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A novel compound heterozygous mutation in the DYNC2H1 gene in a Chinese family with Jeune syndrome.

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Genotype-phenotype correlations of rare diseases are complicated by low patient number, high phenotype variability and compound heterozygosity. Mutations may cause instability of single proteins, and affect protein complex formation or overall robustness of a specific process in a given cell. Ciliopathies offer an interesting case for studying genotype-phenotype correlations as they have a spectrum of severity and include diverse phenotypes depending on different mutations in the same protein.

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(1) Background: The phenotypes of classic lattice corneal dystrophy (LCD) and granular corneal dystrophy type 2 (GCD2) that result from abnormalities in gene () have previously been described. The phenotype of compound heterozygous classic LCD and GCD2, however, has not yet been reported. (2) Case report: A 39-year-old male (proband) presented to our clinic complaining of decreased vision bilaterally.

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Article Synopsis
  • The study investigates how specific genetic variants are linked to heterotaxy syndrome and congenital heart defects (CHD), revealing a complex relationship between genotypes and observed phenotypes.
  • A total of 18 missense variants were identified in 26 patients, with most showing CHD and some displaying extra-cardiac issues, emphasizing the genetic diversity in these conditions.
  • The findings suggest that missense variants, particularly p.(Met301Ile), play a significant role in disease development, potentially through a loss-of-function mechanism, highlighting the need for further understanding of their pathogenic effects.
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The Notch intracellular domain (NICD) regulates gene expression during development and homeostasis in a transcription factor complex that binds DNA either as monomer, or cooperatively as dimers. Mice expressing Notch dimerization-deficient (NDD) alleles of Notch1 and Notch2 have defects in multiple tissues that are sensitized to environmental insults. Here, we report that cardiac phenotypes and DSS (Dextran Sodium Sulfate) sensitivity in NDD mice can be ameliorated by housing mice under hypo-allergenic conditions (food/bedding).

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