A founder RAB27A variant causes Griscelli syndrome type 2 with phenotypic heterogeneity in Qatari families

<p>Griscelli syndrome type 2 (GS2) is a rare autosomal recessive disorder caused by pathogenic variants in the <em>RAB27A</em> gene and characterized by partial albinism, immunodeficiency, and occasional hematological and neurological involvement. We reviewed and analyzed the medic...

وصف كامل

محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Reem Al‐Sulaiman (14776948) (author)
مؤلفون آخرون: Amna Othman (14152659) (author), Karen El‐Akouri (14776951) (author), Shehab Fareed (14776954) (author), Hajer AlMulla (14776957) (author), Aseel Sukik (14571102) (author), Mariam Al‐Mureikhi (14776960) (author), Noora Shahbeck (14152671) (author), Rehab Ali (14152668) (author), Fatma Al‐Mesaifri (14776963) (author), Sara Musa (14152662) (author), Mariam Al‐Mulla (14776966) (author), Khalid Ibrahim (3853360) (author), Khalid Mohamed (7572353) (author), Maryam Ali Al‐Nesef (14776969) (author), Mohammad Ehlayel (14776972) (author), Tawfeg Ben‐Omran (14776975) (author)
منشور في: 2020
الموضوعات:
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_version_ 1864513555852689408
author Reem Al‐Sulaiman (14776948)
author2 Amna Othman (14152659)
Karen El‐Akouri (14776951)
Shehab Fareed (14776954)
Hajer AlMulla (14776957)
Aseel Sukik (14571102)
Mariam Al‐Mureikhi (14776960)
Noora Shahbeck (14152671)
Rehab Ali (14152668)
Fatma Al‐Mesaifri (14776963)
Sara Musa (14152662)
Mariam Al‐Mulla (14776966)
Khalid Ibrahim (3853360)
Khalid Mohamed (7572353)
Maryam Ali Al‐Nesef (14776969)
Mohammad Ehlayel (14776972)
Tawfeg Ben‐Omran (14776975)
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author_facet Reem Al‐Sulaiman (14776948)
Amna Othman (14152659)
Karen El‐Akouri (14776951)
Shehab Fareed (14776954)
Hajer AlMulla (14776957)
Aseel Sukik (14571102)
Mariam Al‐Mureikhi (14776960)
Noora Shahbeck (14152671)
Rehab Ali (14152668)
Fatma Al‐Mesaifri (14776963)
Sara Musa (14152662)
Mariam Al‐Mulla (14776966)
Khalid Ibrahim (3853360)
Khalid Mohamed (7572353)
Maryam Ali Al‐Nesef (14776969)
Mohammad Ehlayel (14776972)
Tawfeg Ben‐Omran (14776975)
author_role author
dc.creator.none.fl_str_mv Reem Al‐Sulaiman (14776948)
Amna Othman (14152659)
Karen El‐Akouri (14776951)
Shehab Fareed (14776954)
Hajer AlMulla (14776957)
Aseel Sukik (14571102)
Mariam Al‐Mureikhi (14776960)
Noora Shahbeck (14152671)
Rehab Ali (14152668)
Fatma Al‐Mesaifri (14776963)
Sara Musa (14152662)
Mariam Al‐Mulla (14776966)
Khalid Ibrahim (3853360)
Khalid Mohamed (7572353)
Maryam Ali Al‐Nesef (14776969)
Mohammad Ehlayel (14776972)
Tawfeg Ben‐Omran (14776975)
dc.date.none.fl_str_mv 2020-08-28T06:00:00Z
dc.identifier.none.fl_str_mv 10.1002/ajmg.a.61829
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/A_founder_RAB27A_variant_causes_Griscelli_syndrome_type_2_with_phenotypic_heterogeneity_in_Qatari_families/22257484
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biological sciences
Genetics
Biomedical and clinical sciences
Clinical sciences
founder effect
GS2
HLH
Qatari
RAB27A
dc.title.none.fl_str_mv A founder RAB27A variant causes Griscelli syndrome type 2 with phenotypic heterogeneity in Qatari families
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p>Griscelli syndrome type 2 (GS2) is a rare autosomal recessive disorder caused by pathogenic variants in the <em>RAB27A</em> gene and characterized by partial albinism, immunodeficiency, and occasional hematological and neurological involvement. We reviewed and analyzed the medical records of 12 individuals with GS2 from six families belonging to a highly consanguineous Qatari tribe and with a recurrent pathogenic variant in the RAB27A gene (NM_004580.4: c.244C > T, p.Arg82Cys). Detailed demographic, clinical, and molecular data were collected. Cutaneous manifestations were the most common presentation (42%), followed by neurological abnormalities (33%) and immunodeficiency (25%). The most severe manifestation was HLH (33%). Among the 12 patients, three patients (25%) underwent HSCT, and four (33%) died. The cause of death in all four patients was deemed HLH, providing evidence for this complication's fatal nature. Interestingly, two affected patients (16%) were asymptomatic. This report highlights the broad spectrum of clinical presentations of GS2 associated with a founder variant in the <em>RAB27A</em> gene (c.244C > T, p.Arg82Cys). Early suspicion of GS2 among Qatari patients with cutaneous manifestations, neurological findings, immunodeficiency, and HLH would shorten the diagnostic odyssey, guide early and appropriate treatment, and prevent fatal outcomes. </p> <h2>Other Information</h2> <p>Published in: American Journal of Medical Genetics Part A<br> License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br> See article on publisher's website: <a href="http://dx.doi.org/10.1002/ajmg.a.61829" target="_blank">http://dx.doi.org/10.1002/ajmg.a.61829</a></p>
eu_rights_str_mv openAccess
id Manara2_be721e3af79555ded49100e4f9aa07ea
identifier_str_mv 10.1002/ajmg.a.61829
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/22257484
publishDate 2020
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spelling A founder RAB27A variant causes Griscelli syndrome type 2 with phenotypic heterogeneity in Qatari familiesReem Al‐Sulaiman (14776948)Amna Othman (14152659)Karen El‐Akouri (14776951)Shehab Fareed (14776954)Hajer AlMulla (14776957)Aseel Sukik (14571102)Mariam Al‐Mureikhi (14776960)Noora Shahbeck (14152671)Rehab Ali (14152668)Fatma Al‐Mesaifri (14776963)Sara Musa (14152662)Mariam Al‐Mulla (14776966)Khalid Ibrahim (3853360)Khalid Mohamed (7572353)Maryam Ali Al‐Nesef (14776969)Mohammad Ehlayel (14776972)Tawfeg Ben‐Omran (14776975)Biological sciencesGeneticsBiomedical and clinical sciencesClinical sciencesfounder effectGS2HLHQatariRAB27A<p>Griscelli syndrome type 2 (GS2) is a rare autosomal recessive disorder caused by pathogenic variants in the <em>RAB27A</em> gene and characterized by partial albinism, immunodeficiency, and occasional hematological and neurological involvement. We reviewed and analyzed the medical records of 12 individuals with GS2 from six families belonging to a highly consanguineous Qatari tribe and with a recurrent pathogenic variant in the RAB27A gene (NM_004580.4: c.244C > T, p.Arg82Cys). Detailed demographic, clinical, and molecular data were collected. Cutaneous manifestations were the most common presentation (42%), followed by neurological abnormalities (33%) and immunodeficiency (25%). The most severe manifestation was HLH (33%). Among the 12 patients, three patients (25%) underwent HSCT, and four (33%) died. The cause of death in all four patients was deemed HLH, providing evidence for this complication's fatal nature. Interestingly, two affected patients (16%) were asymptomatic. This report highlights the broad spectrum of clinical presentations of GS2 associated with a founder variant in the <em>RAB27A</em> gene (c.244C > T, p.Arg82Cys). Early suspicion of GS2 among Qatari patients with cutaneous manifestations, neurological findings, immunodeficiency, and HLH would shorten the diagnostic odyssey, guide early and appropriate treatment, and prevent fatal outcomes. </p> <h2>Other Information</h2> <p>Published in: American Journal of Medical Genetics Part A<br> License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br> See article on publisher's website: <a href="http://dx.doi.org/10.1002/ajmg.a.61829" target="_blank">http://dx.doi.org/10.1002/ajmg.a.61829</a></p>2020-08-28T06:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1002/ajmg.a.61829https://figshare.com/articles/journal_contribution/A_founder_RAB27A_variant_causes_Griscelli_syndrome_type_2_with_phenotypic_heterogeneity_in_Qatari_families/22257484CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/222574842020-08-28T06:00:00Z
spellingShingle A founder RAB27A variant causes Griscelli syndrome type 2 with phenotypic heterogeneity in Qatari families
Reem Al‐Sulaiman (14776948)
Biological sciences
Genetics
Biomedical and clinical sciences
Clinical sciences
founder effect
GS2
HLH
Qatari
RAB27A
status_str publishedVersion
title A founder RAB27A variant causes Griscelli syndrome type 2 with phenotypic heterogeneity in Qatari families
title_full A founder RAB27A variant causes Griscelli syndrome type 2 with phenotypic heterogeneity in Qatari families
title_fullStr A founder RAB27A variant causes Griscelli syndrome type 2 with phenotypic heterogeneity in Qatari families
title_full_unstemmed A founder RAB27A variant causes Griscelli syndrome type 2 with phenotypic heterogeneity in Qatari families
title_short A founder RAB27A variant causes Griscelli syndrome type 2 with phenotypic heterogeneity in Qatari families
title_sort A founder RAB27A variant causes Griscelli syndrome type 2 with phenotypic heterogeneity in Qatari families
topic Biological sciences
Genetics
Biomedical and clinical sciences
Clinical sciences
founder effect
GS2
HLH
Qatari
RAB27A