Case Report

A Novel Mutation in the OFD1 Gene in a Family with Oral-Facial-Digital Syndrome Type 1: A Case Report

Abstract

Oral-facial-digital syndrome as heterogeneous developmental conditions is characterized by abnormalities in the oral cavity, facial features and digits. Furthermore, central nervous system (CNS) abnormalities can also be part of this developmental disorder. At least 13 forms of OFDS based on their pattern of signs and symptoms have been identified so far.  Type 1 which is now considered to be a ciliopathy accounts for the majority of cases. It is transmitted in an X-linked dominant pattern and caused by mutations in OFD1 gene, which can result in embryonic male lethality. In this study, we present a family suffering from orofaciodigital syndrome type I who referred to Medical Genetics Research Center, Shahid Sadoughi University of Medical Sciences in 2015. Two female siblings and their mother shared a novel 2-base pair deletion (c.1964-1965delGA) in exon 16 of OFD1 gene. Clinically, the sibling had oral, facial and brain abnormalities, whereas their mother is very mildly affected. She also had history of recurrent miscarriage of male fetus.

 

Gorlin RJ, Anderson VE, Scott CR (1961). Hypertrophied frenuli, oligophrenia, famflial trembling and anomalies of the hand. Report of four casesin one family and a forme fruste in another. N Engl J Med, 264:486-489.

Toriello HV (2009). Are the oral-facial-digital syndromes ciliopathies? Am J Med Genet A, 149A(5):1089-1095.

Del Giudice E, Macca M, Imperati F, D'Amico A, Parent P, Pasquier L, Layet V, Lyonnet S, Stamboul-Darmency V, Thauvin-Robinet C, Franco B, Oral-Facial-Digital Type ICG (2014). CNS involvement in OFD1 syndrome: a clinical, molecular, and neuroimaging study. Orphanet J Rare Dis, 9:74.

Feather SA, Winyard PJ, Dodd S, Woolf AS (1997). Oral-facial-digital syndrome type 1 is another dominant polycystic kidney disease: clinical, radiological and histopathological features of a new kindred. Nephrol Dial Transplant, 12(7):1354-1361.

Feather SA, Woolf AS, Donnai D, Malcolm S, Winter RM (1997). The oral-facial-digital syndrome type 1 (OFD1), a cause of polycystic kidney disease and associated malformations, maps to Xp22.2-Xp22.3. Hum Mol Genet, 6(7):1163-1167.

Ferrante MI, Giorgio G, Feather SA, Bulfone A, Wright V, Ghiani M, Selicorni A, Gammaro L, Scolari F, Woolf AS, Sylvie O, Bernard L, Malcolm S, Winter R, Ballabio A, Franco B (2001). Identification of the gene for oral-facial-digital type I syndrome. Am J Hum Genet, 68(3):569-576.

Habib K, Fraitag S, Couly G, de Prost Y (1992). [Cutaneous lesions in the orofaciodigital syndrome]. Ann Pediatr (Paris), 39(7):449-452.

Solomon LM, Fretzin D, Pruzansky S (1970). Pilosebaceous dysplasia in the oral-facial-digital syndrome. Arch Dermatol, 102(6):598-602.

Franco B, Ballabio A (2006). X-inactivation and human disease: X-linked dominant male-lethal disorders. Curr Opin Genet Dev, 16(3):254-259.

Romio L, Wright V, Price K, Winyard PJ, Donnai D, Porteous ME, Franco B, Giorgio G, Malcolm S, Woolf AS, Feather SA (2003). OFD1, the gene mutated in oral-facial-digital syndrome type 1, is expressed in the metanephros and in human embryonic renal mesenchymal cells. J Am Soc Nephrol, 14(3):680-689.

Giorgio G, Alfieri M, Prattichizzo C, Zullo A, Cairo S, Franco B (2007). Functional characterization of the OFD1 protein reveals a nuclear localization and physical interaction with subunits of a chromatin remodeling complex. Mol Biol Cell, 18(11):4397-4404.

Macca M, Franco B (2009). The molecular basis of oral-facial-digital syndrome, type 1. Am J Med Genet C Semin Med Genet, 15;151C(4):318-325.

Hunkapiller J, Singla V, Seol A, Reiter JF (2011). The ciliogenic protein Oral-Facial-Digital 1 regulates the neuronal differentiation of embryonic stem cells. Stem Cells Dev, 20(5):831-841.

Bisschoff IJ, Zeschnigk C, Horn D et al. (2013). Novel mutations including deletions of the entire OFD1 gene in 30 families with type 1 orofaciodigital syndrome: a study of the extensive clinical variability. Hum Mutat, 34(1):237-247.

Budny B, Chen W, Omran H, Fliegauf M, Tzschach A, Wisniewska M, Jensen LR, Raynaud M, Shoichet SA, Badura M, Lenzner S, Latos-Bielenska A, Ropers HH (2006). A novel X-linked recessive mental retardation syndrome comprising macrocephaly and ciliary dysfunction is allelic to oral-facial-digital type I syndrome. Hum Genet, 120(2):171-178.

Coene KL, Roepman R, Doherty D et al. (2009). OFD1 is mutated in X-linked Joubert syndrome and interacts with LCA5-encoded lebercilin. Am J Hum Genet, 85(4):465-481.

Field M, Scheffer IE, Gill D, Wilson M, Christie L, Shaw M, Gardner A, Glubb G, Hobson L, Corbett M, Friend K, Willis-Owen S, Gecz J (2012). Expanding the molecular basis and phenotypic spectrum of X-linked Joubert syndrome associated with OFD1 mutations. Eur J Hum Genet, 20(7):806-809.

Webb TR, Parfitt DA, Gardner JC et al. (2012). Deep intronic mutation in OFD1, identified by targeted genomic next-generation sequencing, causes a severe form of X-linked retinitis pigmentosa (RP23). Hum Mol Genet, 21(16):3647-3654.

Tenorio J, Arias P, Martinez-Glez V, Santos F, Garcia-Minaur S, Nevado J, Lapunzina P (2014). Simpson-Golabi-Behmel syndrome types I and II. Orphanet J Rare Dis, 9:138.

Shimojima K, Shimada S, Sugawara M, Yoshikawa N, Niijima S, Urao M, Yamamoto T (2013). Challenges in genetic counseling because of intra-familial phenotypic variation of oral-facial-digital syndrome type 1. Congenit Anom (Kyoto), 53(4):155-159.

Gurrieri F, Franco B, Toriello H, Neri G (2007). Oral-facial-digital syndromes: review and diagnostic guidelines. Am J Med Genet A, 15;143A(24):3314-3323.

Prattichizzo C, Macca M, Novelli V, Giorgio G, Barra A, Franco B, Oral-Facial-Digital Type ICG (2008). Mutational spectrum of the oral-facial-digital type I syndrome: a study on a large collection of patients. Hum Mutat, 29(10):1237-1246.

Rakkolainen A, Ala-Mello S, Kristo P, Orpana A, Jarvela I (2002). Four novel mutations in the OFD1 (Cxorf5) gene in Finnish patients with oral-facial-digital syndrome 1. J Med Genet, 39(4):292-296.

Thauvin-Robinet C, Cossee M, Cormier-Daire V et al. (2006). Clinical, molecular, and genotype-phenotype correlation studies from 25 cases of oral-facial-digital syndrome type 1: a French and Belgian collaborative study. J Med Genet, 43(1):54-61.

Chetty-John S, Piwnica-Worms K, Bryant J, Bernardini I, Fischer RE, Heller T, Gahl WA, Gunay-Aygun M (2010). Fibrocystic disease of liver and pancreas; under-recognized features of the X-linked ciliopathy oral-facial-digital syndrome type 1 (OFD I). Am J Med Genet A, 152A(10):2640-2645.

Diz P, Alvarez-Iglesias V, Feijoo JF, Limeres J, Seoane J, Tomas I, Carracedo A (2011). A novel mutation in the OFD1 (Cxorf5) gene may contribute to oral phenotype in patients with oral-facial-digital syndrome type 1. Oral Dis, 17(6):610-614.

Morisawa T, Yagi M, Surono A, Yokoyama N, Ohmori M, Terashi H, Matsuo M (2004). Novel double-deletion mutations of the OFD1 gene creating multiple novel transcripts. Hum Genet, 115(2):97-103.

Thauvin-Robinet C, Thomas S, Sinico M et al. (2013). OFD1 mutations in males: phenotypic spectrum and ciliary basal body docking impairment. Clin Genet, 84(1):86-90.

Juric-Sekhar G, Adkins J, Doherty D, Hevner RF (2012). Joubert syndrome: brain and spinal cord malformations in genotyped cases and implications for neurodevelopmental functions of primary cilia. Acta Neuropathol, 123(5):695-709.

Tsurusaki Y, Kosho T, Hatasaki K, Narumi Y, Wakui K, Fukushima Y, Doi H, Saitsu H, Miyake N, Matsumoto N (2013). Exome sequencing in a family with an X-linked lethal malformation syndrome: clinical consequen-ces of hemizygous truncating OFD1 mutations in male patients. Clin Genet, 83(2):135-144.

Files
IssueVol 45 No 10 (2016) QRcode
SectionCase Report(s)
Keywords
OFD1 Oral-facial-digital syndrome X-linked dominant Miscarriage Ciliopathy

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
DEHGHAN TEZERJANI M, MAROOFIAN R, VAHIDI MEHRJARDI MY, A. CHIOZA B, ZAMANINEJAD S, KALANTAR SM, NORI-SHADKAM M, GHADIMI H, L. BAPLE E, H. CROSBY A, DEHGHANI M. A Novel Mutation in the OFD1 Gene in a Family with Oral-Facial-Digital Syndrome Type 1: A Case Report. Iran J Public Health. 2016;45(10):1359-1366.