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] |