Resumen

Background: Okihiro syndrome is an autosomal-dominant condition characterized by radial ray malformations associated with Duane anomaly and other clinical characteristics. SALL4 mutations have been identified in 80-90% of patients with Duane-Radial ray defects/Okihiro syndrome. We report the clinical findings and results of SALL4 sequencing from a group of Mexican patients with this disorder. Objective: Clinical description and identification of SALL4 mutations in Mexican subjects with radial defects and Duane anomaly. Materials and methods: Five unrelated index cases were studied. Complete ophthalmologic and general physical examination was performed in all patients. Polymerase chain reaction amplification and automated nucleotide sequencing of coding exons and intron-exon junctions of SALL4 gene were carried out in genomic DNA. Results: A novel heterozygous deletion was identified in one patient. Intragenic heterozygous single nucleotide polymorphisms on SALL4 gene ruled out deletions of some exons in other affected patients in whom non-pathogenic variants were identified by Sanger sequencing. Likewise, multiplex ligation-dependent probe amplification analysis ruled out large deletions in this gene. Conclusion: We observed a low frequency of SALL4 mutations in Mexican patients with clinical criteria of Okihiro syndrome.

Palabras clave: Duane anomaly DRS Okihiro syndrome radial ray defects SALL4 disorder SALL4 gene strabismus.

2016-12-15   |   533 visitas   |   Evalua este artículo 0 valoraciones

Vol. 68 Núm.5. Septiembre-Octubre 2016 Pags. 269-274 Rev Invest Clin 2016; 68(5)