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  Mutational spectrum of COH1 and clinical heterogeneity in Cohen syndrome

Seifert, W., Holder-Espinasse, M., Spranger, S., Hoeltzenbein, M., Rossier, E., Dollfus, H., et al. (2006). Mutational spectrum of COH1 and clinical heterogeneity in Cohen syndrome. Journal of Medical Genetics, 43(5), e22-e22. doi:10.1136/jmg.2005.039867.

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Genre: Journal Article
Alternative Title : J Med Genet.

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Seifert, W., Author
Holder-Espinasse, M., Author
Spranger, S., Author
Hoeltzenbein, Maria1, Author
Rossier, E., Author
Dollfus, H., Author
Lacombe, H., Author
Verloes, A., Author
Chrzanowska, K. H., Author
Maegawa, G. H. B., Author
Chitayat, D., Author
Kotzot, D., Author
Huhle, D., Author
Meinecke, P., Author
Albrecht, B., Author
Mathijssen, I., Author
Leheup, B., Author
Raile, K., Author
Hennies, H. C., Author
Horn, D., Author
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1Max Planck Society, ou_persistent13              

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Free keywords: Cohen syndrome; allelic heterogeneity; facial dysmorphism; microcephaly; myopia
 Abstract: Cohen syndrome (CS) is an autosomal recessive disorder with variability in the clinical manifestations, characterised by mental retardation, postnatal microcephaly, facial dysmorphism, pigmentary retinopathy, myopia, and intermittent neutropenia. Mutations in the gene COH1 have been found in an ethnically diverse series of patients. Brief clinical descriptions of 24 patients with CS are provided. The patients were from 16 families of different ethnic backgrounds and between 2.5 and 60 years of age at assessment. DNA samples from all patients were analysed for mutations in COH1 by direct sequencing. Splice site mutations were characterised using reverse transcriptase PCR analysis from total RNA samples. In this series, we detected 25 different COH1 mutations; 19 of these were novel, including 9 nonsense mutations, 8 frameshift mutations, 4 verified splice site mutations, 3 larger in frame deletions, and 1 missense mutation. We observed marked variability of developmental and growth parameters. The typical facial gestalt was seen in 23/24 patients. Early onset progressive myopia was present in all the patients older than 5 years. Widespread pigmentary retinopathy was found in 12/14 patients assessed over 5 years of age. We present evidence for extended allelic heterogeneity of CS, with the vast majority of mutations leading to premature termination codons in COH1. Our data confirm the broad clinical spectrum of CS with some patients lacking even the characteristic facial gestalt and pigmentary retinopathy at school age.

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Language(s): eng - English
 Dates: 2006-01-25
 Publication Status: Issued
 Pages: -
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 Identifiers: eDoc: 308496
DOI: 10.1136/jmg.2005.039867
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Title: Journal of Medical Genetics
  Alternative Title : J Med Genet.
Source Genre: Journal
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Pages: - Volume / Issue: 43 (5) Sequence Number: - Start / End Page: e22 - e22 Identifier: ISSN: 1468-6244