Clinical, Radiological, and Molecular Findings in Cases with TRAPPopathies

Objective: Pathologies occurring in Transport Protein Particles (TRAPP) involved in vesicular traffic are rare diseases called TRAPPopathies. The aim of this study was to present a case series of TRAPPopathies, to describe the clinical and molecular findings, and additionally to review our cases tog...

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Main Authors: Ayça Dilruba Aslanger, Esma Sengenç, Emrah Yücesan, Beyza Göncü, Akın İşcan, Gözde Yeşil Sayın
Format: Article
Language:English
Published: Istanbul University Press 2023-09-01
Series:Çocuk Dergisi
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Online Access:https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/E938AD2F9FE74813B542052E41D582B8
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author Ayça Dilruba Aslanger
Esma Sengenç
Emrah Yücesan
Beyza Göncü
Akın İşcan
Gözde Yeşil Sayın
author_facet Ayça Dilruba Aslanger
Esma Sengenç
Emrah Yücesan
Beyza Göncü
Akın İşcan
Gözde Yeşil Sayın
author_sort Ayça Dilruba Aslanger
collection DOAJ
description Objective: Pathologies occurring in Transport Protein Particles (TRAPP) involved in vesicular traffic are rare diseases called TRAPPopathies. The aim of this study was to present a case series of TRAPPopathies, to describe the clinical and molecular findings, and additionally to review our cases together with other cases reported from Turkiye. Materials and Methods: Patients with neurological findings such as microcephaly, epilepsy, muscular dystrophy, and intellectual disability who were referred to Bezmialem Vakıf University, Faculty of Medicine, Department of Medical Genetics between March 2018 and March 2020 were reviewed for this study. Patients with pathogenic variants in genes with TRAPP complex family with known phenotype or not yet associated any human disease were included in the study. Clinical, radiological, and molecular findings obtained by whole exome sequences of cases were re-evaluated. Results: Molecular analysis revealed homozygous c.454+3A>G p.(?) variant in TRAPPC4 (NM_016146.5) gene in Case 1 with neuromotor retardation, intractable seizures, postnatal microcephaly, and cerebralcerebellar atrophy, homozygous novel c.57C>G p.(Try19Ter) variant in TRAPPC6B (NM_001079537.1) in Case 2 with epilepsy, postnatal microcephaly, severe neuromotor retardation, and autism, and homozygous c.2938G>A p.(Gly980Arg) variant in TRAPPC11 (NM_021942.5) gene in Case 3 with muscular dystrophy, cataract, neuromotor retardation, and microcephaly. Conclusion: This study showed that newly identified genes in TRAPPopathies are responsible for microcephaly, developmental delay, epilepsy, intellectual disability, cerebral-cerebellar atrophy, and autism. Although the genes in the TRAPP family work independently of each other, the diseases in this group are called TRAPPopathies because their phenotypes overlap. The aim of our study was to discuss the clinical findings and to summarize the mutation profile of the genes in the TRAPP family in Turkiye.
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spelling doaj-art-5e2db02efee740db9aef7f2a27d99bd82025-08-20T03:53:18ZengIstanbul University PressÇocuk Dergisi1308-84912023-09-0123320320910.26650/jchild.2023.1294229123456Clinical, Radiological, and Molecular Findings in Cases with TRAPPopathiesAyça Dilruba Aslanger0https://orcid.org/0000-0003-1770-1762Esma Sengenç1Emrah Yücesan2https://orcid.org/0000-0003-4512-8764Beyza Göncü3https://orcid.org/0000-0001-6026-8218Akın İşcan4https://orcid.org/0000-0001-5356-2646Gözde Yeşil Sayın5https://orcid.org/0000-0003-1964-6306Bezmialem Vakıf Üniversitesi, İstanbul, TürkiyeBezmiâlem Vakıf Üniversitesi, Istanbul, Turkiyeİstanbul Üniversitesi-Cerrahpaşa, Istanbul, TurkiyeBezmiâlem Vakıf Üniversitesi, Istanbul, TurkiyeBezmiâlem Vakıf Üniversitesi, Istanbul, TurkiyeBezmiâlem Vakıf Üniversitesi, Istanbul, TurkiyeObjective: Pathologies occurring in Transport Protein Particles (TRAPP) involved in vesicular traffic are rare diseases called TRAPPopathies. The aim of this study was to present a case series of TRAPPopathies, to describe the clinical and molecular findings, and additionally to review our cases together with other cases reported from Turkiye. Materials and Methods: Patients with neurological findings such as microcephaly, epilepsy, muscular dystrophy, and intellectual disability who were referred to Bezmialem Vakıf University, Faculty of Medicine, Department of Medical Genetics between March 2018 and March 2020 were reviewed for this study. Patients with pathogenic variants in genes with TRAPP complex family with known phenotype or not yet associated any human disease were included in the study. Clinical, radiological, and molecular findings obtained by whole exome sequences of cases were re-evaluated. Results: Molecular analysis revealed homozygous c.454+3A>G p.(?) variant in TRAPPC4 (NM_016146.5) gene in Case 1 with neuromotor retardation, intractable seizures, postnatal microcephaly, and cerebralcerebellar atrophy, homozygous novel c.57C>G p.(Try19Ter) variant in TRAPPC6B (NM_001079537.1) in Case 2 with epilepsy, postnatal microcephaly, severe neuromotor retardation, and autism, and homozygous c.2938G>A p.(Gly980Arg) variant in TRAPPC11 (NM_021942.5) gene in Case 3 with muscular dystrophy, cataract, neuromotor retardation, and microcephaly. Conclusion: This study showed that newly identified genes in TRAPPopathies are responsible for microcephaly, developmental delay, epilepsy, intellectual disability, cerebral-cerebellar atrophy, and autism. Although the genes in the TRAPP family work independently of each other, the diseases in this group are called TRAPPopathies because their phenotypes overlap. The aim of our study was to discuss the clinical findings and to summarize the mutation profile of the genes in the TRAPP family in Turkiye.https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/E938AD2F9FE74813B542052E41D582B8microcephalyrare diseasestrappopathies
spellingShingle Ayça Dilruba Aslanger
Esma Sengenç
Emrah Yücesan
Beyza Göncü
Akın İşcan
Gözde Yeşil Sayın
Clinical, Radiological, and Molecular Findings in Cases with TRAPPopathies
Çocuk Dergisi
microcephaly
rare diseases
trappopathies
title Clinical, Radiological, and Molecular Findings in Cases with TRAPPopathies
title_full Clinical, Radiological, and Molecular Findings in Cases with TRAPPopathies
title_fullStr Clinical, Radiological, and Molecular Findings in Cases with TRAPPopathies
title_full_unstemmed Clinical, Radiological, and Molecular Findings in Cases with TRAPPopathies
title_short Clinical, Radiological, and Molecular Findings in Cases with TRAPPopathies
title_sort clinical radiological and molecular findings in cases with trappopathies
topic microcephaly
rare diseases
trappopathies
url https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/E938AD2F9FE74813B542052E41D582B8
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AT beyzagoncu clinicalradiologicalandmolecularfindingsincaseswithtrappopathies
AT akıniscan clinicalradiologicalandmolecularfindingsincaseswithtrappopathies
AT gozdeyesilsayın clinicalradiologicalandmolecularfindingsincaseswithtrappopathies