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A novel de novo intragenic duplication in FBN1 associated with early‐onset Marfan syndrome in a 16‐month‐old: A case report and review of the literature
Journal article   Open access   Peer reviewed

A novel de novo intragenic duplication in FBN1 associated with early‐onset Marfan syndrome in a 16‐month‐old: A case report and review of the literature

Anthony Piscopo, Taylor Warner, Jaime Nagy, Vidya Nagrale, Aaron Stence, Natalya Guseva, John A. Bernat and Amy Calhoun
American journal of medical genetics. Part A, Vol.194(2), pp.368-373
02/2024
DOI: 10.1002/ajmg.a.63440
PMID: 37840436
url
https://doi.org/10.1002/ajmg.a.63440View
Published (Version of record) Open Access

Abstract

Marfan syndrome (MFS) is an autosomal dominant connective tissue disorder due to pathogenic variants in Fibrillin‐1 ( FBN1 ) affecting nearly one in every 10,000 individuals. We report a 16‐month‐old female with early‐onset MFS heterozygous for an 11.2 kb de novo duplication within the FBN1 gene. Tandem location of the duplication was further confirmed by optical genome mapping in addition to genetic sequencing and chromosomal microarray. This is the third reported case of a large multi‐exon duplication in FBN1 , and the only one confirmed to be in tandem. As the vast majority of pathogenic variants associated with MFS are point mutations, this expands the landscape of known FBN1 pathogenic variants and supports consistent use of genetic testing strategies that can detect large, indel‐type variants.
FBN1 Fibrillin-1 Marfan syndrome optical genome mapping UIOWA OA Agreement

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