Spondyloocular Syndrome: A Novel XYLT2 Variant with Description of the Neonatal Phenotype

Spondyloocular syndrome (SOS) is a skeletal disorder caused by pathogenic variants in XYLT2 gene encoding a xylotransferase involved in the biosynthesis of proteoglycans. This condition, with autosomal recessive inheritance, has a high phenotypic variability. It is characterized by bone abnormalitie...

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Autores principales: Gabriella Doddato, Alessandra Fabbiani, Chiara Fallerini, Mirella Bruttini, Theodora Hadjistilianou, Martino Landi, Caterina Coradeschi, Salvatore Grosso, Barbara Tomasini, Maria Antonietta Mencarelli, Alessandra Renieri, Francesca Ariani
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:f0f0382478784a97b012b7d2f97d62f22021-12-03T15:38:27ZSpondyloocular Syndrome: A Novel XYLT2 Variant with Description of the Neonatal Phenotype1664-802110.3389/fgene.2021.761264https://doaj.org/article/f0f0382478784a97b012b7d2f97d62f22021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fgene.2021.761264/fullhttps://doaj.org/toc/1664-8021Spondyloocular syndrome (SOS) is a skeletal disorder caused by pathogenic variants in XYLT2 gene encoding a xylotransferase involved in the biosynthesis of proteoglycans. This condition, with autosomal recessive inheritance, has a high phenotypic variability. It is characterized by bone abnormalities (osteoporosis, fractures), eye and cardiac defects, hearing impairment, and varying degrees of developmental delay. Until now only 20 mutated individuals have been reported worldwide. Here, we describe two siblings from consanguineous healthy parents in which a novel homozygous frameshift variant c.1586dup p(Thr530Hisfs*) in the XYLT2 gene was detected by exome sequencing (ES). The first patient (9 years) presented short stature with skeletal defects, long face, hearing loss and cataract. The second patient, evaluated at a few days of life, showed macrosomia, diffuse hypertrichosis on the back, overabundant skin in the retronucal area, flattened facial profile with drooping cheeks, elongated eyelid rims, wide and flattened nasal bridge and turned down corners of the mouth. During the prenatal period, high nuchal translucency and intestinal hyperechogenicity were observed at ultrasound. In conclusion, these two siblings with a novel pathogenic variant in XYLT2 further expand the clinical and mutational spectrum of SOS.Gabriella DoddatoGabriella DoddatoAlessandra FabbianiAlessandra FabbianiAlessandra FabbianiChiara FalleriniChiara FalleriniMirella BruttiniMirella BruttiniMirella BruttiniTheodora HadjistilianouMartino LandiCaterina CoradeschiSalvatore GrossoBarbara TomasiniMaria Antonietta MencarelliAlessandra RenieriAlessandra RenieriAlessandra RenieriFrancesca ArianiFrancesca ArianiFrancesca ArianiFrontiers Media S.A.articlespondyloocular syndrome (SOS)xylosyltransferase IIexome sequencing (ES)skeletal dysplasiaXYLT2GeneticsQH426-470ENFrontiers in Genetics, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic spondyloocular syndrome (SOS)
xylosyltransferase II
exome sequencing (ES)
skeletal dysplasia
XYLT2
Genetics
QH426-470
spellingShingle spondyloocular syndrome (SOS)
xylosyltransferase II
exome sequencing (ES)
skeletal dysplasia
XYLT2
Genetics
QH426-470
Gabriella Doddato
Gabriella Doddato
Alessandra Fabbiani
Alessandra Fabbiani
Alessandra Fabbiani
Chiara Fallerini
Chiara Fallerini
Mirella Bruttini
Mirella Bruttini
Mirella Bruttini
Theodora Hadjistilianou
Martino Landi
Caterina Coradeschi
Salvatore Grosso
Barbara Tomasini
Maria Antonietta Mencarelli
Alessandra Renieri
Alessandra Renieri
Alessandra Renieri
Francesca Ariani
Francesca Ariani
Francesca Ariani
Spondyloocular Syndrome: A Novel XYLT2 Variant with Description of the Neonatal Phenotype
description Spondyloocular syndrome (SOS) is a skeletal disorder caused by pathogenic variants in XYLT2 gene encoding a xylotransferase involved in the biosynthesis of proteoglycans. This condition, with autosomal recessive inheritance, has a high phenotypic variability. It is characterized by bone abnormalities (osteoporosis, fractures), eye and cardiac defects, hearing impairment, and varying degrees of developmental delay. Until now only 20 mutated individuals have been reported worldwide. Here, we describe two siblings from consanguineous healthy parents in which a novel homozygous frameshift variant c.1586dup p(Thr530Hisfs*) in the XYLT2 gene was detected by exome sequencing (ES). The first patient (9 years) presented short stature with skeletal defects, long face, hearing loss and cataract. The second patient, evaluated at a few days of life, showed macrosomia, diffuse hypertrichosis on the back, overabundant skin in the retronucal area, flattened facial profile with drooping cheeks, elongated eyelid rims, wide and flattened nasal bridge and turned down corners of the mouth. During the prenatal period, high nuchal translucency and intestinal hyperechogenicity were observed at ultrasound. In conclusion, these two siblings with a novel pathogenic variant in XYLT2 further expand the clinical and mutational spectrum of SOS.
format article
author Gabriella Doddato
Gabriella Doddato
Alessandra Fabbiani
Alessandra Fabbiani
Alessandra Fabbiani
Chiara Fallerini
Chiara Fallerini
Mirella Bruttini
Mirella Bruttini
Mirella Bruttini
Theodora Hadjistilianou
Martino Landi
Caterina Coradeschi
Salvatore Grosso
Barbara Tomasini
Maria Antonietta Mencarelli
Alessandra Renieri
Alessandra Renieri
Alessandra Renieri
Francesca Ariani
Francesca Ariani
Francesca Ariani
author_facet Gabriella Doddato
Gabriella Doddato
Alessandra Fabbiani
Alessandra Fabbiani
Alessandra Fabbiani
Chiara Fallerini
Chiara Fallerini
Mirella Bruttini
Mirella Bruttini
Mirella Bruttini
Theodora Hadjistilianou
Martino Landi
Caterina Coradeschi
Salvatore Grosso
Barbara Tomasini
Maria Antonietta Mencarelli
Alessandra Renieri
Alessandra Renieri
Alessandra Renieri
Francesca Ariani
Francesca Ariani
Francesca Ariani
author_sort Gabriella Doddato
title Spondyloocular Syndrome: A Novel XYLT2 Variant with Description of the Neonatal Phenotype
title_short Spondyloocular Syndrome: A Novel XYLT2 Variant with Description of the Neonatal Phenotype
title_full Spondyloocular Syndrome: A Novel XYLT2 Variant with Description of the Neonatal Phenotype
title_fullStr Spondyloocular Syndrome: A Novel XYLT2 Variant with Description of the Neonatal Phenotype
title_full_unstemmed Spondyloocular Syndrome: A Novel XYLT2 Variant with Description of the Neonatal Phenotype
title_sort spondyloocular syndrome: a novel xylt2 variant with description of the neonatal phenotype
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/f0f0382478784a97b012b7d2f97d62f2
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