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Published in: Italian Journal of Pediatrics 1/2021

Open Access 01-12-2021 | Case report

First report of X-linked hypohidrotic ectodermal dysplasia with a hemizygous c.1142G > C in the EDA gene: variant of uncertain significance or new pathogenic variant?

Authors: Mario Tumminello, Antonella Gangemi, Federico Matina, Melania Guardino, Bianca Lea Giuffrè, Giovanni Corsello

Published in: Italian Journal of Pediatrics | Issue 1/2021

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Abstract

Background

Hypohidrotic Ectodermal Dysplasia (HED) is a genetic disorder which affects structures of ectodermal origin. X-linked hypohidrotic ectodermal dysplasia (XLHED) is the most common form of disease. XLHED is characterized by hypotrichosis, hypohydrosis and hypodontia. The cardinal features of classic HED become obvious during childhood.
Identification of a hemizygous EDA pathogenic variant in an affected male confirms the diagnosis.

Case presentation

We report on a male newborn with the main clinical characteristics of the X-linked HED including hypotrichosis, hypodontia and hypohidrosis. Gene panel sequencing identified a new hemizygous missense variant of uncertain significance (VUS) c.1142G > C (p.Gly381Ala) in the EDA gene, located on the X chromosome and inherited from the healthy mother.

Conclusion

Despite the potential functional impact of VUS remains uncharacterized, our goal is to evaluate the clinical potential consequences of missense VUS on EDA gene. Even if the proband’s phenotype is characteristic for classic HED, further reports of patients with same clinical phenotype and the same genomic variant are needed to consider this novel VUS as responsible for the development of HED.
Literature
1.
go back to reference Freire-Maia N, et al. Ectodermal dysplasias – some recollections and a classification. Birth Defects Orig Artic Ser. 1988;24(2):3–14.PubMed Freire-Maia N, et al. Ectodermal dysplasias – some recollections and a classification. Birth Defects Orig Artic Ser. 1988;24(2):3–14.PubMed
4.
5.
go back to reference Vasconcelos Carvalho M, et al. Hypohidrotic and hidrotic ectodermal dysplasia: a report of two cases. Dermatol Online J. 2013;19(7):11. Vasconcelos Carvalho M, et al. Hypohidrotic and hidrotic ectodermal dysplasia: a report of two cases. Dermatol Online J. 2013;19(7):11.
6.
go back to reference Wright JT, et al. Hypohidrotic ectodermal dysplasia. Synonyms: anhidrotic ectodermal dysplasia, Christ Siemens-Touraine syndrome. GeneReviews® [internet]. Seattle (WA): University of Washington, Seattle; 2003 [updated 2017]. In: Adam MP, et Al. 1993-2020. URL: https://www.ncbi.nlm.nih.gov/books/ Wright JT, et al. Hypohidrotic ectodermal dysplasia. Synonyms: anhidrotic ectodermal dysplasia, Christ Siemens-Touraine syndrome. GeneReviews® [internet]. Seattle (WA): University of Washington, Seattle; 2003 [updated 2017]. In: Adam MP, et Al. 1993-2020. URL: https://​www.​ncbi.​nlm.​nih.​gov/​books/​
8.
go back to reference Reyes-reali J, et al. Hypohidrotic ectodermal dysplasia: clinical and molecular review. Int J Dermatol. 2018;57:965–72.CrossRefPubMed Reyes-reali J, et al. Hypohidrotic ectodermal dysplasia: clinical and molecular review. Int J Dermatol. 2018;57:965–72.CrossRefPubMed
9.
go back to reference Timothy W, et al. Ectodermal dysplasias: classification and organization by phenotype, genotype and molecular pathway. Am J Med Genet A. 2019;179(3):442–7.CrossRefPubMedCentral Timothy W, et al. Ectodermal dysplasias: classification and organization by phenotype, genotype and molecular pathway. Am J Med Genet A. 2019;179(3):442–7.CrossRefPubMedCentral
10.
go back to reference Zeng B, et al. Eight mutations of three genes (EDA, EDAR, and WNT10A) identified in seven hypohidrotic ectodermal dysplasia patients. Genes (Basel). 2016;7:E65.CrossRef Zeng B, et al. Eight mutations of three genes (EDA, EDAR, and WNT10A) identified in seven hypohidrotic ectodermal dysplasia patients. Genes (Basel). 2016;7:E65.CrossRef
11.
go back to reference Cluzeau C, et al. Only four genes (EDA1, EDAR, EDARADD and WNT10A) account for 90% of hypohidrotic/anhidrotic ectodermal dysplasia cases. Hum Mutat. 2011;32:70–7.CrossRefPubMed Cluzeau C, et al. Only four genes (EDA1, EDAR, EDARADD and WNT10A) account for 90% of hypohidrotic/anhidrotic ectodermal dysplasia cases. Hum Mutat. 2011;32:70–7.CrossRefPubMed
15.
go back to reference Burger K, et al. Genotype–phenotype correlation in boys with X-linked hypohidrotic ectodermal dysplasia. Am J Med Genet Part A. 2014;164A:2424–32.CrossRefPubMed Burger K, et al. Genotype–phenotype correlation in boys with X-linked hypohidrotic ectodermal dysplasia. Am J Med Genet Part A. 2014;164A:2424–32.CrossRefPubMed
19.
go back to reference Visinoni AF, et al. X-linked hypohidrotic ectodermal dysplasia mutations in Brazilian families. Am J Med Genet. 2003;122A:51–5.CrossRefPubMed Visinoni AF, et al. X-linked hypohidrotic ectodermal dysplasia mutations in Brazilian families. Am J Med Genet. 2003;122A:51–5.CrossRefPubMed
20.
go back to reference Zeng B, et al. Novel EDA mutation in X-linked hypohidrotic ectodermal dysplasia and genotype–phenotype correlation. Oral Dis. 2015;21:994–1000.CrossRefPubMed Zeng B, et al. Novel EDA mutation in X-linked hypohidrotic ectodermal dysplasia and genotype–phenotype correlation. Oral Dis. 2015;21:994–1000.CrossRefPubMed
Metadata
Title
First report of X-linked hypohidrotic ectodermal dysplasia with a hemizygous c.1142G > C in the EDA gene: variant of uncertain significance or new pathogenic variant?
Authors
Mario Tumminello
Antonella Gangemi
Federico Matina
Melania Guardino
Bianca Lea Giuffrè
Giovanni Corsello
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Italian Journal of Pediatrics / Issue 1/2021
Electronic ISSN: 1824-7288
DOI
https://doi.org/10.1186/s13052-021-01078-5

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