Novel PIGT Variant in Two Brothers: Expansion of the Multiple Congenital Anomalies-Hypotonia Seizures Syndrome 3 Phenotype

Biallelic PIGT variants were previously reported in seven patients from three families with Multiple Congenital Anomalies-Hypotonia Seizures Syndrome 3 (MCAHS3), characterized by epileptic encephalopathy, hypotonia, global developmental delay/intellectual disability, cerebral and cerebellar atrophy,...

Full description

Bibliographic Details
Main Authors: Nadia Skauli, Sean Wallace, Samuel C. C. Chiang, Tuva Barøy, Asbjørn Holmgren, Asbjørg Stray-Pedersen, Yenan T. Bryceson, Petter Strømme, Eirik Frengen, Doriana Misceo
Format: Article
Language:English
Published: MDPI AG 2016-11-01
Series:Genes
Subjects:
Online Access:http://www.mdpi.com/2073-4425/7/12/108
id doaj-4b066bd739d14ac5b7f9a4d779b618c4
record_format Article
spelling doaj-4b066bd739d14ac5b7f9a4d779b618c42020-11-24T22:15:57ZengMDPI AGGenes2073-44252016-11-0171210810.3390/genes7120108genes7120108Novel PIGT Variant in Two Brothers: Expansion of the Multiple Congenital Anomalies-Hypotonia Seizures Syndrome 3 PhenotypeNadia Skauli0Sean Wallace1Samuel C. C. Chiang2Tuva Barøy3Asbjørn Holmgren4Asbjørg Stray-Pedersen5Yenan T. Bryceson6Petter Strømme7Eirik Frengen8Doriana Misceo9Department of Medical Genetics, Oslo University Hospital, 0450 Oslo, NorwayDepartment of Clinical Neurosciences for Children, Division of Pediatric and Adolescent Medicine, Oslo University Hospital, 0450 Oslo, NorwayCenter for Hematology and Regenerative Medicine (HERM), Department of Medicine, Karolinska University Hospital Huddinge, 14157 Stockholm, SwedenDepartment of Medical Genetics, Oslo University Hospital, 0450 Oslo, NorwayDepartment of Medical Genetics, Oslo University Hospital, 0450 Oslo, NorwayDepartment of Medical Genetics, Oslo University Hospital, 0450 Oslo, NorwayCenter for Hematology and Regenerative Medicine (HERM), Department of Medicine, Karolinska University Hospital Huddinge, 14157 Stockholm, SwedenFaculty of Medicine, University of Oslo, 0450 Oslo, NorwayDepartment of Medical Genetics, Oslo University Hospital, 0450 Oslo, NorwayDepartment of Medical Genetics, Oslo University Hospital, 0450 Oslo, NorwayBiallelic PIGT variants were previously reported in seven patients from three families with Multiple Congenital Anomalies-Hypotonia Seizures Syndrome 3 (MCAHS3), characterized by epileptic encephalopathy, hypotonia, global developmental delay/intellectual disability, cerebral and cerebellar atrophy, craniofacial dysmorphisms, and skeletal, ophthalmological, cardiac, and genitourinary abnormalities. We report a novel homozygous PIGT missense variant c.1079G>T (p.Gly360Val) in two brothers with several of the typical features of MCAHS3, but in addition, pyramidal tract neurological signs. Notably, they are the first patients with MCAHS3 without skeletal, cardiac, or genitourinary anomalies. PIGT encodes a crucial subunit of the glycosylphosphatidylinositol (GPI) transamidase complex, which catalyzes the attachment of proteins to GPI-anchors, attaching the proteins to the cell membrane. In vitro studies in cells from the two brothers showed reduced levels of GPI-anchors and GPI-anchored proteins on the cell surface, supporting the pathogenicity of the novel PIGT variant.http://www.mdpi.com/2073-4425/7/12/108cerebellar atrophycraniofacial dysmorphismdevelopmental delayepilepsyGPI-anchorsMCAHS3PIGT
collection DOAJ
language English
format Article
sources DOAJ
author Nadia Skauli
Sean Wallace
Samuel C. C. Chiang
Tuva Barøy
Asbjørn Holmgren
Asbjørg Stray-Pedersen
Yenan T. Bryceson
Petter Strømme
Eirik Frengen
Doriana Misceo
spellingShingle Nadia Skauli
Sean Wallace
Samuel C. C. Chiang
Tuva Barøy
Asbjørn Holmgren
Asbjørg Stray-Pedersen
Yenan T. Bryceson
Petter Strømme
Eirik Frengen
Doriana Misceo
Novel PIGT Variant in Two Brothers: Expansion of the Multiple Congenital Anomalies-Hypotonia Seizures Syndrome 3 Phenotype
Genes
cerebellar atrophy
craniofacial dysmorphism
developmental delay
epilepsy
GPI-anchors
MCAHS3
PIGT
author_facet Nadia Skauli
Sean Wallace
Samuel C. C. Chiang
Tuva Barøy
Asbjørn Holmgren
Asbjørg Stray-Pedersen
Yenan T. Bryceson
Petter Strømme
Eirik Frengen
Doriana Misceo
author_sort Nadia Skauli
title Novel PIGT Variant in Two Brothers: Expansion of the Multiple Congenital Anomalies-Hypotonia Seizures Syndrome 3 Phenotype
title_short Novel PIGT Variant in Two Brothers: Expansion of the Multiple Congenital Anomalies-Hypotonia Seizures Syndrome 3 Phenotype
title_full Novel PIGT Variant in Two Brothers: Expansion of the Multiple Congenital Anomalies-Hypotonia Seizures Syndrome 3 Phenotype
title_fullStr Novel PIGT Variant in Two Brothers: Expansion of the Multiple Congenital Anomalies-Hypotonia Seizures Syndrome 3 Phenotype
title_full_unstemmed Novel PIGT Variant in Two Brothers: Expansion of the Multiple Congenital Anomalies-Hypotonia Seizures Syndrome 3 Phenotype
title_sort novel pigt variant in two brothers: expansion of the multiple congenital anomalies-hypotonia seizures syndrome 3 phenotype
publisher MDPI AG
series Genes
issn 2073-4425
publishDate 2016-11-01
description Biallelic PIGT variants were previously reported in seven patients from three families with Multiple Congenital Anomalies-Hypotonia Seizures Syndrome 3 (MCAHS3), characterized by epileptic encephalopathy, hypotonia, global developmental delay/intellectual disability, cerebral and cerebellar atrophy, craniofacial dysmorphisms, and skeletal, ophthalmological, cardiac, and genitourinary abnormalities. We report a novel homozygous PIGT missense variant c.1079G>T (p.Gly360Val) in two brothers with several of the typical features of MCAHS3, but in addition, pyramidal tract neurological signs. Notably, they are the first patients with MCAHS3 without skeletal, cardiac, or genitourinary anomalies. PIGT encodes a crucial subunit of the glycosylphosphatidylinositol (GPI) transamidase complex, which catalyzes the attachment of proteins to GPI-anchors, attaching the proteins to the cell membrane. In vitro studies in cells from the two brothers showed reduced levels of GPI-anchors and GPI-anchored proteins on the cell surface, supporting the pathogenicity of the novel PIGT variant.
topic cerebellar atrophy
craniofacial dysmorphism
developmental delay
epilepsy
GPI-anchors
MCAHS3
PIGT
url http://www.mdpi.com/2073-4425/7/12/108
work_keys_str_mv AT nadiaskauli novelpigtvariantintwobrothersexpansionofthemultiplecongenitalanomalieshypotoniaseizuressyndrome3phenotype
AT seanwallace novelpigtvariantintwobrothersexpansionofthemultiplecongenitalanomalieshypotoniaseizuressyndrome3phenotype
AT samuelccchiang novelpigtvariantintwobrothersexpansionofthemultiplecongenitalanomalieshypotoniaseizuressyndrome3phenotype
AT tuvabarøy novelpigtvariantintwobrothersexpansionofthemultiplecongenitalanomalieshypotoniaseizuressyndrome3phenotype
AT asbjørnholmgren novelpigtvariantintwobrothersexpansionofthemultiplecongenitalanomalieshypotoniaseizuressyndrome3phenotype
AT asbjørgstraypedersen novelpigtvariantintwobrothersexpansionofthemultiplecongenitalanomalieshypotoniaseizuressyndrome3phenotype
AT yenantbryceson novelpigtvariantintwobrothersexpansionofthemultiplecongenitalanomalieshypotoniaseizuressyndrome3phenotype
AT petterstrømme novelpigtvariantintwobrothersexpansionofthemultiplecongenitalanomalieshypotoniaseizuressyndrome3phenotype
AT eirikfrengen novelpigtvariantintwobrothersexpansionofthemultiplecongenitalanomalieshypotoniaseizuressyndrome3phenotype
AT dorianamisceo novelpigtvariantintwobrothersexpansionofthemultiplecongenitalanomalieshypotoniaseizuressyndrome3phenotype
_version_ 1725792134344212480