2019
DOI: 10.1016/j.ajhg.2019.08.007
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Recessive Spondylocarpotarsal Synostosis Syndrome Due to Compound Heterozygosity for Variants in MYH3

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Cited by 4 publications
(13 citation statements)
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“…Because of the dimerization of the myosin heavy chains, and subsequent assembly of the hexamers into the thick filament, it is reasonable to hypothesize that compound heterozygosity of a missense mutation in trans with a hypomorphic or null allele will increase the phenotypic severity of afflicted individuals compared to a missense mutation in trans with a wild‐type allele. In fact, a Dutch study recently identified a high impact MYH3 5′ UTR variant with a gnomAD minor allele frequency of 0.008 that diminishes MYH3 translational efficiency (Cameron‐Christie et al , 2018). This variant was reported in patients with presumed autosomal recessive spondylocarpotarsal synostosis syndrome, demonstrating a biallelic phenotype consisting of a haploinsufficient allele and a hypomorphic allele.…”
Section: Discussionmentioning
confidence: 99%
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“…Because of the dimerization of the myosin heavy chains, and subsequent assembly of the hexamers into the thick filament, it is reasonable to hypothesize that compound heterozygosity of a missense mutation in trans with a hypomorphic or null allele will increase the phenotypic severity of afflicted individuals compared to a missense mutation in trans with a wild‐type allele. In fact, a Dutch study recently identified a high impact MYH3 5′ UTR variant with a gnomAD minor allele frequency of 0.008 that diminishes MYH3 translational efficiency (Cameron‐Christie et al , 2018). This variant was reported in patients with presumed autosomal recessive spondylocarpotarsal synostosis syndrome, demonstrating a biallelic phenotype consisting of a haploinsufficient allele and a hypomorphic allele.…”
Section: Discussionmentioning
confidence: 99%
“…The phenotypic spectrum of MYH3 ‐associated disease was recently broadened to include vertebral fusions, which are a defining clinical feature of spondylocarpotarsal synostosis syndrome. Spondylocarpotarsal synostosis syndrome is associated with both autosomal dominant and recessive inheritance; both missense and nonsense MYH3 variants have been reported in recessive cases (Carapito et al , 2016; Zieba et al , 2017; Cameron‐Christie et al , 2018). Congenital spinal fusions were observed in our smyhc1 R673H mutants but not in smyhc1 null mutant fish, suggesting that bony fusions in our missense model result secondarily from increased tension generated by the mutant muscle protein, putting excessive tension and stress on the notochord, causing it to kink.…”
Section: Discussionmentioning
confidence: 99%
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