Mutations in PIEZO2 cause Gordon syndrome, Marden-Walker syndrome, and distal arthrogryposis type 5

Am J Hum Genet. 2014 May 1;94(5):734-44. doi: 10.1016/j.ajhg.2014.03.015. Epub 2014 Apr 10.

Abstract

Gordon syndrome (GS), or distal arthrogryposis type 3, is a rare, autosomal-dominant disorder characterized by cleft palate and congenital contractures of the hands and feet. Exome sequencing of five GS-affected families identified mutations in piezo-type mechanosensitive ion channel component 2 (PIEZO2) in each family. Sanger sequencing revealed PIEZO2 mutations in five of seven additional families studied (for a total of 10/12 [83%] individuals), and nine families had an identical c.8057G>A (p.Arg2686His) mutation. The phenotype of GS overlaps with distal arthrogryposis type 5 (DA5) and Marden-Walker syndrome (MWS). Using molecular inversion probes for targeted sequencing to screen PIEZO2, we found mutations in 24/29 (82%) DA5-affected families and one of two MWS-affected families. The presence of cleft palate was significantly associated with c.8057G>A (Fisher's exact test, adjusted p value < 0.0001). Collectively, although GS, DA5, and MWS have traditionally been considered separate disorders, our findings indicate that they are etiologically related and perhaps represent variable expressivity of the same condition.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abnormalities, Multiple / genetics*
  • Abnormalities, Multiple / pathology
  • Arachnodactyly / genetics*
  • Arachnodactyly / pathology
  • Arthrogryposis / genetics*
  • Arthrogryposis / pathology
  • Blepharophimosis / genetics*
  • Blepharophimosis / pathology
  • Child
  • Child, Preschool
  • Cleft Palate / genetics*
  • Cleft Palate / pathology
  • Clubfoot / genetics*
  • Clubfoot / pathology
  • Connective Tissue Diseases / genetics*
  • Connective Tissue Diseases / pathology
  • Contracture / genetics*
  • Contracture / pathology
  • Exome / genetics
  • Female
  • Hand Deformities, Congenital / genetics*
  • Hand Deformities, Congenital / pathology
  • Humans
  • Ion Channels / genetics*
  • Male
  • Mutation
  • Ophthalmoplegia / genetics*
  • Ophthalmoplegia / pathology
  • Pedigree
  • Retinal Diseases / genetics*
  • Retinal Diseases / pathology

Substances

  • Ion Channels
  • PIEZO2 protein, human

Supplementary concepts

  • Gordon syndrome
  • Marden-Walker syndrome
  • Oculomelic amyoplasia