Clinical characteristics of Polish patients with molecularly confirmed Mowat-Wilson syndrome

J Appl Genet. 2021 Sep;62(3):477-485. doi: 10.1007/s13353-021-00636-1. Epub 2021 May 12.

Abstract

Mowat-Wilson syndrome is a rare neurodevelopmental disorder caused by pathogenic variants in the ZEB2 gene, intragenic deletions of the ZEB2 gene, and microdeletions in the critical chromosomal region 2q22-23, where the ZEB2 gene is located. Mowat-Wilson syndrome is characterized by typical facial features that change with the age, severe developmental delay with intellectual disability, and multiple congenital abnormalities. The authors describe the clinical and genetic aspects of 28th patients with Mowat-Wilson syndrome diagnosed in Poland. Characteristic dysmorphic features, psychomotor retardation, intellectual disability, and congenital anomalies were present in all cases. The incidence of most common congenital anomalies (heart defect, Hirschsprung disease, brain defects) was similar to presented in literature. Epilepsy was less common compared to previously reported cases. Although the spectrum of disorders in patients with Mowat-Wilson syndrome is wide, knowledge of characteristic dysmorphic features awareness of accompanying abnormalities, especially intellectual disability, improves detection of the syndrome.

Keywords: Congenital anomalies; Dysmorphism; Mowat-Wilson syndrome; Phenotype; ZEB2 gene.

MeSH terms

  • Facies*
  • Hirschsprung Disease* / diagnosis
  • Hirschsprung Disease* / genetics
  • Humans
  • Intellectual Disability* / genetics
  • Microcephaly* / genetics
  • Poland
  • Zinc Finger E-box Binding Homeobox 2 / genetics

Substances

  • ZEB2 protein, human
  • Zinc Finger E-box Binding Homeobox 2

Supplementary concepts

  • Mowat-Wilson syndrome