Chorioretinal dystrophy, hypogonadotropic hypogonadism, and cerebellar ataxia: Boucher-Neuhauser syndrome due to a homozygous (c.3524C>G (p.Ser1175Cys)) variant in PNPLA6 gene

Ophthalmic Genet. 2021 Jun;42(3):276-282. doi: 10.1080/13816810.2021.1894461. Epub 2021 Mar 2.

Abstract

Purpose: The current study aims to raise awareness of Boucher - Neuhauser syndrome (BNHS) that occurs as a rare phenotype due to biallelic pathogenic variants in the PNPLA6 gene.Methods: Detailed family histories and clinical data were recorded. Whole exome sequencing was performed and co-segregation analysis of the family was done by sanger sequencing. Also, review of 28 molecularly confirmed patients with BNHS from the literature was evaluated.Results: We identified a missense homozygous variant (c.3524 C > G (p.Ser1175Cys)) in the PNPLA6 gene, which explains the phenotype of the patient and neurologic, ophthalmologic, endocrine, and genetic evaluations established a diagnosis of BNHS. Symptoms, ethnicity, clinical and genetic findings of 28 molecularly confirmed patients with BNHS from the literature were also presented.Conclusion: We present the main findings of a Turkish family with BNHS together with detailed clinical and genetic profiles of patients diagnosed as BNHS that have been molecularly confirmed in the literature so far.

Keywords: Boucher-Neuhauser syndrome; PNPLA6 gene; chorioretinal dystrophy.

MeSH terms

  • Adult
  • Child
  • Exome Sequencing
  • Female
  • Homozygote
  • Humans
  • Hypogonadism / diagnostic imaging
  • Hypogonadism / genetics*
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Mutation, Missense / genetics*
  • Pedigree
  • Phenotype
  • Phospholipases / genetics*
  • Retinal Dystrophies / diagnostic imaging
  • Retinal Dystrophies / genetics*
  • Spinocerebellar Ataxias / diagnostic imaging
  • Spinocerebellar Ataxias / genetics*
  • Young Adult

Substances

  • PNPLA6 protein, human
  • Phospholipases

Supplementary concepts

  • Chorioretinal Dystrophy, Spinocerebellar Ataxia, and Hypogonadotropic Hypogonadism