TY - JOUR A1 - Kunz, Felix A1 - Kayserili, Hülya A1 - Midro, Alina A1 - de Silva, Deepthi A1 - Basnayake, Sriyani A1 - Güven, Yeliz A1 - Borys, Jan A1 - Schanze, Denny A1 - Stellzig‐Eisenhauer, Angelika A1 - Bloch‐Zupan, Agnes A1 - Zenker, Martin T1 - Characteristic dental pattern with hypodontia and short roots in Fraser syndrome JF - American Journal of Medical Genetics Part A N2 - Fraser syndrome (FS) is a rare autosomal recessive multiple congenital malformation syndrome characterized by cryptophthalmos, cutaneous syndactyly, renal agenesis, ambiguous genitalia, and laryngotracheal anomalies. It is caused by biallelic mutations of FRAS1, FREM2, and GRIP1 genes, encoding components of a protein complex that mediates embryonic epithelial–mesenchymal interactions. Anecdotal reports have described abnormal orodental findings in FS, but no study has as yet addressed the orodental findings of FS systematically. We reviewed dental radiographs of 10 unrelated patients with FS of different genetic etiologies. Dental anomalies were present in all patients with FS and included hypodontia, dental crowding, medial diastema, and retained teeth. A very consistent pattern of shortened dental roots of most permanent teeth as well as altered length/width ratio with shortened dental crowns of upper incisors was also identified. These findings suggest that the FRAS1–FREM complex mediates critical mesenchymal–epithelial interactions during dental crown and root development. The orodental findings of FS reported herein represent a previously underestimated manifestation of the disorder with significant impact on orodental health for affected individuals. Integration of dentists and orthodontists into the multidisciplinary team for management of FS is therefore recommended. KW - dental roots KW - Fraser syndrome KW - hypodontia KW - orodental health KW - taurodontism Y1 - 2020 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-216147 VL - 182 IS - 7 SP - 1681 EP - 1689 ER - TY - JOUR A1 - Hauer, Nadine N. A1 - Popp, Bernt A1 - Taher, Leila A1 - Vogl, Carina A1 - Dhandapany, Perundurai S. A1 - Büttner, Christian A1 - Uebe, Steffen A1 - Sticht, Heinrich A1 - Ferrazzi, Fulvia A1 - Ekici, Arif B. A1 - De Luca, Alessandro A1 - Klinger, Patrizia A1 - Kraus, Cornelia A1 - Zweier, Christiane A1 - Wiesener, Antje A1 - Abou Jamra, Rami A1 - Kunstmann, Erdmute A1 - Rauch, Anita A1 - Wieczorek, Dagmar A1 - Jung, Anna-Marie A1 - Rohrer, Tilman R. A1 - Zenker, Martin A1 - Doerr, Helmuth-Guenther A1 - Reis, André A1 - Thiel, Christian T. T1 - Evolutionary conserved networks of human height identify multiple Mendelian causes of short stature JF - European Journal of Human Genetics N2 - Height is a heritable and highly heterogeneous trait. Short stature affects 3% of the population and in most cases is genetic in origin. After excluding known causes, 67% of affected individuals remain without diagnosis. To identify novel candidate genes for short stature, we performed exome sequencing in 254 unrelated families with short stature of unknown cause and identified variants in 63 candidate genes in 92 (36%) independent families. Based on systematic characterization of variants and functional analysis including expression in chondrocytes, we classified 13 genes as strong candidates. Whereas variants in at least two families were detected for all 13 candidates, two genes had variants in 6 (UBR4) and 8 (LAMA5) families, respectively. To facilitate their characterization, we established a clustered network of 1025 known growth and short stature genes, which yielded 29 significantly enriched clusters, including skeletal system development, appendage development, metabolic processes, and ciliopathy. Eleven of the candidate genes mapped to 21 of these clusters, including CPZ, EDEM3, FBRS, IFT81, KCND1, PLXNA3, RASA3, SLC7A8, UBR4, USP45, and ZFHX3. Fifty additional growth-related candidates we identified await confirmation in other affected families. Our study identifies Mendelian forms of growth retardation as an important component of idiopathic short stature. KW - disease genetics KW - DNA sequencing KW - genetic counselling Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-227899 VL - 27 ER - TY - JOUR A1 - Hauer, Nadine N. A1 - Popp, Bernt A1 - Schoeller, Eva A1 - Schuhmann, Sarah A1 - Heath, Karen E. A1 - Hisado-Oliva, Alfonso A1 - Klinger, Patricia A1 - Kraus, Cornelia A1 - Trautmann, Udo A1 - Zenker, Martin A1 - Zweier, Christiane A1 - Wiesener, Antje A1 - Jamra, Rami Abou A1 - Kunstmann, Erdmute A1 - Wieczorek, Dagmar A1 - Uebe, Steffen A1 - Ferrazzi, Fulvia A1 - Büttner, Christian A1 - Ekici, Arif B. A1 - Rauch, Anita A1 - Sticht, Heinrich A1 - Dörr, Helmuth-Günther A1 - Reis, André A1 - Thiel, Christian T. T1 - Clinical relevance of systematic phenotyping and exome sequencing in patients with short stature JF - Genetics in Medicine N2 - Purpose Short stature is a common condition of great concern to patients and their families. Mostly genetic in origin, the underlying cause often remains elusive due to clinical and genetic heterogeneity. Methods We systematically phenotyped 565 patients where common nongenetic causes of short stature were excluded, selected 200 representative patients for whole-exome sequencing, and analyzed the identified variants for pathogenicity and the affected genes regarding their functional relevance for growth. Results By standard targeted diagnostic and phenotype assessment, we identified a known disease cause in only 13.6% of the 565 patients. Whole-exome sequencing in 200 patients identified additional mutations in known short-stature genes in 16.5% of these patients who manifested only part of the symptomatology. In 15.5% of the 200 patients our findings were of significant clinical relevance. Heterozygous carriers of recessive skeletal dysplasia alleles represented 3.5% of the cases. Conclusion A combined approach of systematic phenotyping, targeted genetic testing, and whole-exome sequencing allows the identification of the underlying cause of short stature in at least 33% of cases, enabling physicians to improve diagnosis, treatment, and genetic counseling. Exome sequencing significantly increases the diagnostic yield and consequently care in patients with short stature. KW - growth KW - phenotypic spectrum KW - short stature KW - skeletal dysplasia KW - whole-exome sequencing Y1 - 2018 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-227888 VL - 20 ER -