arthrogryposis.

Methods: Rare variant family-based genomics, exome sequencing, and disease-specific panel sequencing were used to detect ADAMTS15 variants in affected individuals. Adamts15 expression was analyzed at the single-cell level during murine embryogenesis.

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Background: Considering the insufficiently controlled spread of new SARS-CoV-2 variants, partially low vaccination rates, and increased risk of a post-COVID syndrome, well-functioning, targeted intervention measures at local and national levels are urgently needed to contain the SARS-CoV-2 pandemic. Surveillance concepts (cross-sectional, cohorts, clusters) need to be carefully selected to monitor and assess incidence and prevalence at the population level. A critical methodological gap for identifying specific risks/dynamics for SARS-Cov-2 transmission and post-COVID-19-syndrome includes repetitive testing for past or present infection of a defined cohort with simultaneous assessment of symptoms, behavior, risk, and protective factors, as well as quality of life.

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Article Synopsis
  • The study addresses gaps in understanding long-term COVID-19 infection patterns, risk factors, and effective surveillance strategies amidst increasing cases.
  • Conducted from March 2020 to February 2021, the research tested 1% of the local population and analyzed over 90,000 app-based datasets in a community of 300,000 people.
  • Findings showed higher seropositivity in high-exposure groups like nurses, a decrease in unreported infections, and identified "contact to COVID-19-affected" as the leading risk factor, highlighting the study as a model for future pandemic preparedness.
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Mutations affecting the transcriptional regulator Ankyrin Repeat Domain 11 (ANKRD11) are mainly associated with the multisystem developmental disorder known as KBG syndrome, but have also been identified in individuals with Cornelia de Lange syndrome (CdLS) and other developmental disorders caused by variants affecting different chromatin regulators. The extensive functional overlap of these proteins results in shared phenotypical features, which complicate the assessment of the clinical diagnosis. Additionally, re-evaluation of individuals at a later age occasionally reveals that the initial phenotype has evolved toward clinical features more reminiscent of a developmental disorder different from the one that was initially diagnosed.

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Article Synopsis
  • - The report highlights the first instance of maternal transmission of mild Coffin-Siris syndrome (CSS) linked to a variant in the SOX11 gene, identified in two sisters with intellectual disabilities and muscular hypotonia.
  • - Both sisters exhibited Cogan ocular motor apraxia and hypoplastic nails on their fifth toes, while their body measurements were within normal limits.
  • - The identified missense variant in SOX11 suggests a connection to CSS, as other affected individuals have shown similar symptoms, particularly relating to intellectual development and physical features.
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Background: MAGEL2-associated Schaaf-Yang syndrome (SHFYNG, OMIM #615547, ORPHA: 398069), which was identified in 2013, is a rare disorder caused by truncating variants of the paternal copy of MAGEL2, which is localized in the imprinted region on 15q11.2q13. The phenotype of SHFYNG in childhood partially overlaps with that of the well-established Prader-Willi syndrome (PWS, OMIM #176270).

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Article Synopsis
  • Most classical aniridia results from PAX6 haploinsufficiency, and this study explores how missense variants of PAX6 may lead to new types of disease by changing its interaction with the genome.
  • The researchers analyzed 372 individuals with specific eye malformations and discovered eight missense variants linked to bilateral microphthalmia and anophthalmia, accounting for 4% of the studied cases.
  • The findings suggest that these missense variants impact PAX6's DNA affinity and specificity, providing insights into the severe effects observed in individuals with specific ocular conditions.
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Hereditary angioedema (HAE) is a life-threatening disease characterized by recurrent episodes of subcutaneous and mucosal swellings and abdominal cramping. Corticosteroids and antihistamines, which are usually beneficial in histamine-induced acquired angioedema, are not effective in HAE. Therefore, diagnosing HAE correctly is crucial for affected patients.

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Background: Wiedemann-Rautenstrauch syndrome (WRS) is a form of segmental progeria presenting neonatally, characterised by growth retardation, sparse scalp hair, generalised lipodystrophy with characteristic local fatty tissue accumulations and unusual face. We aimed to understand its molecular cause.

Methods: We performed exome sequencing in two families, targeted sequencing in 10 other families and performed in silico modelling studies and transcript processing analyses to explore the structural and functional consequences of the identified variants.

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Article Synopsis
  • - Temple syndrome (TS14) is a rare genetic disorder linked to chromosome 14q32, resulting from abnormalities in gene imprinting that affect the expression of paternal and maternal genes differently.
  • - A study of 13 TS14 patients showed that the imprinting defect can arise from either grandmaternal or grandpaternal inheritance, pointing to an issue that occurs during the paternal germ line's development after the normal imprinting process is erased.
  • - The findings suggest that while many TS14 patients show a lack of methylation (gene silencing), some cases with mixed methylation patterns imply that these imprinting defects may originate from changes in early embryonic development rather than just genetic inheritance.
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Approximately 1-3% of children have intellectual disability or global developmental delay. Heterozygous mutations have emerged as a major cause of different intellectual disability syndromes. In severely affected patients, reproductive fitness is impaired and mutations have usually arisen de novo.

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Temple syndrome (TS14, #616222) is a rare imprinting disorder characterised by phenotypic features including pre- and postnatal growth retardation, muscular hypotonia and feeding difficulties in infancy, early puberty and short stature with small hands and feet and often truncal obesity. It is caused by maternal uniparental disomies, paternal deletions and primary imprinting defects that affect the chromosomal region 14q32 and lead to a disturbed expression of imprinted genes in this region. Here, we present detailed clinical data of 8 patients with Temple syndrome, 4 with an imprinting defect, 2 with an imprinting defect in a mosaic state as well as 1 complete and 1 segmental maternal uniparental disomy of chromosome 14.

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Autosomal recessive (AR) gene defects are the leading genetic cause of intellectual disability (ID) in countries with frequent parental consanguinity, which account for about 1/7th of the world population. Yet, compared to autosomal dominant de novo mutations, which are the predominant cause of ID in Western countries, the identification of AR-ID genes has lagged behind. Here, we report on whole exome and whole genome sequencing in 404 consanguineous predominantly Iranian families with two or more affected offspring.

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Article Synopsis
  • Cornelia de Lange syndrome (CdLS) is a genetic developmental disorder caused by mutations in specific genes, primarily affecting the cohesin complex, with NIPBL being the most significant gene involved.
  • Many mutations in CdLS patients are found to be somatic mosaicism, meaning they can vary in different tissues and often go unnoticed in standard tests using blood DNA.
  • This study highlights the importance of advanced sequencing methods in detecting low-level mosaicism for accurate diagnosis and genetic counseling in CdLS cases, reporting two patients with atypical manifestations and challenges in identifying mutations.
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Article Synopsis
  • - The chromosomal region 14q32 has imprinted genes that express from either parental allele, regulated by two types of differentially methylated regions (DMRs): IG-DMR and MEG3-DMR.
  • - Disruption of these imprinted genes can lead to conditions like Temple syndrome (TS14) and Kagami-Ogata syndrome (KOS14).
  • - A third DMR in MEG8 (MEG8-DMR) shows distinct methylation patterns between the two syndromes, suggesting that the activity of the MEG3 promoter may play a critical role in establishing methylation at the MEG8-DMR.
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SMC1A encodes one of the proteins of the cohesin complex. SMC1A variants are known to cause a phenotype resembling Cornelia de Lange syndrome (CdLS). Exome sequencing has allowed recognizing SMC1A variants in individuals with encephalopathy with epilepsy who do not resemble CdLS.

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Ocular coloboma (OC) is a defect in optic fissure closure and is a common cause of severe congenital visual impairment. Bilateral OC is primarily genetically determined and shows marked locus heterogeneity. Whole-exome sequencing (WES) was used to analyze 12 trios (child affected with OC and both unaffected parents).

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