Table 1.
Detailed Clinical Features of SGS Individuals and Summary of the Detected Mutations in SKI
|
Family 1 |
Family 2 |
Family 3 |
Family 4 |
Family 5 |
Family 6 |
Family 7 |
Family 8 |
Family 9 |
Family 10 |
Family 11 |
Family 12 |
Family 13 |
Total | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| II-1 | II-1 | III-4 | IV-2 | II-1 | III-1 | III-2 | II-2 | II-3 | II-4 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | ||
| Sex | F | F | M | F | F | F | M | F | F | F | M | M | F | F | F | F | M | M | M | 12F and 7M |
| Age (years) | 21 | 20 | 42 | 11 | 44a | 13 | 14 | 22 | 22 | 20 | 18 | 16 | 5 | 21 | 10a | 11 | 32 | 20 | 26 | − |
| Craniosynostosis | + | + | − | − | − | − | − | + | + | + | + | + | − | + | + | + | − | + | + | 12/19 |
| Arachnodactyly | − | + | + | + | + | + | + | + | + | + | + | + | + | + | + | + | + | + | + | 18/19 |
| Pectus deformity | + | + | + | − | − | − | − | + | + | + | + | + | + | + | + | + | + | + | + | 15/19 |
| Scoliosis | − | + | + | + | + | − | + | + | + | + | + | + | − | + | + | + | + | + | + | 16/19 |
| Joint contractures | + | + | + | + | + | + | + | + | + | + | − | + | − | + | + | + | − | + | − | 15/19 |
| Camptodactyly | + | + | − | − | − | − | − | − | − | − | − | + | − | + | + | + | + | + | + | 9/19 |
| Foot malposition | + | + | + | + | + | + | + | + | + | + | + | + | − | + | + | + | + | + | − | 17/19 |
| Scaphocephaly or dolichocephaly | + | + | + | + | + | + | + | + | + | + | + | + | + | + | + | − | + | + | + | 18/19 |
| Hypertelorism | + | + | + | + | + | + | + | + | + | + | + | + | + | + | + | − | + | + | + | 18/19 |
| Proptosis | + | + | + | − | + | + | − | + | + | − | + | − | + | + | + | + | + | + | + | 15/19 |
| Downslanting palpebral fissures | + | + | + | + | + | + | + | + | + | + | + | + | + | + | − | + | + | − | − | 16/19 |
| Micrognathia or retrognathia | + | + | + | − | + | − | − | + | + | + | + | + | + | + | + | − | + | + | + | 15/19 |
| Intellectual disability | + | + | + | + | + | + | + | + | + | + | + | + | + | + | + | + | + | + | + | 19/19 |
| Hernias | − | − | − | − | − | − | − | + | + | + | + | − | + | + | + | + | + | + | + | 11/19 |
| Loss of subcutaneous fat | + | − | − | − | − | − | − | + | + | − | − | + | − | + | + | − | − | + | − | 7/19 |
| Valvular anomalies | − | − | − | − | − | − | − | − | − | − | MVP | − | − | MVP | MVP, MI | MVP | MVP, MI | − | − | 5/19 |
| Aortic root dilatation | − | − | − | − | − | − | − | − | − | − | +b | − | − | − | UNL | + | + | − | − | 3/19 |
| Myopia | − | − | + | + | + | + | − | + | + | N/A | − | − | − | − | + | − | + | − | − | 8/18 |
| SKI mutation | c.100G>T | c.94C>G | c.280_291delTCCGACCGCTCC | c.280_291delTCCGACCGCTCC | c.280_291delTCCGACCGCTCC | c.280_291delTCCGACCGCTCC | c.280_291delTCCGACCGCTCC | c.101G>T | c.101G>T | c.101G>T | c.104C>A | c.94C>G | c.283_291delGACCGCTCC | c.103C>T | c.95T>C | c.100G>A | c.94C>G | c.92C>T | − | − |
| Amino acid substitution | p.Gly34Cys | p.Leu32Val | p.Ser94_Ser97del | p.Ser94_Ser97del | p.Ser94_Ser97del | p.Ser94_Ser97del | p.Ser94_Ser97del | p.Gly34Val | p.Gly34Val | p.Gly34Val | p.Pro35Gln | p.Leu32Val | p.Asp95_Ser97del | p.Pro35Ser | p.Leu32Pro | p.Gly34Ser | p.Leu32Val | p.Ser31Leu | − | 18/19 |
| Inheritance | de novo | de novo | AD | AD | AD | AD | AD | AD, SM | AD, SM | AD, SM | de novo | father N/A | de novo | de novo | de novo | parents N/A | parents N/A | parents N/A | AD | − |
The following abbreviations are used: AD, autosomal dominant; F, female; SM, somatic mosaicism; M, male; MVP, mitral valve prolapse; MI, mitral insufficiency; N/A, not available; and UNL, upper normal limit.
Affected individual 5 died of respiratory insufficiency. Affected individual 15 died suddenly, and an autopsy showed severe mitral valve dysplasia with calcifications of the mitral annulus.
Aortic dilatation requiring surgery at 16 years of age (aortic root dilatation with Z score = 7.014). He also has vertebrobasilar and internal carotid tortuosity and a dilated pulmonary-artery root.