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. 2022 Oct 19;23(20):12564. doi: 10.3390/ijms232012564

Table 6.

Phenotype–genotype analysis (n = 35).

Locus Mutation Type Number Clinical Outcome Remarkable Phenotypes References
Intron 5 Splice 3 Severe Facial dysmorphisms, small head/microcephaly, axial hypotonia, peripheral spasticity, optical alterations, absent speech, severe ID, no eye contact, behavioral difficulties Verhoeven et al. 2020 [1], Wang et al. 2019 [29]
Exon 6 Nonsense, frameshift 2 Severe Facial dysmorphisms, small head/microcephaly, axial hypotonia, peripheral spasticity, severe speech impairment (no speech/2 words), severe ID, behavioral difficulties Kuechler et al. 2015 [2], Kharbanda et al. 2017 [30]
Exon 4 Frameshift 1 Moderate-Severe Facial dysmorphisms, microcephaly, axial hypotonia, peripheral spasticity, no walking, no speech (few words), autistic behavior Kuechler et al. 2015 [2]
Exon 8 Missense 1 Moderate-Severe Facial dysmorphisms, epilepsy microcephaly, axial hypotonia, peripheral spasticity, delayed walking, impaired speech (words not intelligible), ID Kuechler et al. 2015 [2]
Exon 9 Nonsense 3 Moderate-Severe Facial dysmorphisms, small head/microcephaly, optical alterations, axial hypotonia, peripheral spasticity, severe speech impairments (no speech/single words), severe ID and can have behavioral alterations Kuechler et al. 2015 [2], Ligt et al. 2012 [4], Tucci et al. 2014 [28], Kharbanda et al. 2017 [30]
Exon 9 Frameshift 3 Moderate-Severe Facial dysmorphisms, small head/microcephaly, optical alterations, axial hypotonia, peripheral spasticity, moderate speech (can have understandable words, can repeat short sentences), absent walking and speech, and can have behavioral difficulties Kuechler et al. 2015 [2], Ligt et al. 2012 [4], Tucci et al. 2014 [28], Jin et al. 2020 [5], Kharbanda et al. 2017 [30]
Exon 10 Nonsense 2 Moderate-Severe Facial dysmorphisms, small head/microcephaly, impaired speech (noises, few words), moderate/severe ID, behavioral difficulties Kharbanda et al. 2017 [30]
Exon 11 Nonsense 1 Moderate-Severe Facial dysmorphisms, optical alterations, axial hypotonia, unable to walk, impaired speech (few words), severe ID, behavioral difficulties Kharbanda et al. 2017 [30]
Exon 12 Frameshift 2 Moderate-Severe Facial dysmorphisms, optical alterations, peripheral spasticity, impaired speech (few words), ID Kuechler et al. 2015 [2]
Exon 3 Nonsense, frameshift 2 Moderate Facial dysmorphisms, optical alterations, axial hypotonia, peripheral spasticity, impaired speech (short sentences, unclear speech), ID Winczewska-Wiktor et al. 2016 [23], Kuechler et al. 2015 [2]
Exon 4 Nonsense 1 Moderate Facial dysmorphisms, microcephaly, axial hypotonia, peripheral spasticity, delayed walking, impaired speech (at 4 and 5 years < 50 words), ID, autistic behavior Kuechler et al. 2015 [2]
Exon 5 Frameshift 1 Moderate Facial dysmorphisms, strabismus, microcephaly, axial hypotonia, peripheral spasticity, delayed walking, impaired speech (simple sentences, read simple words), mild ID, and autistic behavior Tucci et al. 2014 [28]
Exon 7 Nonsense, frameshift 4 Moderate Facial dysmorphisms, axial hypotonia, peripheral spasticity, delayed walking (average 4,2 years), impaired speech (started speaking in 4 years, speaks in sentences, articulation poor), and can have behavioral difficulties Ligt et al. 2012 [4], Tucci et al. 2014 [28], Kharbanda et al. 2017 [30]
Intron 7 Splice 1 Moderate Facial dysmorphisms, microcephaly, axial hypotonia, peripheral spasticity, absent walking, impaired speech, ID Kuechler et al. 2015 [2]
Exon 10 Nonsense 1 Moderate Facial dysmorphisms, microcephaly, axial hypotonia, peripheral spasticity, impaired speech, autism Kharbanda et al. 2017 [30]
Entire gene Gross deletion 2 Moderate Facial dysmorphisms, optical alterations, microcephaly, axial hypotonia, impaired walking, impaired speech, ID Dubruc et al. 2014 [41], Kuechler et al. 2015 [2]
Exon 13 Nonsense 3 Mild Facial dysmorphisms, axial hypotonia, delayed walking (before 24 months), mild ID, behavioral alteration (autism and aggression) Kuechler et al. 2015 [2], Kharbanda et al. 2017 [30]
Exon 14 and 15 Missense and Nonsense 2 Normal Normal phenotype with only optical alterations (FEVR) Panagiotou et al. 2017 [35]