Further delineation of Pitt-Hopkins syndrome: Phenotypic and genotypic description of 16 novel patients

C. Zweier, H. Sticht, E. K. Bijlsma, J. Clayton-Smith, S. E. Boonen, A. Fryer, M. T. Greally, L. Hoffmann, N. S. den Hollander, M. Jongmans, S. G. Kant, M. D. King, S. A. Lynch, S. McKee, A. T. Midro, S. M. Park, V. Ricotti, E. Tarantino, M. Wessels, M. PeippoA. Rauch*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

57 Citations (Scopus)

Abstract

Background: Haploinsufficiency of the gene encoding for transcription factor 4 (TCF4) was recently identified as the underlying cause of Pitt-Hopkins syndrome (PTHS), an underdiagnosed mental-retardation syndrome characterised by a distinct facial gestalt, breathing anomalies and severe mental retardation. Methods: TCF4 mutational analysis was performed in 117 patients with PTHS-like features. Results: In total, 16 novel mutations were identified. All of these proven patients were severely mentally retarded and showed a distinct facial gestalt. In addition, 56% had breathing anomalies, 56% had microcephaly, 38% had seizures and 44% had MRI anomalies. Conclusion: This study provides further evidence of the mutational and clinical spectrum of PTHS and confirms its important role in the differential diagnosis of severe mental retardation.

Original languageEnglish
Pages (from-to)738-744
Number of pages7
JournalJournal of Medical Genetics
Volume45
Issue number11
DOIs
Publication statusPublished - 1 Nov 2008

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