1. Jansen-de Vries syndrome: Expansion of the PPM1D clinical and phenotypic spectrum in 34 families.
- Author
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Wojcik, M.H., Srivastava, S., Agrawal, P.B., Balci, T.B., Callewaert, B., Calvo, P.L., Carli, D., Caudle, M., Colaiacovo, S., Cross, L., Demetriou, K., Drazba, K., Dutra-Clarke, M., Edwards, M., Genetti, C.A., Grange, D.K., Hickey, S.E., Isidor, B., Küry, S., Lachman, H.M., Lavillaureix, A., Lyons, M.J., Marcelis, C.L.M., Marco, E.J., Martinez-Agosto, J.A., Nowak, C., Pizzol, A., Planes, M., Prijoles, E.J., Riberi, E., Rush, E.T., Russell, B.E., Sachdev, R., Schmalz, B., Shears, D., Stevenson, D.M., Wilson, K., Jansen, S, Vries, B.B.A. de, Curry, C.J., Wojcik, M.H., Srivastava, S., Agrawal, P.B., Balci, T.B., Callewaert, B., Calvo, P.L., Carli, D., Caudle, M., Colaiacovo, S., Cross, L., Demetriou, K., Drazba, K., Dutra-Clarke, M., Edwards, M., Genetti, C.A., Grange, D.K., Hickey, S.E., Isidor, B., Küry, S., Lachman, H.M., Lavillaureix, A., Lyons, M.J., Marcelis, C.L.M., Marco, E.J., Martinez-Agosto, J.A., Nowak, C., Pizzol, A., Planes, M., Prijoles, E.J., Riberi, E., Rush, E.T., Russell, B.E., Sachdev, R., Schmalz, B., Shears, D., Stevenson, D.M., Wilson, K., Jansen, S, Vries, B.B.A. de, and Curry, C.J.
- Abstract
01 juli 2023, Item does not contain fulltext, Jansen-de Vries syndrome (JdVS) is a neurodevelopmental condition attributed to pathogenic variants in Exons 5 and 6 of PPM1D. As the full phenotypic spectrum and natural history remain to be defined, we describe a large cohort of children and adults with JdVS. This is a retrospective cohort study of 37 individuals from 34 families with disease-causing variants in PPM1D leading to JdVS. Clinical data were provided by treating physicians and/or families. Of the 37 individuals, 27 were male and 10 female, with median age 8.75 years (range 8 months to 62 years). Four families document autosomal dominant transmission, and 32/34 probands were diagnosed via exome sequencing. The facial gestalt, including a broad forehead and broad mouth with a thin and tented upper lip, was most recognizable between 18 and 48 months of age. Common manifestations included global developmental delay (35/36, 97%), hypotonia (25/34, 74%), short stature (14/33, 42%), constipation (22/31, 71%), and cyclic vomiting (6/35, 17%). Distinctive personality traits include a hypersocial affect (21/31, 68%) and moderate-to-severe anxiety (18/28, 64%). In conclusion, JdVS is a clinically recognizable neurodevelopmental syndrome with a characteristic personality and distinctive facial features. The association of pathogenic variants in PPM1D with cyclic vomiting bears not only medical attention but also further pathogenic and mechanistic evaluation.
- Published
- 2023