POLD1 Germline Mutations in Patients Initially Diagnosed with Werner Syndrome
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POLD1 Germline Mutations in Patients Initially Diagnosed with Werner Syndrome. / Lessel, Davor; Hisama, Fuki M; Szakszon, Katalin; Saha, Bidisha; Sanjuanelo, Alexander Barrios; Salbert, Bonnie A; Steele, Pamela D; Baldwin, Jennifer; Brown, W Ted; Piussan, Charles; Plauchu, Henri; Szilvássy, Judit; Horkay, Edit; Högel, Josef; Martin, George M; Herr, Alan J; Oshima, Junko; Kubisch, Christian.
In: HUM MUTAT, Vol. 36, No. 11, 11.2015, p. 1070-9.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - POLD1 Germline Mutations in Patients Initially Diagnosed with Werner Syndrome
AU - Lessel, Davor
AU - Hisama, Fuki M
AU - Szakszon, Katalin
AU - Saha, Bidisha
AU - Sanjuanelo, Alexander Barrios
AU - Salbert, Bonnie A
AU - Steele, Pamela D
AU - Baldwin, Jennifer
AU - Brown, W Ted
AU - Piussan, Charles
AU - Plauchu, Henri
AU - Szilvássy, Judit
AU - Horkay, Edit
AU - Högel, Josef
AU - Martin, George M
AU - Herr, Alan J
AU - Oshima, Junko
AU - Kubisch, Christian
N1 - © 2015 WILEY PERIODICALS, INC.
PY - 2015/11
Y1 - 2015/11
N2 - Segmental progeroid syndromes are rare, heterogeneous disorders characterized by signs of premature aging affecting more than one tissue or organ. A prototypic example is the Werner syndrome (WS), caused by biallelic germline mutations in the Werner helicase gene (WRN). While heterozygous lamin A/C (LMNA) mutations are found in a few nonclassical cases of WS, another 10%-15% of patients initially diagnosed with WS do not have mutations in WRN or LMNA. Germline POLD1 mutations were recently reported in five patients with another segmental progeroid disorder: mandibular hypoplasia, deafness, progeroid features syndrome. Here, we describe eight additional patients with heterozygous POLD1 mutations, thereby substantially expanding the characterization of this new example of segmental progeroid disorders. First, we identified POLD1 mutations in patients initially diagnosed with WS. Second, we describe POLD1 mutation carriers without clinically relevant hearing impairment or mandibular underdevelopment, both previously thought to represent obligate diagnostic features. These patients also exhibit a lower incidence of metabolic abnormalities and joint contractures. Third, we document postnatal short stature and premature greying/loss of hair in POLD1 mutation carriers. We conclude that POLD1 germline mutations can result in a variably expressed and probably underdiagnosed segmental progeroid syndrome.
AB - Segmental progeroid syndromes are rare, heterogeneous disorders characterized by signs of premature aging affecting more than one tissue or organ. A prototypic example is the Werner syndrome (WS), caused by biallelic germline mutations in the Werner helicase gene (WRN). While heterozygous lamin A/C (LMNA) mutations are found in a few nonclassical cases of WS, another 10%-15% of patients initially diagnosed with WS do not have mutations in WRN or LMNA. Germline POLD1 mutations were recently reported in five patients with another segmental progeroid disorder: mandibular hypoplasia, deafness, progeroid features syndrome. Here, we describe eight additional patients with heterozygous POLD1 mutations, thereby substantially expanding the characterization of this new example of segmental progeroid disorders. First, we identified POLD1 mutations in patients initially diagnosed with WS. Second, we describe POLD1 mutation carriers without clinically relevant hearing impairment or mandibular underdevelopment, both previously thought to represent obligate diagnostic features. These patients also exhibit a lower incidence of metabolic abnormalities and joint contractures. Third, we document postnatal short stature and premature greying/loss of hair in POLD1 mutation carriers. We conclude that POLD1 germline mutations can result in a variably expressed and probably underdiagnosed segmental progeroid syndrome.
U2 - 10.1002/humu.22833
DO - 10.1002/humu.22833
M3 - SCORING: Journal article
C2 - 26172944
VL - 36
SP - 1070
EP - 1079
JO - HUM MUTAT
JF - HUM MUTAT
SN - 1059-7794
IS - 11
ER -