Could the MED13 mutations manifest as a Kabuki-like syndrome?

Am J Med Genet A. 2021 Feb;185(2):584-590. doi: 10.1002/ajmg.a.61994. Epub 2020 Nov 30.

Abstract

MED13-related disorder is a new neurodevelopmental disorder recently described in literature, which belongs to the group of CDK8-kinase module genes-associated conditions. It is characterized by variable intellectual disability and/or developmental delays, especially in language. Autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD), eye or vision problems, hypotonia, mild congenital hearth abnormalities and dysmorphisms have been described among individuals with MED13 mutations. We report the case of a 13-year-old girl who received a previous clinical diagnosis of Kabuki syndrome (KS) without mutations in classic KS genes. After a whole exome sequencing (WES) analysis a de novo missense mutation in MED13 (c.C979T; p.Pro327Ser) was found. This variant has been once described in literature as accountable for a novel neurodevelopmental disorder. The aim of this report is to improve clinical delineation of MED13-related condition and to explore differences and similarities between KS spectrum and MED13-related disorders.

Keywords: Kabuki syndrome; MED 13; transcriptomopathy.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abnormalities, Multiple / diagnosis
  • Abnormalities, Multiple / genetics*
  • Abnormalities, Multiple / pathology
  • Adolescent
  • Cyclin-Dependent Kinase 8 / genetics
  • Face / abnormalities*
  • Face / pathology
  • Female
  • Genetic Predisposition to Disease*
  • Hematologic Diseases / diagnosis
  • Hematologic Diseases / genetics*
  • Hematologic Diseases / pathology
  • Humans
  • Mediator Complex / genetics*
  • Mutation / genetics
  • Vestibular Diseases / diagnosis
  • Vestibular Diseases / genetics*
  • Vestibular Diseases / pathology

Substances

  • MED13 protein, human
  • Mediator Complex
  • Cyclin-Dependent Kinase 8

Supplementary concepts

  • Kabuki syndrome