From: Rubinstein-Taybi 2 associated to novel EP300 mutations: deepening the clinical and genetic spectrum
Patient | #111 | #271 | #38 | #42 | #452 | #47 | #57 | #67 | ||
---|---|---|---|---|---|---|---|---|---|---|
DAUGHTER | MOTHER | |||||||||
EP300 mutation | Nucleotide change | c.4954_4957dup | c.3728 + 5G > C | c.3163C > T | c.6627_6638del | c.7222_7223del | c.4511 T > G | DEL:Ex. 12–21 | c.70_71del | |
Predicted effect | p.(Cys1653Tyrfs*21) | p.(Arg1055*) | p.(Asn2209_Gln2213delinsLys) | p.(Gln2408Glufs*39) | p.(Phe1504Cys) | p.(Ser24Glyfs*14) | ||||
Exon | 30 | In 21 | 17 | 31 | 31 | 31 | 28 | 12 to 21 | 1 | |
Number of reads (variant/total) | 17/74 | 143/286 | 71/140 | N.A. (SANGER SEQ) | 238/486 | 219/485 | 282/581 | N.A. (MLPA) | 35/81 | |
Age | 18 | 16 | 21 | 9 | 9 | 42 | < 1 | < 1 | 10 | |
Sex | M | M | M | M | F | F | M | F | F | |
Gestational problems | Preeclampsia | N.D. | mild hypertension | N | N | Y | N | N | ||
Prenatal growth retardation | N.D. | Y | N.D. | N | Y | N | N | N | ||
Other | N | high risk in triple screening, premature | ||||||||
Growth delayed | N | N | Y | Y | N.D. | N.D. | Y | |||
Intellectual disability | Mild | Y | Y | Y | N.D. | N.D. | Y | |||
Moderate | Y | Y | N.D. | N.D. | ||||||
Severe | Y | N.D. | N.D. | |||||||
Pysochomotor delay | Y | Y | Y | Y | N | N | N.D. | N.D. | N | |
Language delay | N | Y | Y | Y | N | N | N.D. | N.D. | N | |
Behavioral problems | Anxiety | N | N | N | Y | mild | N | N.D. | N.D. | N |
Autism, autism-like | N | Y | stereotypes | Y | N | N | N.D. | N.D. | N | |
Other | ADHD | hearing bizarries | ADHD | |||||||
Typical facial dysmorphims | Arched eyebrows | N | N | Y | Y | N | N | N | ||
Thick eyebrows | Y | Y | Y | N | N | N | N | Y | ||
Long eyelashes | Y | N | Y | Y | Y | Y | Y | |||
Microcephaly | Y | Y | Y | Y | Y | Y | Y | Y | Y | |
Downslanting palpebral fissures | Y | Y | Y | Y | Y | N | N | Y | ||
Columella below the alae nasi | Y | Y | Y | Y | Y | Y | Y | ± | Y | |
Prominent nose | Y | Y | Y | Y | Y | Y | Y | N | N | |
Narrow palate | Y | Y | Y | Y | Y | N | N | Y | ||
Narrow mouth | Y | Y | Y | N | Y | N | N | N | ||
Grimacing smile | N | N | Y | Y | N | N | N | Y | Y | |
Posteriorly rotated ears | N | Y | N | N | Y | Y | N | N | Y | |
Low set ears | N | Y | N | N | N | N | N | N | Y | |
Other | micrognathia | large tongue | micrognathia, ocular hypertelorism | |||||||
Skeletal abnormalities | Broad thumbs | Y | N | Y | Y | Y | Y | Y | ± | Y |
Angulated thumbs | Y | N | N | Y | N | N | N | N | N | |
Broad halluces | Y | Y | Y | Y | N | N | N | ± | N | |
Scoliosis | N | N | N | N | N | N | N | N | N | |
Other | delayed bone age | Pextus excavatum | ||||||||
Skin abnormalities | Keloids | Y | N | N | heals badly | N | N | N | N | N |
Hirsutism | Y | N | Y | N | N | N | N | N | Y | |
Urinary tract anomalies | cryptorchidism | N | hydrocele | N | N | N | N | N | N | |
GI problems | Infant feeding problems | Y | Y | N | binge eating | N | N.D. | N | N | N |
Others | hypoketosic hypoglycemia | |||||||||
Teeth malformations | Dental crowding | Y | Y | Y | N | N | N | N.D. | N.D. | Y |
Talon cusp | N | N | N | N | N | Y | N.D. | N.D. | N | |
Malocclusion | N | Y | Y | N | N | N | N.D. | N.D. | N | |
Other | ||||||||||
Eye anomalies | Strabismus | N | Y | Y | N | N | N | N.D. | N.D. | Y |
Coloboma | N | N | N | N | N | N | N.D. | N.D. | N | |
Other | myopia | N | hypermetropia | hypermetropia |