2026
Phenotype Analysis in Two Families With Otopalatodigital Syndrome Spectrum Disorder Based on FLNA Gene Variants
SCHWARZ, Martin; Miroslav FISER; Lenka SODKOVA; Eva MISOVA; Martin DRAHANSKÝ et al.Základní údaje
Originální název
Phenotype Analysis in Two Families With Otopalatodigital Syndrome Spectrum Disorder Based on FLNA Gene Variants
Autoři
SCHWARZ, Martin; Miroslav FISER; Lenka SODKOVA; Eva MISOVA; Martin DRAHANSKÝ; Tomas VOKALEK; Renata MICHALOVSKA; Adela MATEJKOVA; Jaroslava JINDROVA; Sarka BENDOVA a Milan MACEK JR
Vydání
CLINICAL GENETICS, HOBOKEN, WILEY, 2026, 0009-9163
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30218 General and internal medicine
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 2.300 v roce 2024
Označené pro přenos do RIV
Ano
Organizační jednotka
Přírodovědecká fakulta
UT WoS
EID Scopus
Klíčová slova anglicky
dental anomaly; FLNA; frontometaphyseal dysplasia; massively parallel sequencing; otopalatodigital syndrome; phenotype
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 27. 4. 2026 09:37, Mgr. Marie Novosadová Šípková, DiS.
Anotace
V originále
Otopalatodigital spectrum disorders (OPDSD), comprising otopalatodigital syndromes types 1 and 2 (OPD1, OPD2) and frontometaphyseal dysplasia (FMD), are rare X-linked disorders caused by FLNA gene variants, with phenotypes ranging from mild skeletal anomalies to severe multisystem malformations. We describe two unrelated cases: a 14-year-old male (P1, FMD) and an aborted fetus (P2, OPD2). Whole-exome sequencing identified hemizygous maternally inherited FLNA gene variants in P1 (c.733G>A; p.Glu245Lys) and P2 (c.3707G>A; p.Gly1236Asp, novel), expanding the OPD2 mutational spectrum (NM_001110556). P1 presented with facial dysmorphism, dental anomalies, flattened thumbs, and dermatoglyphic changes; P2 showed facial dysmorphism, skeletal and cardiac malformations, and omphalocele. These cases underscore the breadth of OPDSD phenotypic variability and add novel genetic data. Dental management demands multidisciplinary care from infancy through adolescence, including cleft repair, orthodontics for micrognathia and facial aesthetics, and treatment of dental anomalies. Early recognition, molecular diagnosis, and coordinated management are critical for improving outcomes in these complex disorders.