2014
DOI: 10.1007/s00439-014-1487-4
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STIL mutation causes autosomal recessive microcephalic lobar holoprosencephaly

Abstract: Holoprosencephaly is a clinically and genetically heterogeneous midline brain malformation associated with neurologic manifestations including developmental delay, intellectual disability and seizures. Although mutations in the sonic hedgehog gene SHH and more than 10 other genes are known to cause holoprosencephaly, many patients remain without a molecular diagnosis. Here we show that a homozygous truncating mutation of STIL not only causes severe autosomal recessive microcephaly, but also lobar holoprosencep… Show more

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Cited by 31 publications
(28 citation statements)
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“…Unfortunately, no material was present to perform genetic testing retrospectively. Despite this, the phenotype variability observed between individuals with the same STIL mutations [e.g., Kakar et al, 2015;Mouden et al, 2015] ( Table 1 ) allows us to hypothesize that more severe brain malformations may have happened in the previous pregnancies.…”
Section: Discussionmentioning
confidence: 96%
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“…Unfortunately, no material was present to perform genetic testing retrospectively. Despite this, the phenotype variability observed between individuals with the same STIL mutations [e.g., Kakar et al, 2015;Mouden et al, 2015] ( Table 1 ) allows us to hypothesize that more severe brain malformations may have happened in the previous pregnancies.…”
Section: Discussionmentioning
confidence: 96%
“…Subsequently, several other families have been described (overview in Fig. 4 ; Table 1 ), and besides MC, other brain abnormalities including a simplified gyral pattern, reduction of the white matter, abnormal corpus callosum, and lobar HPE were often seen [Kumar et al, 2009;Bennett et al, 2014;Kakar et al, 2015;Mouden et al, 2015]. Fetal CNS developmental abnormalities caused by compound heterozygous STIL mutations have been described in a single previous study in which fetal MC was observed at the 20th gestational week by ultrasound imaging [Bennett et al, 2014].…”
Section: Discussionmentioning
confidence: 99%
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“…Heterozygous mutations in the minor genes, GLI2, PTCH1, DISP1, FOXH1, NODAL, TDGF1, CDON, GAS1, DLL1 and FGF8, have been identified with a lower frequency (2,7). Recently, two recessive inheritance cases of HPE have been described, implicating mutations in the gene STIL (Table 1) (8,9). Importantly, these genes are all involved in signalling pathways implicated in brain development (4,(9)(10)(11)(12)(13)(14)(15)(16) and alteration of SHH signalling appears to be the most common cause of HPE (17).…”
mentioning
confidence: 99%
“…Most recently, post-natal WES revealed two novel STIL mutations in a compound heterozygous constellation in a foetus with microcephaly and a structural brain anomaly consistent with holoprosencephaly [70]. Subsequently, WES from a single patient from an extended consanguineous family revealed another recessive STIL splice mutation in patients with microcephaly and lobar holoprosencephaly [71], thus confirming STIL mutation as a cause of holoprosencephaly.…”
Section: Stil and Holoprosencephalymentioning
confidence: 89%