Tatton-Brown–Rahman syndrome: Novel pathogenic variants and new neuroimaging findings

Tatton-Brown–Rahman syndrome (TBRS) or DNMT3A-overgrowth syndrome is characterized by overgrowth and intellectual disability associated with minor dysmorphic features, obesity, and behavioral problems. It is caused by variants of the DNMT3A gene. We report four patients with this syndrome due to de...

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Detalles Bibliográficos
Autores: Jiménez de la Peña, María del Mar, Rincón-Pérez, Irene, López Martín, Sara, Albert Bitaubé, Jacobo, Martín Fernández-Mayoralas, Daniel, Fernández-Perrone, Ana Laura, Jiménez de Domingo, Ana, Tirado, Pilar, Calleja-Pérez, Beatriz, Porta, Javier, Alvarez, Sara, Fernández-Jaén, Alberto
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universidad Autónoma de Madrid
Repositorio:Biblos-e Archivo. Repositorio Institucional de la UAM
Idioma:inglés
OAI Identifier:oai:repositorio.uam.es:10486/720125
Acceso en línea:http://hdl.handle.net/10486/720125
https://dx.doi.org/10.1002/ajmg.a.63434
Access Level:acceso abierto
Palabra clave:cortical thickness
intellectual disability
neuroimaging
Tatton-Brown–Rahman syndrome
tractography
DNMT3A
Psicología
Descripción
Sumario:Tatton-Brown–Rahman syndrome (TBRS) or DNMT3A-overgrowth syndrome is characterized by overgrowth and intellectual disability associated with minor dysmorphic features, obesity, and behavioral problems. It is caused by variants of the DNMT3A gene. We report four patients with this syndrome due to de novo DNMT3A pathogenic variants, contributing to a deeper understanding of the genetic basis and pathophysiology of this autosomal dominant syndrome. Clinical and magnetic resonance imaging assessments were also performed. All patients showed corpus callosum anomalies, small posterior fossa, and a deep left Sylvian fissure; as well as asymmetry of the uncinate and arcuate fascicles and marked increased cortical thickness. These results suggest that structural neuroimaging anomalies have been previously overlooked, where corpus callosum and brain tract alterations might be unrecognized neuroimaging traits of TBRS syndrome caused by DNMT3A variants