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. 2024 Sep 25;11(9):240790. doi: 10.1098/rsos.240790

Table 2.

Females with mutations in the XDP disease-specific region or the TAF1 gene and their associated phenotypes. (For XDP, patients are listed in order of age of onset, whereas patients with congenital TAF1 mutations are listed in order of genetic changes (location of mutation along the amino acid sequence). For XDP, most cases are heterozygous (or presumed if not stated), whereas there is one case with homozygous XDP alleles as stated. For the cases with congenital TAF1 mutations, most mutations are missense mutations (described), whereas there is one case of frameshift mutation as stated.)

predicted genotype genetic changes/X-inactivation status clinical presentation age of onset (years) affected family members reference
heterozygous XDP 3 XDP-specific mutant alleles at DXS8030, DXS8101, and DXS559 mild chorea 26 y mother, maternal uncle, aunt, great-grandfather [74]
heterozygous XDP 3 XDP-specific mutant alleles at DXS8030, DXS8101, and DXS559 parkinsonism: upper limb action and postural tremor, mild breakdown of limb rapid alternating movements (RAMs), mild retropulsion 35 y 1 brother [74]
XDP no data leg cramps, face dystonia, generalized in 2 years 37 y 1 father, 2 brothers [71]
heterozygous XDP 3 XDP-specific mutant alleles at DXS8030, DXS8101, and DXS559 perioral tremor, mild impairment of tandem gait 42 y mother, 3 brothers [74]
heterozygous XDP 3 XDP-specific mutant alleles at DXS8030, DXS8101, and DXS559 parkinsonism: breakdown of limb RAMs, shuffling gait, cervical dystonia 42 y mother, 4 brothers [74]
XDP no data leg dystonia, generalized within 4 years 47 y 1 sister [71]
XDP no data slurred speech, gait problems, then dystonia with parkinsonism 48 y uncles on both sides, brothers [71]
XDP no data leg dystonia, generalized within 5 years, parkinsonism features after 16 years with dystonia 49 y 1 sister [71]
heterozygous XDP missense mutation
DSC3 change (C>T)
X-chromosome monosomy in a subset of cells
abnormal putamen and caudate, leg and hand dystonia, then parkinsonism with some dystonia Turner syndrome (short stature, drooping ears) 50 y 3 brothers, maternal grandfather, mother (?) [71,73]
heterozygous XDP 3 XDP-specific mutant alleles at DXS8030, DXS8101, and DXS559 parkinsonism: shuffling gait, breakdown of limb RAMs, mild retropulsion leg chorea that generalized 51 y maternal grandfather, 1 brother, 1 sister, 1 daughter [113]
heterozygous XDP 5 disease-specific single-nucleotide changes 1 48 bp deletion 1 SVA retrotransposon insertion skewed X-inactivation (98:2%), only C>T expressed (no other changes) parkinson symptoms caudate atrophy 57 y [114]
XDP no data left foot dystonia 59 y [113]
homozygous XDP 3 XDP-specific mutant alleles at DXS8030, DXS8101, and DXS559 parkinsonism: stooped posture, breakdown of RAMs of limbs, shuffling gait, retropulsion chorea in arm 72 y 2 sons [74]
heterozygous XDP 3 XDP-specific mutant alleles at DXS8030, DXS8101, and DXS559 parkinsonism: shuffling gait, breakdown of limb RAMs, hypomimia, stooped posture, micrographia, absent arm swing bilaterally, tremor effects 75 y 1 daughter, 3 sons [74]
heterozygous XDP 3 XDP-specific mutant alleles at DXS8030, DXS8101, and DXS559 parkinsonism: breakdown of RAMs, shuffling gait 75 y 1 daughter, 4 sons [74]
heterozygous XDP disease-specific haplotype SVA retrotransposon insertions no neurological defects NA 1 brother [115]
heterozygous XDP disease-specific haplotype SVA retrotransposon insertions no neurological defects NA 1 brother [115]
heterozygous TAF1 mut missense mutation (c.745G > A; p.Gly249Arg) skewed X-inactivation (95:5) global developmental delay, delayed psychomotor development 12 mo 1 brother, mother, paternal grandmother with unidentified psychiatric pathology [62]
heterozygous TAF1 mut missense mutation (c.1786C > T; p.Pro596Ser) no data NA 3 sons [3]
heterozygous de novo TAF1 mut missense mutation (c.2039G > A p.Gly680Asp) skewed X-inactivation (> 90:10%) dysmorphism in the face, hands, feet and neck, global developmental delay cardiovascular issues (heart murmur, pulmonary artery atresia and hypoplasia) birth none [58]
de novo TAF1 mut missense mutation (c.2039G > A; p.Gly680Asp) congenital heart disease (pulmonary artery atresia) none [56]
TAF1 mut missense mutation (g.23335G >T; exon18: c.2774G > A:p.G925D) assumed de novo (not confirmed) at birth: jaundice, microcephaly, gastroesophageal reflux, hypotonia and congenital cardiopathy. during childhood: delayed developmental milestones, fine motor incoordination, delayed speech, moderate intellectual disability. Asthma, pneumonia dysmorphic features birth none confirmed [116]
de novo TAF1 mut missense mutation (c.2933C > T; p.Thr978Met) congenital heart disease (Ebstein, ventricular septal defect (VSD), hypoplastic aortic arch) none [56]
heterozygous de novo TAF1 mut missense mutation (c.3035C > T p.Thr1012Ile)
skewed X-inactivation
learning disability, natal oral cleft, ventricular septal defect, swirling pigmentary disturbances, postnatal growth retardation, global developmental delay, generalized hypotonia, hypertelorism and other facial developmental abnormalities, sensorineural hearing impairment birth none [58]
de novo TAF1 mut missense mutation (c.3035C > T; pThr1012Ile) congenital heart disease (VSD, PA stenosis) none [56]
heterozygous TAF1 mut missense mutation (c.3568C > T; p.Arg1190Cys) no symptoms NA 2 sons [117]
heterozygous TAF1 mut frameshift mutation (c.3708A > G; p.(arg1228Ilefs*16) alternative transcript (splice site) with 28 bp deletion, resulting in a frameshift and a premature stop codon no symptoms NA 1 son [3]
heterozygous TAF1 mut missense mutation (c.4010T>C) skewed X-inactivation (99:1%) no symptoms (healthy) NA 2 sons [3]