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Phenotypic heterogeneity of ZMPSTE24 deficiency.


ABSTRACT: A 4-year-old girl was referred to the Undiagnosed Diseases Network with a history of short stature, thin and translucent skin, macrocephaly, small hands, and camptodactyly. She had been diagnosed with possible Hallerman-Streiff syndrome. Her evaluation showed that she was mosaic for uniparental isodisomy of chromosome 1, which harbored a pathogenic c.1077dupT variant in ZMPSTE24 which predicts p.(Leu362fsX18). ZMPSTE24 is a zinc metalloproteinase that is involved in processing farnesylated proteins and pathogenic ZMPSTE24 variants cause accumulation of abnormal farnesylated forms of prelamin A. This, in turn, causes a spectrum of disease severity which is based on enzyme activity. The current patient has an intermediate form, which is a genocopy of severe Progeria.

SUBMITTER: Cassini TA 

PROVIDER: S-EPMC5911413 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature

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Phenotypic heterogeneity of ZMPSTE24 deficiency.

Cassini Thomas A TA   Robertson Amy K AK   Bican Anna G AG   Cogan Joy D JD   Hannig Vickie L VL   Newman John H JH   Hamid Rizwan R   Phillips John A JA  

American journal of medical genetics. Part A 20180117 5


A 4-year-old girl was referred to the Undiagnosed Diseases Network with a history of short stature, thin and translucent skin, macrocephaly, small hands, and camptodactyly. She had been diagnosed with possible Hallerman-Streiff syndrome. Her evaluation showed that she was mosaic for uniparental isodisomy of chromosome 1, which harbored a pathogenic c.1077dupT variant in ZMPSTE24 which predicts p.(Leu362fsX18). ZMPSTE24 is a zinc metalloproteinase that is involved in processing farnesylated prote  ...[more]

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