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Novel Pathogenic Variant in PIEZO2 in a Korean Patient with Distal Arthrogryposis

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초록

Alterations in <i>PIEZO2</i> can result in distal arthrogryposis, which is characterized by non-progressive contracture in two or more areas of the body prior to birth. Here, we present a 29-year-old man born with multiple joint contractures and cleft palate. He showed short stature, low-set ears, macrotia, hearing impairment, micrognathia, a triangular face, blepharophimosis, deep-set eyes, high arched eyebrows, decreased facial expressions, retrognathia, arachnodactyly, absent phalangeal crease, shortening of the first and fifth toes, short stature, pectus excavatum, epicanthus, bilateral ptosis, and ophthalmoplegia. He also complained of dyspnea and severe kyphoscoliosis. Pulmonary function tests showed a severe restrictive pattern. An electrodiagnostic study did not reveal any neurogenic or myogenic features. Next-generation sequencing revealed a novel de novo heterozygous pathogenic variant in <i>PIEZO2</i> (c.7251G>T; p.Trp2417Cys). Our study is the first report of a pathogenic variant in <i>PIEZO2</i> in a Korean patient with distal arthrogryposis.

Abstract

Alterations in <i>PIEZO2</i> can result in distal arthrogryposis, which is characterized by non-progressive contracture in two or more areas of the body prior to birth. Here, we present a 29-year-old man born with multiple joint contractures and cleft palate. He showed short stature, low-set ears, macrotia, hearing impairment, micrognathia, a triangular face, blepharophimosis, deep-set eyes, high arched eyebrows, decreased facial expressions, retrognathia, arachnodactyly, absent phalangeal crease, shortening of the first and fifth toes, short stature, pectus excavatum, epicanthus, bilateral ptosis, and ophthalmoplegia. He also complained of dyspnea and severe kyphoscoliosis. Pulmonary function tests showed a severe restrictive pattern. An electrodiagnostic study did not reveal any neurogenic or myogenic features. Next-generation sequencing revealed a novel de novo heterozygous pathogenic variant in <i>PIEZO2</i> (c.7251G>T; p.Trp2417Cys). Our study is the first report of a pathogenic variant in <i>PIEZO2</i> in a Korean patient with distal arthrogryposis.

참고문헌 (10)

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  4. McMillin MJ, "Mutations in PIEZO2 cause Gordon syndrome, Marden-Walker syndrome, and distal arthrogryposis type 5", Am J Hum Genet, 94, pp.734~744 (2014)
  5. Coste B, "Gain-of-function mutations in the mechanically activated ion channel PIEZO2 cause a subtype of distal arthrogryposis", Proc Natl Acad Sci U S A, 110, pp.4667~4672 (2013)
  6. Haliloglu G, "Recessive PIEZO2 stop mutation causes distal arthrogryposis with distal muscle weakness, scoliosis and proprioception defects", J Hum Genet, 62, pp.497~501 (2017)
  7. Chesler AT, "The role of PIEZO2 in human mechanosensation", N Engl J Med, 375, pp.1355~1364 (2016)
  8. Coste B, "Piezo1 and PIEZO2 are essential components of distinct mechanically activated cation channels", Science, 330, pp.55~60 (2010)
  9. Retailleau K, "Piezo1 in smooth muscle cells is involved in hypertension-dependent arterial remodeling", Cell Rep, 13, pp.1161~1171 (2015)
  10. Woo SH, "PIEZO2 is the principal mechanotransduction channel for proprioception", Nat Neurosci, 18, pp.1756~1762 (2015)

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