» Articles » PMID: 34177437

Novel Hemizygous Missense Variant of Spermine Synthase () Gene Causes Snyder-Robinson Syndrome in a Four-Year-Old Boy

Abstract

Snyder-Robinson syndrome (SRS) is an extremely rare X-linked intellectual disability syndrome (MRXSSR; MIM #309583). The main clinical features of SRS include psychomotor delay, hypotonia, and asthenic-type body habitus - reduced body weight and bone abnormalities (osteoporosis, fractures, kyphoscoliosis). We report a case of SRS with a hemizygous missense variant in the gene,c.334C>G (p.Pro112Ala), in a 4-year-old boy, who initially developed hypotonia, delayed motor skills, and subsequently epilepsy. This variant in was found to be de novo. To the best of our knowledge, this novel gene variant has never been previously reported in disease-related variation databases, such as ClinVar or HGMD.

References
1.
Ramsay A, Alonso-Garcia V, Chaboya C, Radut B, Le B, Florez J . Modeling Snyder-Robinson Syndrome in multipotent stromal cells reveals impaired mitochondrial function as a potential cause for deficient osteogenesis. Sci Rep. 2019; 9(1):15395. PMC: 6817887. DOI: 10.1038/s41598-019-51868-5. View

2.
Larcher L, Norris J, Lejeune E, Buratti J, Mignot C, Garel C . The complete loss of function of the SMS gene results in a severe form of Snyder-Robinson syndrome. Eur J Med Genet. 2019; 63(4):103777. DOI: 10.1016/j.ejmg.2019.103777. View

3.
Richards S, Aziz N, Bale S, Bick D, Das S, Gastier-Foster J . Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology. Genet Med. 2015; 17(5):405-24. PMC: 4544753. DOI: 10.1038/gim.2015.30. View

4.
Murray-Stewart T, Dunworth M, Foley J, Schwartz C, Casero Jr R . Polyamine Homeostasis in Snyder-Robinson Syndrome. Med Sci (Basel). 2018; 6(4). PMC: 6318755. DOI: 10.3390/medsci6040112. View

5.
Cason A, Ikeguchi Y, Skinner C, Wood T, Holden K, Lubs H . X-linked spermine synthase gene (SMS) defect: the first polyamine deficiency syndrome. Eur J Hum Genet. 2003; 11(12):937-44. DOI: 10.1038/sj.ejhg.5201072. View