Expanding the genotypic spectrum of Perrault syndrome.


Perrault syndrome is a rare autosomal recessive disorder characterized by sensorineural hearing loss (SNHL) in both sexes and primary ovarian insufficiency in 46, XX karyotype females. Biallelic variants in five genes are reported to be causative: HSD17B4, HARS2, LARS2, CLPP and C10orf2. Here we present eight families affected by Perrault syndrome. In five families we identified novel or previously reported variants in HSD17B4, LARS2, CLPP and C10orf2. The proband from each family was whole exome sequenced and variants confirmed by Sanger sequencing. A female was compound heterozygous for a known, p.(Gly16Ser) and novel, p.(Val82Phe) variant in D-bifunctional protein (HSD17B4). A family was homozygous for mitochondrial leucyl aminocyl tRNA synthetase (mtLeuRS) (LARS2) p.(Thr522Asn), previously associated with Perrault syndrome. A further family was compound heterozygous for mtLeuRS, p.(Thr522Asn) and a novel variant, p.(Met117Ile). Affected individuals with LARS2 variants had low frequency SNHL, a feature previously described in Perrault syndrome. A female with significant neurological disability was compound heterozygous for p.(Arg323Gln) and p.(Asn399Ser) variants in Twinkle (C10orf2). A male was homozygous for a novel variant in CLPP, p.(Cys144Arg). In three families there were no putative pathogenic variants in these genes confirming additional disease-causing genes remain unidentified. We have expanded the spectrum of disease-causing variants associated with Perrault syndrome.

DOI: 10.1111/cge.12776
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@article{Demain2017ExpandingTG, title={Expanding the genotypic spectrum of Perrault syndrome.}, author={L A M Demain and J E Urquhart and James O'Sullivan and Sandra Williams and Sanjeev S. Bhaskar and E M Jenkinson and C M Lourenço and Arvid Heiberg and Simon H. S. Pearce and Stavit Alon Shalev and Wyatt W. Yue and Sabrina Mackinnon and Kevin J. Munro and Ruth A. Newbury-Ecob and Kerstin Becker and Minji Kim and R T O' Keefe and William G. Newman}, journal={Clinical genetics}, year={2017}, volume={91 2}, pages={302-312} }