A novel mutation (g.106737G>T) in zone of polarizing activity regulatory 
sequence (ZRS) causes variable limb phenotypes in Werner mesomelia

Girisha, K. M.; Bidchol, A. M.; Kamath, P. S.; Shah, K. H.; Mortier, G. R.; Mundlos, S.; Shah, H.

doi:10.1002/ajmg.a.36367

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A novel mutation (g.106737G>T) in zone of polarizing activity regulatory sequence (ZRS) causes variable limb phenotypes in Werner mesomelia

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Mundlos, S.
Research Group Development & Disease (Head: Stefan Mundlos), Max Planck Institute for Molecular Genetics, Max Planck Society;

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http://www.ncbi.nlm.nih.gov/pubmed/24478176
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Zitation

Girisha, K. M., Bidchol, A. M., Kamath, P. S., Shah, K. H., Mortier, G. R., Mundlos, S., et al. (2014). A novel mutation (g.106737G>T) in zone of polarizing activity regulatory sequence (ZRS) causes variable limb phenotypes in Werner mesomelia. American Journal of Medical Genetics Part A, 164A(4), 898-906. doi:10.1002/ajmg.a.36367.

Zitierlink: https://hdl.handle.net/11858/00-001M-0000-0025-786A-1

Zusammenfassung

Werner mesomelia is characterized by a sequence variation in the specific region (position 404) of the enhancer ZRS of SHH. The phenotype comprises variable mesomelia, abnormalities of the thumb and great toe and supernumerary digits. We describe extensive variation in limb phenotype in a large family and report on a novel sequence variation NG_009240.1: g.106737G>T (traditional nomenclature: ZRS404G>T) in the ZRS within the LMBR1 gene. The newly recognized clinical features in this family include small thenar eminence, sandal gap, broad first metatarsals, mesoaxial polydactyly, and postaxial polydactyly. We provide information on 12 affected family members. We review the literature on how a sequence variation in ZRS may cause such diverse phenotypes.