Identification of a pathogenic deep intronic variant in ATRX ends a diagnostic odyssey

Eur J Med Genet. 2024 Jun:69:104949. doi: 10.1016/j.ejmg.2024.104949. Epub 2024 May 24.

Abstract

Variation in the non-coding genome is being increasingly recognized to be involved in monogenic disease etiology. However, the interpretation of non-coding variation is complicated by a lack of understanding of how non-coding genetic elements function. Additional lines of evidence are therefore needed to recognize non-coding variants as pathogenic. We here present a case where a collective body of evidence resulted in the identification and conclusive classification of a pathogenic deep intronic variant in ATRX. This report demonstrates the utility of a multi-platform approach in aiding the identification of pathogenic variants outside coding regions. Furthermore, it marks the first reported instance of a deep intronic pathogenic variant in ATRX.

Publication types

  • Case Reports

MeSH terms

  • Humans
  • Introns*
  • Male
  • Mutation
  • X-Linked Intellectual Disability / diagnosis
  • X-Linked Intellectual Disability / genetics
  • X-Linked Intellectual Disability / pathology
  • X-linked Nuclear Protein* / genetics

Substances

  • X-linked Nuclear Protein
  • ATRX protein, human