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DOI: 10.1055/s-0039-1696636
Report of the Phenotype of a Patient with Roberts Syndrome and a Rare ESCO2 Variant
Publication History
31 March 2019
22 July 2019
Publication Date:
03 September 2019 (online)

Abstract
Roberts syndrome is a rare autosomal recessive genetic disease. In this report, we report a Brazilian patient with a rare ESCO2 variant. The patient manifested a broad range of clinical findings including the significant, bilateral shortening of the extremities. He deteriorated and passed away at 20 days of age. High-resolution GTG-banded karyotype showed lack of centromeric constriction in some chromosomes, premature centromere separation in others, and repulsion of the heterochromatin regions. Molecular analysis of the ESCO2 gene revealed a deletion of 4 bp involving exon 4 in homozygosity (NM_00107420.2:c.875_878delACAG), which causes loss of ESCO2 function. We describe the clinical presentation caused by a rare ESCO2 variant.
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References
- 1 McDaniel LD, Prueitt R, Probst LC. , et al. Novel assay for Roberts syndrome assigns variable phenotypes to one complementation group. Am J Med Genet 2000; 93 (03) 223-229
- 2 Schüle B, Oviedo A, Johnston K, Pai S, Francke U. Inactivating mutations in ESCO2 cause SC phocomelia and Roberts syndrome: no phenotype-genotype correlation. Am J Hum Genet 2005; 77 (06) 1117-1128
- 3 Vega H, Waisfisz Q, Gordillo M. , et al. Roberts syndrome is caused by mutations in ESCO2, a human homolog of yeast ECO1 that is essential for the establishment of sister chromatid cohesion. Nat Genet 2005; 37 (05) 468-470
- 4 Roberts JB. A child with double cleft lip and palate, protrusion of the intermaxillary portion of the upper jaw and imperfect development of the bones of the four extremities. Ann Surg 1919; 70: 252-254
- 5 Bates AW. A case of Roberts syndrome described in 1737. J Med Genet 2001; 38 (08) 565-567
- 6 Oostra RJ, Baljet B, Dijkstra PF, Hennekam RC. Congenital anomalies in the teratological collection of Museum Vrolik in Amsterdam, The Netherlands. I: syndromes with multiple congenital anomalies. Am J Med Genet 1998; 77 (02) 100-115
- 7 Herrmann J, Feingold M, Tuffli GA, Opitz JM. A familial dysmorphogenetic syndrome of limb deformities, characteristic facial appearance and associated anomalies: the pseudothalidomide or SC-syndrome. Birth Defects Orig Art Ser 1969; 5: 81-89
- 8 Herrmann J, Opitz JM. The SC phocomelia and the Roberts syndrome: nosologic aspects. Eur J Pediatr 1977; 125 (02) 117-134
- 9 Al Kaissi A, Csepan R, Klaushofer K, Grill F. Femoral-tibial-synostosis in a child with Roberts syndrome (pseudothalidomide): a case report. Cases J 2008; 1 (01) 109
- 10 Sánchez-Segura M, Marsán-Suárez V, Macías-Abraham C. , et al. Roberts syndrome associated with immunodeficiency. Rev Cubana Hematol Inmunol Hemoter 2012; 28 (02) 185-191
- 11 Tomkins D, Hunter A, Roberts M. Cytogenetic findings in Roberts-SC phocomelia syndrome(s). Am J Med Genet 1979; 4 (01) 17-26
- 12 Schulz S, Gerloff C, Ledig S. , et al. Prenatal diagnosis of Roberts syndrome and detection of an ESCO2 frameshift mutation in a Pakistani family. Prenat Diagn 2008; 28 (01) 42-45
- 13 Zhou J, Yang X, Jin X, Jia Z, Lu H, Qi Z. Long-term survival after corrective surgeries in two patients with severe deformities due to Roberts syndrome: a case report and review of the literature. Exp Ther Med 2018; 15 (02) 1702-1711
- 14 Gordillo M, Vega H, Trainer AH. , et al. The molecular mechanism underlying Roberts syndrome involves loss of ESCO2 acetyltransferase activity. Hum Mol Genet 2008; 17 (14) 2172-2180
- 15 Barbosa AC, Otto PA, Vianna-Morgante AM. Replication timing of homologous alpha-satellite DNA in Roberts syndrome. Chromosome Res 2000; 8 (07) 645-650
- 16 German J. Roberts' syndrome. I. cytological evidence for a disturbance in chromatid pairing. Clin Genet 1979; 16 (06) 441-447
- 17 Louie E, German J. Roberts's syndrome. II. Aberrant Y-chromosome behavior. Clin Genet 1981; 19 (01) 71-74
- 18 Vega H, Trainer AH, Gordillo M. , et al. Phenotypic variability in 49 cases of ESCO2 mutations, including novel missense and codon deletion in the acetyltransferase domain, correlates with ESCO2 expression and establishes the clinical criteria for Roberts syndrome. J Med Genet 2010; 47 (01) 30-37
- 19 Goh ES-Y, Li C, Horsburgh S, Kasai Y, Kolomietz E, Morel CF. The Roberts syndrome/SC phocomelia spectrum--a case report of an adult with review of the literature. Am J Med Genet A 2010; 152A (02) 472-478
- 20 Petrinelli P, Antonelli A, Marcucci L, Dallapiccola B. Premature centromere splitting in a presumptive mild form of Roberts syndrome. Hum Genet 1984; 66 (01) 96-99
- 21 Parry DM, Mulvihill JJ, Tsai SE, Kaiser-Kupfer MI, Cowan JM. SC phocomelia syndrome, premature centromere separation, and congenital cranial nerve paralysis in two sisters, one with malignant melanoma. Am J Med Genet 1986; 24 (04) 653-672
- 22 Van Den Berg DJ, Francke U. Roberts syndrome: a review of 100 cases and a new rating system for severity. Am J Med Genet 1993; 47 (07) 1104-1123
- 23 Gollop TR, Eigier A, Hauschild D, Guidugli J, Moron AF. Prenatal ultrasound diagnosis of Roberts syndrome at 21 weeks. Braz J Genet 1990; 13 (03) 607-612
- 24 The Genome Aggregation Database (gnomAD). Retrieved from https://gnomad.broadinstitute.org/ . Accessed April 25, 2019
- 25 ClinVar. Retrieved from https://www.ncbi.nlm.nih.gov/clinvar/ . Accessed September 4, 2018
- 26 ExAC Browser (Beta)|Exome Aggregation Consortium. Retrieved from http://exac.broadinstitute.org/ . Accessed September 4, 2018
- 27 Richards S, Aziz N, Bale S. , et al; ACMG Laboratory Quality Assurance Committee. 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 (05) 405-424