Mutation analysis and prenatal diagnosis of a family with congenital contractural arachnodactyly

Mol Genet Genomic Med. 2021 Apr;9(4):e1638. doi: 10.1002/mgg3.1638. Epub 2021 Feb 27.

Abstract

Background: Congenital contractural arachnodactyly (CCA) is a rare autosomal dominant condition caused by mutations in the fibrillin 2 gene (FBN2). The primary clinical symptoms of CCA include multiple flexion contractures, arachnodactyly, dolichostenomelia, scoliosis, abnormal pinnae, muscular hypoplasia, and crumpled ears.

Methods: We used whole-exome sequencing technology to examine an arthrogryposis multiplex congenita and used Sanger sequencing technology to genetically confirm its family.

Results: FBN2 c.3344A>T(p.D1115V) was identified in this family with CCA in a pedigree. Prenatal diagnosis and counseling were carried out simultaneously to avoid the birth of the sick fetus.

Conclusion: The study is on FBN2 variant in CCA, which potentially having implications for genetic counseling and clinical management, our study may provide new insights into the cause and diagnosis of CCA.

Keywords: FBN2; beals syndrome; congenital contractural arachnodactyly; prenatal diagnosis; whole-exome sequencing.

Publication types

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

MeSH terms

  • Adult
  • Amniocentesis
  • Arachnodactyly / genetics*
  • Arachnodactyly / pathology
  • Contracture / genetics*
  • Contracture / pathology
  • Female
  • Fibrillin-2 / genetics*
  • Humans
  • Male
  • Mutation, Missense
  • Pedigree
  • Pregnancy
  • Whole Genome Sequencing

Substances

  • FBN2 protein, human
  • Fibrillin-2

Supplementary concepts

  • Congenital contractural arachnodactyly