De novo mutations in the X-linked TFE3 gene cause intellectual disability with pigmentary mosaicism and storage disorder-like features
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De novo mutations in the X-linked TFE3 gene cause intellectual disability with pigmentary mosaicism and storage disorder-like features. / Lehalle, Daphné; Vabres, Pierre; Sorlin, Arthur; Bierhals, Tatjana; Avila, Magali; Carmignac, Virginie; Chevarin, Martin; Torti, Erin; Abe, Yuichi; Bartolomaeus, Tobias; Clayton-Smith, Jill; Cogné, Benjamin; Cusco, Ivon; Duplomb, Laurence; De Bont, Eveline; Duffourd, Yannis; Duijkers, Floor; Elpeleg, Orly; Fattal, Aviva; Geneviève, David; Guillen Sacoto, Maria J; Guimier, Anne; Harris, David J; Hempel, Maja; Isidor, Bertrand; Jouan, Thibaud; Kuentz, Paul; Koshimizu, Eriko; Lichtenbelt, Klaske; Loik Ramey, Valerie; Maik, Miriam; Miyakate, Sakoto; Murakami, Yoshiko; Pasquier, Laurent; Pedro, Helio; Simone, Laurie; Sondergaard-Schatz, Krista; St-Onge, Judith; Thevenon, Julien; Valenzuela, Irene; Abou Jamra, Rami; van Gassen, Koen; van Haelst, Mieke M; van Koningsbruggen, Silvana; Verdura, Edgard; Whelan Habela, Christa; Zacher, Pia; Rivière, Jean-Baptiste; Thauvin-Robinet, Christel; Betschinger, Joerg; Faivre, Laurence.
in: J MED GENET, Jahrgang 57, Nr. 12, 12.2020, S. 808-819.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - De novo mutations in the X-linked TFE3 gene cause intellectual disability with pigmentary mosaicism and storage disorder-like features
AU - Lehalle, Daphné
AU - Vabres, Pierre
AU - Sorlin, Arthur
AU - Bierhals, Tatjana
AU - Avila, Magali
AU - Carmignac, Virginie
AU - Chevarin, Martin
AU - Torti, Erin
AU - Abe, Yuichi
AU - Bartolomaeus, Tobias
AU - Clayton-Smith, Jill
AU - Cogné, Benjamin
AU - Cusco, Ivon
AU - Duplomb, Laurence
AU - De Bont, Eveline
AU - Duffourd, Yannis
AU - Duijkers, Floor
AU - Elpeleg, Orly
AU - Fattal, Aviva
AU - Geneviève, David
AU - Guillen Sacoto, Maria J
AU - Guimier, Anne
AU - Harris, David J
AU - Hempel, Maja
AU - Isidor, Bertrand
AU - Jouan, Thibaud
AU - Kuentz, Paul
AU - Koshimizu, Eriko
AU - Lichtenbelt, Klaske
AU - Loik Ramey, Valerie
AU - Maik, Miriam
AU - Miyakate, Sakoto
AU - Murakami, Yoshiko
AU - Pasquier, Laurent
AU - Pedro, Helio
AU - Simone, Laurie
AU - Sondergaard-Schatz, Krista
AU - St-Onge, Judith
AU - Thevenon, Julien
AU - Valenzuela, Irene
AU - Abou Jamra, Rami
AU - van Gassen, Koen
AU - van Haelst, Mieke M
AU - van Koningsbruggen, Silvana
AU - Verdura, Edgard
AU - Whelan Habela, Christa
AU - Zacher, Pia
AU - Rivière, Jean-Baptiste
AU - Thauvin-Robinet, Christel
AU - Betschinger, Joerg
AU - Faivre, Laurence
N1 - © Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2020/12
Y1 - 2020/12
N2 - INTRODUCTION: Pigmentary mosaicism (PM) manifests by pigmentation anomalies along Blaschko's lines and represents a clue toward the molecular diagnosis of syndromic intellectual disability (ID). Together with new insights on the role for lysosomal signalling in embryonic stem cell differentiation, mutations in the X-linked transcription factor 3 (TFE3) have recently been reported in five patients. Functional analysis suggested these mutations to result in ectopic nuclear gain of functions.MATERIALS AND METHODS: Subsequent data sharing allowed the clustering of de novo TFE3 variants identified by exome sequencing on DNA extracted from leucocytes in patients referred for syndromic ID with or without PM.RESULTS: We describe the detailed clinical and molecular data of 17 individuals harbouring a de novo TFE3 variant, including the patients that initially allowed reporting TFE3 as a new disease-causing gene. The 12 females and 5 males presented with pigmentation anomalies on Blaschko's lines, severe ID, epilepsy, storage disorder-like features, growth retardation and recognisable facial dysmorphism. The variant was at a mosaic state in at least two male patients. All variants were missense except one splice variant. Eleven of the 13 variants were localised in exon 4, 2 in exon 3, and 3 were recurrent variants.CONCLUSION: This series further delineates the specific storage disorder-like phenotype with PM ascribed to de novo TFE3 mutation in exons 3 and 4. It confirms the identification of a novel X-linked human condition associated with mosaicism and dysregulation within the mechanistic target of rapamycin (mTOR) pathway, as well as a link between lysosomal signalling and human development.
AB - INTRODUCTION: Pigmentary mosaicism (PM) manifests by pigmentation anomalies along Blaschko's lines and represents a clue toward the molecular diagnosis of syndromic intellectual disability (ID). Together with new insights on the role for lysosomal signalling in embryonic stem cell differentiation, mutations in the X-linked transcription factor 3 (TFE3) have recently been reported in five patients. Functional analysis suggested these mutations to result in ectopic nuclear gain of functions.MATERIALS AND METHODS: Subsequent data sharing allowed the clustering of de novo TFE3 variants identified by exome sequencing on DNA extracted from leucocytes in patients referred for syndromic ID with or without PM.RESULTS: We describe the detailed clinical and molecular data of 17 individuals harbouring a de novo TFE3 variant, including the patients that initially allowed reporting TFE3 as a new disease-causing gene. The 12 females and 5 males presented with pigmentation anomalies on Blaschko's lines, severe ID, epilepsy, storage disorder-like features, growth retardation and recognisable facial dysmorphism. The variant was at a mosaic state in at least two male patients. All variants were missense except one splice variant. Eleven of the 13 variants were localised in exon 4, 2 in exon 3, and 3 were recurrent variants.CONCLUSION: This series further delineates the specific storage disorder-like phenotype with PM ascribed to de novo TFE3 mutation in exons 3 and 4. It confirms the identification of a novel X-linked human condition associated with mosaicism and dysregulation within the mechanistic target of rapamycin (mTOR) pathway, as well as a link between lysosomal signalling and human development.
U2 - 10.1136/jmedgenet-2019-106508
DO - 10.1136/jmedgenet-2019-106508
M3 - SCORING: Journal article
C2 - 32409512
VL - 57
SP - 808
EP - 819
JO - J MED GENET
JF - J MED GENET
SN - 0022-2593
IS - 12
ER -