Background: GLI2 encodes for a transcription factor that controls the expression of several genes in the Hedgehog pathway. Mutations in GLI2 have been described as causative of a spectrum of clinical phenotypes, notably holoprosencephaly, hypopituitarism and postaxial polydactyl.
Methods: In order to identify causative genetic variant, we performed exome sequencing of a trio from an Italian family with multiple affected individuals presenting clinical phenotypes in the Culler-Jones syndrome spectrum. We performed a series of cell-based assays to test the functional properties of mutant GLI2.
Results: Here we report a novel deletion c.3493delC (p.P1167LfsX52) in the C-terminal activation domain of GLI2. Functional assays confirmed the pathogenicity of the identified variant and revealed a dominant-negative effect of mutant GLI2 on Hedgehog signalling.
Conclusions: Our results highlight the variable clinical manifestation of GLI2 mutations and emphasize the value of functional characterisation of novel gene variants to assist genetic counselling and diagnosis.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328167 | PMC |
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0210097 | PLOS |
Zhonghua Nei Ke Za Zhi
December 2023
Department of Endocrinology, the Affiliated Hospital of Qingdao University, Qingdao 266003, China.
Front Endocrinol (Lausanne)
March 2023
Department of Endocrinology, Affiliated Hospital of Qingdao University, Qingdao, China.
Culler-Jones syndrome is a rare clinical phenomenon with diverse manifestations and is prone to misdiagnosis. We report one patient who presented with a 10-year history of anosmia and a 1-year history of epididymal pain. Kallmann syndrome was suspected initially.
View Article and Find Full Text PDFZhonghua Yi Xue Yi Chuan Xue Za Zhi
February 2023
Ningbo Women & Children's Hospital, Ningbo, Zhejiang 315000, China.
Objective: To explore the genetic basis for a child featuring short stature and postaxial polydactyly.
Methods: A child who presented at Ningbo Women & Children's Hospital in May 2021 due to the"discovery of growth retardation for more than two years" was selected as the subject. Peripheral blood samples of the child and his parents were collected for the extraction of genomic DNA.
Am J Med Genet A
April 2022
Department of Medical Genetics, Haukeland University Hospital, Bergen, Norway.
Variants in transcription factor GLI2 have been associated with hypopituitarism and structural brain abnormalities, occasionally including holoprosencephaly (HPE). Substantial phenotypic variability and nonpenetrance have been described, posing difficulties in the counseling of affected families. We present three individuals with novel likely pathogenic GLI2 variants, two with truncating and one with a de novo missense variant p.
View Article and Find Full Text PDFThis case series and review of the literature support that patients with pathogenic variants of the GLI2 gene demonstrate an autosomal dominant inheritance pattern, variable expressivity, and incomplete penetrance.
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