Clinical and molecular characterization of seven Egyptian families with autosomal recessive robinow syndrome: Identification of four novel ROR2 gene mutations

Am J Med Genet A. 2015 Dec;167A(12):3054-61. doi: 10.1002/ajmg.a.37287. Epub 2015 Aug 18.

Abstract

Robinow syndrome (RS) is a rare genetic disorder characterized by limb shortening, genital hypoplasia, and craniofacial/orodental abnormalities. The syndrome follows both autosomal dominant and recessive patterns of inheritance with similar phenotypic presentation and overlapping features. Autosomal recessive Robinow syndrome (ARRS) is caused by mutations in the ROR2 gene. Here, we present the clinical, radiological and molecular findings of 11 Egyptian patients from 7 unrelated consanguineous families with clinical features of ARRS. Mutation analyses of ROR2 gene identified five pathogenic mutations distributed all over the gene. The identified mutations included four novel (G326A, D166H, S677F, and R528Q) and one previously reported (Y192D). Our results extend the number of ROR2 mutations identified so far, suggest a founder effect in the Egyptian population, and emphasize the important role of genetic testing in proper counseling and patients' management.

Keywords: Egyptians; Robinow syndrome; autosomal recessive; novel mutations.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abnormalities, Multiple / genetics*
  • Abnormalities, Multiple / pathology*
  • Child
  • Child, Preschool
  • DNA Mutational Analysis
  • Egypt
  • Female
  • Genes, Recessive / genetics*
  • Genotype
  • Humans
  • Infant
  • Limb Deformities, Congenital / genetics*
  • Limb Deformities, Congenital / pathology*
  • Male
  • Maxillofacial Abnormalities / genetics*
  • Maxillofacial Abnormalities / pathology*
  • Mutation / genetics*
  • Pedigree
  • Phenotype
  • Prognosis
  • Receptor Tyrosine Kinase-like Orphan Receptors / genetics*
  • Spine / abnormalities*
  • Spine / pathology
  • Syndrome

Substances

  • ROR2 protein, human
  • Receptor Tyrosine Kinase-like Orphan Receptors

Supplementary concepts

  • Robinow syndrome, autosomal recessive