Table 2.
Clinical characteristics of affected individuals with missense variants in GAS1
Individual | GAS1 variant
|
Inheritance | Other HPE-associated genes | Relevant clinical data | Reference | |
---|---|---|---|---|---|---|
Position | Change | |||||
10042 | c.16C > G | p.Leu6Val | Paternal | SHH, SIX3, ZIC2 and TGIF are normal | Lobar HPE, hypotelorism, single nostril, cleft lip/palate. Father is phenotypically unaffected, mother described as having clear “microforms” of HPE | This study |
9490 | c.133C > G | p.Arg45Gly | Paternal | de novo ZIC2: c.994_1005dup, p. Cys335_Pro338dup; SHH, SIX3, TGIF are normal | Semilobar HPE, developmental delay, agenesis of the corpus callosum, microcephaly and spasticity | This study |
Patient 1 | c.599C > G | p.Thr200Arg | NA | SHH, SIX3, ZIC2 and TGIF are normal | Semilobar HPE, developmental delay, hypoplastic midface, upslanting palpebral fissures, proptosis, depressed nasal bridge, absent collumella, and bilateral cleft lip and palate | Ribeiro et al. (2010) |
1024 | c.660C > G | p.Asn220Lys | Paternal | ZIC2: c.709_711dup; p.His239dup (polymorphism); SHH, SIX3 and TGIF are normal | Hypoplastic corpus callosum, diabetes insipidus, craniosynostosis of metopic suture, pyriform apeture stenosis, midline cleft lip with complete premaxillary agenesis | This study |
Patient 7 | c.736G > T | p.Ala246Ser | NA | No data available | No data available | Ribeiro et al. (2010) |
Patient 2 | c.775G > A | p.Gly259Arg | NA | Normal karyotype, SHH, SIX3, TGIF, ZIC2 and GLI2 are normal | Hypotelorism, with proptosis, hypoplastic midface, depressed nasal bridge, absent collumella with notching of the tip, bilateral cleft lip and palate | Ribeiro et al. (2010) |
Patient 3 | c.808G > T | p.Asp270Tyr | NA | Paternally inherited SHH: c.653T > C, p.Leu218Pro; SIX3, ZIC2, TGIF and GLI2 are normal | Microcephaly, hypotelorism, hypoplastic midface, depressed nasal bridge and nasal bones, right cleft lip and palate, no brain structural anomalies | Ribeiro et al. (2010) |
Patient 4 | c.863A > G | p.Asp288Gly | de novo | de novo SHH: c.1088G > A, p.Cys363Tyr | Microcephaly, hypotelorism, midface hypoplasia, hypoplastic nasal bones, depressed nasal bridge, midline cleft lip and palate | Ribeiro et al. (2010) |
6386 | c.928C > T | p.Pro310Ser | Paternal | SHH, SIX3, ZIC2 and TGIF are normal | Semilobar HPE, absent pituitary and olfactory bulbs, microcephaly, hypotelorism, midface hypoplasia, depressed nasal bridge and hypoplastic septum, midline cleft lip with intact palate, micropenis | This study |
4953 | c.958G > T | p.Gly320Cys | Mother is normal; father is unavailable | ZIC2: c.709_711dup; p.His239dup (polymorphism); SHH, SIX3 and TGIF: are normal | HPE, no further clinical data available | This study |