Variable Expressivity of Wolfram Syndrome in a Family with Multiple Affected Subjects

Abstract Purpose: To study the genetic basis and clinical manifestations of Wolfram syndrome in a multi-affected family. Methods: Complete clinical examinations including urological, ophthalmic, neurological, and endocrinologic assessment were performed for three affected family members. Genomic DNA...

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Autores principales: Mehraban Mirrahimi, Sare Safi, Maryam Mohammadzadeh, Azadeh Doozandeh, Fatemeh Suri
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Lenguaje:EN
Publicado: Knowledge E 2021
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Acceso en línea:https://doaj.org/article/c6e33f8814c74ab7802c31e7383e0242
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spelling oai:doaj.org-article:c6e33f8814c74ab7802c31e7383e02422021-11-09T08:05:35ZVariable Expressivity of Wolfram Syndrome in a Family with Multiple Affected Subjects2008-20102008-322X10.18502/jovr.v16i4.9750https://doaj.org/article/c6e33f8814c74ab7802c31e7383e02422021-10-01T00:00:00Zhttps://doi.org/10.18502/jovr.v16i4.9750https://doaj.org/toc/2008-2010https://doaj.org/toc/2008-322XAbstract Purpose: To study the genetic basis and clinical manifestations of Wolfram syndrome in a multi-affected family. Methods: Complete clinical examinations including urological, ophthalmic, neurological, and endocrinologic assessment were performed for three affected family members. Genomic DNA was extracted from peripheral blood leukocytes with salting out method and all WFS1 exons and their flanking regions were sequenced. Candidate variation was screened for segregation in the pedigree by Sanger sequencing. Results: A known pathogenic missense mutation in WFS1 gene (c.1885C > T which leads to p.Arg629Trp in the encoded protein) was identified in all affected individuals. Both clinical and genetic investigations confirmed Wolfram syndrome diagnosis with variable phenotypic features. Conclusion: Identical mutations in the Wolfram syndrome causative gene can lead to variable manifestations of the syndrome even in the same family. Although the medical findings and clinical examination are imperative for the diagnosis of Wolfram syndrome, genetic testing is useful to confirm the diagnosis, especially in cases with possible reduced penetrance of the characteristic signs.Mehraban MirrahimiSare SafiMaryam MohammadzadehAzadeh DoozandehFatemeh SuriKnowledge Earticlevariable clinical manifestationswfs1 genewolfram syndromeOphthalmologyRE1-994ENJournal of Ophthalmic & Vision Research, Vol 16, Iss 4, Pp 602-610 (2021)
institution DOAJ
collection DOAJ
language EN
topic variable clinical manifestations
wfs1 gene
wolfram syndrome
Ophthalmology
RE1-994
spellingShingle variable clinical manifestations
wfs1 gene
wolfram syndrome
Ophthalmology
RE1-994
Mehraban Mirrahimi
Sare Safi
Maryam Mohammadzadeh
Azadeh Doozandeh
Fatemeh Suri
Variable Expressivity of Wolfram Syndrome in a Family with Multiple Affected Subjects
description Abstract Purpose: To study the genetic basis and clinical manifestations of Wolfram syndrome in a multi-affected family. Methods: Complete clinical examinations including urological, ophthalmic, neurological, and endocrinologic assessment were performed for three affected family members. Genomic DNA was extracted from peripheral blood leukocytes with salting out method and all WFS1 exons and their flanking regions were sequenced. Candidate variation was screened for segregation in the pedigree by Sanger sequencing. Results: A known pathogenic missense mutation in WFS1 gene (c.1885C > T which leads to p.Arg629Trp in the encoded protein) was identified in all affected individuals. Both clinical and genetic investigations confirmed Wolfram syndrome diagnosis with variable phenotypic features. Conclusion: Identical mutations in the Wolfram syndrome causative gene can lead to variable manifestations of the syndrome even in the same family. Although the medical findings and clinical examination are imperative for the diagnosis of Wolfram syndrome, genetic testing is useful to confirm the diagnosis, especially in cases with possible reduced penetrance of the characteristic signs.
format article
author Mehraban Mirrahimi
Sare Safi
Maryam Mohammadzadeh
Azadeh Doozandeh
Fatemeh Suri
author_facet Mehraban Mirrahimi
Sare Safi
Maryam Mohammadzadeh
Azadeh Doozandeh
Fatemeh Suri
author_sort Mehraban Mirrahimi
title Variable Expressivity of Wolfram Syndrome in a Family with Multiple Affected Subjects
title_short Variable Expressivity of Wolfram Syndrome in a Family with Multiple Affected Subjects
title_full Variable Expressivity of Wolfram Syndrome in a Family with Multiple Affected Subjects
title_fullStr Variable Expressivity of Wolfram Syndrome in a Family with Multiple Affected Subjects
title_full_unstemmed Variable Expressivity of Wolfram Syndrome in a Family with Multiple Affected Subjects
title_sort variable expressivity of wolfram syndrome in a family with multiple affected subjects
publisher Knowledge E
publishDate 2021
url https://doaj.org/article/c6e33f8814c74ab7802c31e7383e0242
work_keys_str_mv AT mehrabanmirrahimi variableexpressivityofwolframsyndromeinafamilywithmultipleaffectedsubjects
AT saresafi variableexpressivityofwolframsyndromeinafamilywithmultipleaffectedsubjects
AT maryammohammadzadeh variableexpressivityofwolframsyndromeinafamilywithmultipleaffectedsubjects
AT azadehdoozandeh variableexpressivityofwolframsyndromeinafamilywithmultipleaffectedsubjects
AT fatemehsuri variableexpressivityofwolframsyndromeinafamilywithmultipleaffectedsubjects
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