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Expanding the Mutational Spectrum of CRLF1 in Crisponi/CISS1 Syndrome
Authors:Roberta Piras  Francesca Chiappe  Ilaria La Torraca  Insa Buers  Gianluca Usala  Andrea Angius  Mustafa Ali Akin  Lina Basel‐Vanagaite  Francesco Benedicenti  Elisabetta Chiodin  Osama El Assy  Michal Feingold‐Zadok  Javier Guibert  Benjamin Kamien  Çiğdem Seher Kasapkara  Esra Kılıç  Koray Boduroğlu  Selim Kurtoglu  Adnan Y Manzur  Eray Esra Onal  Enrica Paderi  Carmen Herrero Roche  Leyla Tümer  Sezin Unal  Gülen Eda Utine  Giovanni Zanda  Andreas Zankl  Giuseppe Zampino  Giangiorgio Crisponi  Laura Crisponi  Frank Rutsch
Institution:1. Istituto di Ricerca Genetica e Biomedica, Consiglio Nazionale delle Ricerche, Cagliari, Italy;2. Department of Public Health and Clinical and Molecular Medicine, University of Cagliari, Cagliari, Italy;3. Istituto di Pediatria, Policlinico “A. Gemelli”, Università Cattolica del S. Cuore, Rome, Italy;4. Department of General Pediatrics, Münster University Children's Hospital, Münster, Germany;5. CRS4 Center for Advanced Studies, Research and Development in Sardinia, Laboratorio di Bioinformatica, Parco tecnologico della Sardegna, Pula, Italy;6. Department of Pediatrics, Medical Faculty, Erciyes University, Kayseri, Turkey;7. Pediatric Genetics, Schneider Children's Medical Center of Israel, and Raphael Recanati Genetic Institute, Rabin Medical Center, Beilinson Hospital, Petah Tikva, Israel;8. Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel;9. Felsenstein Medical Research Center, Tel Aviv University, Rabin Medical Center, Beilinson Campus, Petah Tikva, Israel;10. Genetic Counseling Service, Department of Pediatrics, Regional Hospital of Bolzano, Bolzano, Italy;11. Neonatal Intensive Care Unit, Department of Pediatrics, Regional Hospital of Bolzano, Bolzano, Italy;12. Pediatric Department‐NICU, Al‐Hada Military Hospital, Taif, Saudi Arabia;13. Servicio de Pediatría, Complejo Hospitalario de Navarra, Pamplona, Spain;14. Queensland Health Pathology, Royal Brisbane Hospital, Herston, Australia;15. Gazi University Hospital, Pediatric Metabolism and Nutrition, Ankara, Turkey;16. Hacettepe University School of Medicine, Ihsan Dogramaci Children's Hospital, Department of Pediatric Genetics, Ankara, Turkey;17. The Dubowitz Neuromuscular Centre, Department of Neurosciences, Great Ormond Hospital for Children, London, United Kingdom;18. Gazi University Hospital, Department of Pediatrics, Division of Neonatology Besevler, Ankara, Turkey;19. Unità Operativa Pediatria ‐Neonatologia – Nido, Ospedale San Martino, Oristano, Italy;20. Department of Pediatric Neurology, La Paz Hospital, Madrid, Spain;21. Discipline of Genetic Medicine, The University of Sydney, Sydney, Australia;22. Academic Department of Medical Genetics, The Children's Hospital at Westmead, Sydney, Australia;23. Clinica Sant’Anna, Cagliari, Italy
Abstract:Crisponi syndrome (CS) and cold‐induced sweating syndrome type 1 (CISS1) share clinical characteristics, such as dysmorphic features, muscle contractions, scoliosis, and cold‐induced sweating, with CS patients showing a severe clinical course in infancy involving hyperthermia associated with death in most cases in the first years of life. To date, 24 distinct CRLF1 mutations have been found either in homozygosity or in compound heterozygosity in CS/CISS1 patients, with the highest prevalence in Sardinia, Turkey, and Spain. By reporting 11 novel CRLF1 mutations, here we expand the mutational spectrum of CRLF1 in the CS/CISS1 syndrome to a total of 35 variants and present an overview of the different molecular and clinical features of all of them. To catalog all the 35 mutations, we created a CRLF1 mutations database, based on the Leiden Open (source) Variation Database (LOVD) system ( https://grenada.lumc.nl/LOVD2/mendelian_genes/variants ). Overall, the available functional and clinical data support the fact that both syndromes actually represent manifestations of the same autosomal‐recessive disorder caused by mutations in the CRLF1 gene. Therefore, we propose to rename the two overlapping entities with the broader term of Crisponi/CISS1 syndrome.
Keywords:CRLF1  CNTFR pathway  Crisponi syndrome  CISS1
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