Diagnosis of a case with mental retardation due to novel compound heterozygous variants of TRAPPC9 gene
10.3760/cma.j.issn.1003-9406.2019.11.015
- VernacularTitle: 一例TRAPPC9复合杂合变异导致的智力发育迟缓患儿的诊断
- Author:
Zhouxian BAI
1
;
Xiangdong KONG
Author Information
1. Genetic and Prenatal Diagnosis Center, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China
- Publication Type:Clinical Trail
- Keywords:
Mental retardation, autosomal recessive 13;
TRAPPC9 gene;
Double variant;
Compound heterozygous variant
- From:
Chinese Journal of Medical Genetics
2019;36(11):1115-1119
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the genetic basis for a boy with mental retardation.
Methods:Clinical data and peripheral blood samples of the family were collected. Potential variants were screened by using a panel for genes associated with intellectual impairment. Suspected variants were verified by PCR and Sanger sequencing.
Results:The child presented with mental retardation, language delay and poor self-care. Imaging analysis showed widening of brain fissures and subarachnoid space, and dysplasia of corpus callosum. Three novel heterozygous variants, namely c. 1705T>C(p.S569P), c. 1708dupC (p.R570Pfs*80) and c. 2273delA (p.N758Tfs*22), were identified in the TRAPPC9 gene. The mother of the proband has carried the c. 1708dupC (p.R570Pfs*80) and c. 1705T>C(p.S569P) variants, while his father has carried the c. 2273delA (p.N758Tfs*22) variant.
Conclusion:The compound heterozygous variants of the TRAPPC9 gene probably underlie the disease in this family. Considering the clinical and genetic heterogeneity of mental retardation, genetic testing is essential for attaining diagnosis for patients with the relevant phenotype.