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Brain Malformations Associated With Knobloch Syndrome-Review of Literature, Expanding Clinical Spectrum, and Identification of Novel Mutations

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dc.contributor.authorCaglayan, Ahmet Okay
dc.contributor.authorBaranoski, Jacob E.
dc.contributor.authorAktar, Fesih
dc.contributor.authorHan, Wengi
dc.contributor.authorTuysuz, Beyhan
dc.contributor.authorGuzel, Asian
dc.contributor.authorGuclu, Bulent
dc.contributor.authorKaymakcalan, Hande
dc.contributor.authorAktekin, Berrin
dc.contributor.authorAkgumus, Gozde Tugce
dc.contributor.authorMurray, Phillip B.
dc.contributor.authorErson-Omay, Emine Z.
dc.contributor.authorCaglar, CANER
dc.contributor.authorBakircioglu, Mehmet
dc.contributor.authorSakalar, Yildirim Bayezit
dc.contributor.authorGuzel, Ebru
dc.contributor.authorDemir, Nihat
dc.contributor.authorTuncer, Oguz
dc.contributor.authorSenturk, Senem
dc.contributor.authorEkici, Saris
dc.contributor.authorMinja, Frank J.
dc.contributor.authorSestan, Nenad
dc.contributor.authorYasuno, Katsuhito
dc.contributor.authorBilguvar, Kaya
dc.contributor.authorCaksen, Huseyin
dc.contributor.authorGunel, Murat
dc.contributor.institutionauthorÇAĞLAR, CANER
dc.date.accessioned2021-08-03T20:59:11Z
dc.date.available2021-08-03T20:59:11Z
dc.date.issued2014-12-01T00:00:00Z
dc.description.abstractBACKGROUND: Knobloch syndrome is a rare, autosomal recessive, developmental disorder characterized by stereotyped ocular abnormalities with or without occipital skull deformities (encephalocele, bone defects, and cutis aplasia). Although there is clear heterogeneity in clinical presentation, central nervous system malformations, aside from the characteristic encephalocele, have not typically been considered a component of the disease phenotype. METHODS: Four patients originally presented for genetic evaluation of symptomatic structural brain malformations. Whole-genome genotyping, whole-exome sequencing, and confirmatory Sanger sequencing were performed. Using immunohistochemical analysis, we investigated the protein expression pattern of COL18A1 in the mid-fetal and adult human cerebral cortex and then analyzed the spatial and temporal changes in the expression pattern of COL18A1 during human cortical development using the Human Brain Transcriptome database. RESULTS: We identified two novel homozygous deleterious frame-shift mutations in the COL18A1 gene. On further investigation of these patients and their families, we found that many exhibited certain characteristics of Knobloch syndrome, including pronounced ocular defects. Our data strongly support an important role for COL18A1 in brain development, and this report contributes to an enhanced characterization of the brain malformations that can result from deficiencies of collagen XVIII. CONCLUSIONS: This case series highlights the diagnostic power and clinical utility of whole-exome sequencing technology allowing clinicians and physician scientists to better understand the pathophysiology and presentations of rare diseases. We suggest that patients who are clinically diagnosed with Knobloch syndrome and/or found to have COL18A1. mutations via genetic screening should be investigated for potential structural brain abnormalities even in the absence of an encephalocele.
dc.identifier.citationCaglayan A. O. , Baranoski J. E. , Aktar F., Han W., Tuysuz B., Guzel A., Guclu B., Kaymakcalan H., Aktekin B., Akgumus G. T. , et al., -Brain Malformations Associated With Knobloch Syndrome-Review of Literature, Expanding Clinical Spectrum, and Identification of Novel Mutations-, PEDIATRIC NEUROLOGY, cilt.51, sa.6, ss.806-813, 2014
dc.identifier.doi10.1016/j.pediatrneurol.2014.08.025
dc.identifier.scopus84912083992
dc.identifier.urihttp://hdl.handle.net/20.500.12645/29105
dc.identifier.wosWOS:000346113900010
dc.rightsinfo:eu-repo/semantics/openAccess
dc.titleBrain Malformations Associated With Knobloch Syndrome-Review of Literature, Expanding Clinical Spectrum, and Identification of Novel Mutations
dc.typeArticle
dspace.entity.typePublication
local.avesis.id37458afa-fdb6-45fd-b7ce-00b11a385eec
local.publication.goal03 - Sağlık ve Kaliteli Yaşam
local.publication.isinternational1
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relation.isAuthorOfPublication.latestForDiscovery6e33515f-c9c7-4020-bcae-a2048eccbe74
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relation.isGoalOfPublication.latestForDiscovery9c198c48-b603-4e2f-8366-04edcfc1224c
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