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Myhre and LAPS syndromes: clinical and molecular review of 32 patients.

ABSTRACT: Myhre syndrome is characterized by short stature, brachydactyly, facial features, pseudomuscular hypertrophy, joint limitation and hearing loss. We identified SMAD4 mutations as the cause of Myhre syndrome. SMAD4 mutations have also been identified in laryngotracheal stenosis, arthropathy, prognathism and short stature syndrome (LAPS). This study aimed to review the features of Myhre and LAPS patients to define the clinical spectrum of SMAD4 mutations. We included 17 females and 15 males ranging in age from 8 to 48 years. Thirty were diagnosed with Myhre syndrome and two with LAPS. SMAD4 coding sequence was analyzed by Sanger sequencing. Clinical and radiological features were collected from a questionnaire completed by the referring physicians. All patients displayed a typical facial gestalt, thickened skin, joint limitation and muscular pseudohypertrophy. Growth retardation was common (68.7%) and was variable in severity (from -5.5 to -2 SD), as was mild-to-moderate intellectual deficiency (87.5%) with additional behavioral problems in 56.2% of the patients. Significant health concerns like obesity, arterial hypertension, bronchopulmonary insufficiency, laryngotracheal stenosis, pericarditis and early death occurred in four. Twenty-nine patients had a de novo heterozygous SMAD4 mutation, including both patients with LAPS. In 27 cases mutation affected Ile500 and in two cases Arg496. The three patients without SMAD4 mutations had typical findings of Myhre syndrome. Myhre-LAPS syndrome is a clinically homogenous condition with life threatening complications in the course of the disease. Our identification of SMAD4 mutations in 29/32 cases confirms that SMAD4 is the major gene responsible for Myhre syndrome.

SUBMITTER: Michot C

PROVIDER: S-EPMC4200423 | biostudies-literature | 2014 Nov

REPOSITORIES: biostudies-literature

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Myhre and LAPS syndromes: clinical and molecular review of 32 patients.

Michot Caroline C Le Goff Carine C Mahaut Clémentine C Afenjar Alexandra A Brooks Alice S AS Campeau Philippe M PM Destree Anne A Di Rocco Maja M Donnai Dian D Hennekam Raoul R Heron Delphine D Jacquemont Sébastien S Kannu Peter P Lin Angela E AE Manouvrier-Hanu Sylvie S Mansour Sahar S Marlin Sandrine S McGowan Ruth R Murphy Helen H Raas-Rothschild Annick A Rio Marlène M Simon Marleen M Stolte-Dijkstra Irene I Stone James R JR Sznajer Yves Y Tolmie John J Touraine Renaud R van den Ende Jenneke J Van der Aa Nathalie N van Essen Ton T Verloes Alain A Munnich Arnold A Cormier-Daire Valérie V

European journal of human genetics : EJHG 20140115 11

Myhre syndrome is characterized by short stature, brachydactyly, facial features, pseudomuscular hypertrophy, joint limitation and hearing loss. We identified SMAD4 mutations as the cause of Myhre syndrome. SMAD4 mutations have also been identified in laryngotracheal stenosis, arthropathy, prognathism and short stature syndrome (LAPS). This study aimed to review the features of Myhre and LAPS patients to define the clinical spectrum of SMAD4 mutations. We included 17 females and 15 males ranging ...[more]

PMID: 24424121

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Myhre and LAPS syndromes: clinical and molecular review of 32 patients.

Publications

Myhre and LAPS syndromes: clinical and molecular review of 32 patients.

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