Entry - #616938 - COFFIN-SIRIS SYNDROME 5; CSS5 - OMIM
# 616938

COFFIN-SIRIS SYNDROME 5; CSS5


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
17q21.2 Coffin-Siris syndrome 5 616938 AD 3 SMARCE1 603111
Clinical Synopsis
 
Phenotypic Series
 

INHERITANCE
- Autosomal dominant
GROWTH
Height
- Short stature
Other
- Intrauterine growth retardation
- Poor overall growth
HEAD & NECK
Head
- Microcephaly
Face
- Coarse facial features
Ears
- Abnormal ears
Eyes
- Thick eyebrows
- Long eyelashes
Nose
- Broad nose
- Flat nasal bridge
- Thick anteverted alae nasi
Mouth
- Large mouth
- Thin upper vermilion
- Thick lower vermilion
CARDIOVASCULAR
Heart
- Congenital heart defect
- Atrial septal defect
ABDOMEN
Gastrointestinal
- Poor feeding
SKELETAL
Hands
- Long, slender fingers
- Hypoplasia of the distal phalanges
Feet
- Hypoplasia of the distal phalanges
SKIN, NAILS, & HAIR
Nails
- Hypoplastic toenails
- Dystrophic toenails
Hair
- Low frontal hairline
- Sparse scalp hair
NEUROLOGIC
Central Nervous System
- Delayed psychomotor development
- Intellectual disability
- Seizures (1 patient)
- Cerebellar hypoplasia
- Hypoplasia of the corpus callosum
- Dandy-Walker malformation
MISCELLANEOUS
- Two unrelated patients have been reported (last curated May 2016)
MOLECULAR BASIS
- Caused by mutation in the SWI/SNF-related, matrix-associated, actin-dependent regulator of chromatin, subfamily E, member 1 gene (SMARCE1, 603111.0001)
Intellectual developmental disorder, autosomal dominant - PS156200 - 67 Entries
Location Phenotype Inheritance Phenotype
mapping key
Phenotype
MIM number
Gene/Locus Gene/Locus
MIM number
1p36.11 Coffin-Siris syndrome 2 AD 3 614607 ARID1A 603024
1q21.3 White-Sutton syndrome AD 3 616364 POGZ 614787
1q21.3 GAND syndrome AD 3 615074 GATAD2B 614998
1q22 Intellectual developmental disorder, autosomal dominant 52 AD 3 617796 ASH1L 607999
1q25.3 Intellectual developmental disorder, autosomal dominant 75 AD 3 620988 DHX9 603115
1q44 Intellectual developmental disorder, autosomal dominant 22 AD 3 612337 ZBTB18 608433
2p25.3 Intellectual developmental disorder, autosomal dominant 39 AD 3 616521 MYT1L 613084
2q11.2 ?Intellectual developmental disorder, autosomal dominant 69 AD 3 617863 LMAN2L 609552
2q23.1 Intellectual developmental disorder, autosomal dominant 1 AD 3 156200 MBD5 611472
3p25.3 Intellectual developmental disorder, autosomal dominant 23 AD 3 615761 SETD5 615743
3p21.31 Intellectual developmental disorder, autosomal dominant 70 AD 3 620157 SETD2 612778
3q22.3 Intellectual developmental disorder, autosomal dominant 47 AD 3 617635 STAG1 604358
3q26.32 Intellectual developmental disorder, autosomal dominant 41 AD 3 616944 TBL1XR1 608628
3q27.1 Intellectual developmental disorder 60 with seizures AD 3 618587 AP2M1 601024
4q31.1 Intellectual developmental disorder, autosomal dominant 50, with behavioral abnormalities AD 3 617787 NAA15 608000
5p15.2 Intellectual developmental disorder, autosomal dominant 63, with macrocephaly AD 3 618825 TRIO 601893
5p15.2 Intellectual developmental disorder, autosomal dominant 44, with microcephaly AD 3 617061 TRIO 601893
5q13.3 Neurodevelopmental disorder with hypotonia, speech delay, and dysmorphic facies AD 3 616351 CERT1 604677
5q32 Intellectual developmental disorder, autosomal dominant 53 AD 3 617798 CAMK2A 114078
5q33.2 Intellectual developmental disorder, autosomal dominant 67 AD 3 619927 GRIA1 138248
6p21.32 Intellectual developmental disorder, autosomal dominant 5 AD 3 612621 SYNGAP1 603384
6q13 Intellectual developmental disorder, autosomal dominant 46 AD 3 617601 KCNQ5 607357
6q14.3 Intellectual developmental disorder, autosomal dominant 64 AD 3 619188 ZNF292 616213
6q22.1 Intellectual developmental disorder, autosomal dominant 55, with seizures AD 3 617831 NUS1 610463
6q24.2 Intellectual developmental disorder, autosomal dominant 43 AD 3 616977 HIVEP2 143054
6q25.3 Coffin-Siris syndrome 1 AD 3 135900 ARID1B 614556
7p22.1 Intellectual developmental disorder, autosomal dominant 48 AD 3 617751 RAC1 602048
7p13 Intellectual developmental disorder, autosomal dominant 54 AD 3 617799 CAMK2B 607707
7q11.22 Intellectual developmental disorder, autosomal dominant 26 AD 3 615834 AUTS2 607270
7q36.2 Intellectual developmental disorder, autosomal dominant 33 AD 3 616311 DPP6 126141
9p24 Intellectual developmental disorder, autosomal dominant 2 AD 4 614113 MRD2 614113
9q34.11 Intellectual developmental disorder, autosomal dominant 58 AD 3 618106 SET 600960
9q34.3 Kleefstra syndrome 1 AD 3 610253 EHMT1 607001
10p15.3 Intellectual developmental disorder, autosomal dominant 30 AD 3 616083 ZMYND11 608668
10q22.2 Intellectual developmental disorder, autosomal dominant 59 AD 3 618522 CAMK2G 602123
11p15.5 Vulto-van Silfout-de Vries syndrome AD 3 615828 DEAF1 602635
11q13.1 Coffin-Siris syndrome 7 AD 3 618027 DPF2 601671
11q13.1-q13.2 Schuurs-Hoeijmakers syndrome AD 3 615009 PACS1 607492
11q13.2 Intellectual developmental disorder, autosomal dominant 51 AD 3 617788 KMT5B 610881
11q24.2 Intellectual developmental disorder, autosomal dominant 4 AD 2 612581 MRD4 612581
12p13.1 Intellectual developmental disorder, autosomal dominant 6, with or without seizures AD 3 613970 GRIN2B 138252
12q12 Coffin-Siris syndrome 6 AD 3 617808 ARID2 609539
12q13.12 Intellectual developmental disorder, autosomal dominant, FRA12A type AD 3 136630 DIP2B 611379
12q13.2 Coffin-Siris syndrome 8 AD 3 618362 SMARCC2 601734
12q21.33 Intellectual developmental disorder, autosomal dominant 66 AD 3 619910 ATP2B1 108731
14q11.2 Intellectual developmental disorder, autosomal dominant 74 AD 3 620688 HNRNPC 164020
15q21.3 Intellectual developmental disorder, autosomal dominant 71, with behavioral abnormalities AD 3 620330 RFX7 612660
16p13.3 Intellectual developmental disorder, autosomal dominant 72 AD 3 620439 SRRM2 606032
16q22.1 Intellectual developmental disorder, autosomal dominant 21 AD 3 615502 CTCF 604167
16q24.3 Intellectual developmental disorder, autosomal dominant 3 AD 3 612580 CDH15 114019
17p13.1 Intellectual developmental disorder, autosomal dominant 62 AD 3 618793 DLG4 602887
17q21.2 Coffin-Siris syndrome 5 AD 3 616938 SMARCE1 603111
17q21.31 Koolen-De Vries syndrome AD 3 610443 KANSL1 612452
17q23.1 Intellectual developmental disorder, autosomal dominant 56 AD 3 617854 CLTC 118955
17q23.2 Intellectual developmental disorder, autosomal dominant 61 AD 3 618009 MED13 603808
17q23.2 Intellectual developmental disorder, autosomal dominant 57 AD 3 618050 TLK2 608439
18q12.3 Intellectual developmental disorder, autosomal dominant 29 AD 3 616078 SETBP1 611060
19p13.3 Intellectual developmental disorder, autosomal dominant 65 AD 3 619320 KDM4B 609765
19p13.2 Coffin-Siris syndrome 4 AD 3 614609 SMARCA4 603254
19q13.12 Intellectual developmental disorder, autosomal dominant 68 AD 3 619934 KMT2B 606834
19q13.2 Intellectual developmental disorder, autosomal dominant 45 AD 3 617600 CIC 612082
20q11.23 ?Intellectual developmental disorder, autosomal dominant 11 AD 3 614257 EPB41L1 602879
20q13.33 Intellectual developmental disorder, autosomal dominant 73 AD 3 620450 TAF4 601796
20q13.33 Intellectual developmental disorder, autosomal dominant 38 AD 3 616393 EEF1A2 602959
21q22.13 Intellectual developmental disorder, autosomal dominant 7 AD 3 614104 DYRK1A 600855
22q11.23 Coffin-Siris syndrome 3 AD 3 614608 SMARCB1 601607
22q12.3 ?Intellectual developmental disorder, autosomal dominant 10 AD 3 614256 CACNG2 602911
Coffin-Siris syndrome - PS135900 - 12 Entries

TEXT

A number sign (#) is used with this entry because of evidence that Coffin-Siris syndrome-5 (CSS5) is caused by heterozygous mutation in the SMARCE1 gene (603111) on chromosome 17q21.


Description

Coffin-Siris syndrome is a rare congenital disorder characterized by delayed psychomotor development, intellectual disability, coarse facial features, and hypoplasia of the distal phalanges, particularly the fifth digit. Other features may also be observed, including congenital heart defects, hypoplasia of the corpus callosum, and poor overall growth with short stature and microcephaly (summary by Wieczorek et al., 2013). Patients with SMARCE1 mutations have a wide spectrum of manifestations, including severe to moderate intellectual disability and heart defects (summary by Kosho et al., 2014).

For a general phenotypic description and a discussion of genetic heterogeneity of Coffin-Siris syndrome, see CSS1 (135900).


Clinical Features

Wieczorek et al. (2013) reported a 3-year-old girl (patient K2442) with Coffin-Siris syndrome. She had delayed psychomotor development with intellectual disability and absent speech, poor overall growth with short stature and microcephaly (-4.6 SD), and dysmorphic facial features, including coarse facies, low frontal hairline, thick eyebrows, long eyelashes, flat nasal bridge, broad nose with thick anteverted nares, large mouth, thick lower vermilion, short philtrum, abnormal ears, and sparse scalp hair. Additional features included hypoplasia of the distal phalanges with nail hypoplasia, atrial septal defect, and dextropositio cordis. Brain imaging showed small cerebellum, Dandy-Walker malformation, and abnormal corpus callosum. Wieczorek et al. (2013) reviewed the clinical features in a patient with CSS5 originally reported by Tsurusaki et al. (2012): that patient also had severe intellectual disability, the typical craniofacial gestalt, microcephaly, short stature, feeding difficulties, and congenital heart defects. Both patients had long and slender fingers and all toenails were dystrophic and hypoplastic. One of the patients had seizures.


Inheritance

The heterozygous mutations in the SMARCE1 gene that were identified in patients with CSS5 by Tsurusaki et al. (2012) and Wieczorek et al. (2013) occurred de novo.


Molecular Genetics

In a Japanese patient with CSS5, Tsurusaki et al. (2012) identified a de novo heterozygous missense mutation in the SMARCE1 gene (Y73C; 603111.0001). The mutation was found by exome sequencing. Functional studies of the variant were not performed.

Wieczorek et al. (2013) identified a de novo heterozygous missense mutation affecting the same codon as the mutation identified by Tsurusaki et al. (2012) (Y73S; 603111.0006) in a 3-year-old girl with CSS5. The mutation was found by whole-exome sequencing; functional studies of the variant were not performed. The patient was 1 of 46 individuals with a clinical diagnosis of CSS who underwent sequencing, suggesting that SMARCE1 mutations are not common in this disorder.


REFERENCES

  1. Kosho, T., Okamoto, N., Coffin-Siris Syndrome International Collaborators. Genotype-phenotype correlation of Coffin-Siris syndrome caused by mutations in SMARCB1, SMARCA4, SMARCE1, and ARID1A. Am. J. Med. Genet. 166C: 262-275, 2014. [PubMed: 25168959, related citations] [Full Text]

  2. Tsurusaki, Y., Okamoto, N., Ohashi, H., Kosho, T., Imai, Y., Hibi-Ko, Y., Kaname, T., Naritomi, K., Kawame, H., Wakui, K., Fukushima, Y., Homma, T., and 19 others. Mutations affecting components of the SWI/SNF complex cause Coffin-Siris syndrome. Nature Genet. 44: 376-378, 2012. [PubMed: 22426308, related citations] [Full Text]

  3. Wieczorek, D., Bogershausen, N., Beleggia, F., Steiner-Haldenstatt, S., Pohl, E., Li, Y., Milz, E., Martin, M., Thiele, H., Altmuller, J., Alanay, Y., Kayserili, H., and 44 others. A comprehensive molecular study on Coffin-Siris and Nicolaides-Baraitser syndromes identifies a broad molecular and clinical spectrum converging on altered chromatin remodeling. Hum. Molec. Genet. 22: 5121-5135, 2013. [PubMed: 23906836, related citations] [Full Text]


Creation Date:
Cassandra L. Kniffin : 5/3/2016
carol : 10/31/2022
alopez : 05/09/2016
ckniffin : 5/4/2016

# 616938

COFFIN-SIRIS SYNDROME 5; CSS5


ORPHA: 1465;   DO: 0112368;  


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
17q21.2 Coffin-Siris syndrome 5 616938 Autosomal dominant 3 SMARCE1 603111

TEXT

A number sign (#) is used with this entry because of evidence that Coffin-Siris syndrome-5 (CSS5) is caused by heterozygous mutation in the SMARCE1 gene (603111) on chromosome 17q21.


Description

Coffin-Siris syndrome is a rare congenital disorder characterized by delayed psychomotor development, intellectual disability, coarse facial features, and hypoplasia of the distal phalanges, particularly the fifth digit. Other features may also be observed, including congenital heart defects, hypoplasia of the corpus callosum, and poor overall growth with short stature and microcephaly (summary by Wieczorek et al., 2013). Patients with SMARCE1 mutations have a wide spectrum of manifestations, including severe to moderate intellectual disability and heart defects (summary by Kosho et al., 2014).

For a general phenotypic description and a discussion of genetic heterogeneity of Coffin-Siris syndrome, see CSS1 (135900).


Clinical Features

Wieczorek et al. (2013) reported a 3-year-old girl (patient K2442) with Coffin-Siris syndrome. She had delayed psychomotor development with intellectual disability and absent speech, poor overall growth with short stature and microcephaly (-4.6 SD), and dysmorphic facial features, including coarse facies, low frontal hairline, thick eyebrows, long eyelashes, flat nasal bridge, broad nose with thick anteverted nares, large mouth, thick lower vermilion, short philtrum, abnormal ears, and sparse scalp hair. Additional features included hypoplasia of the distal phalanges with nail hypoplasia, atrial septal defect, and dextropositio cordis. Brain imaging showed small cerebellum, Dandy-Walker malformation, and abnormal corpus callosum. Wieczorek et al. (2013) reviewed the clinical features in a patient with CSS5 originally reported by Tsurusaki et al. (2012): that patient also had severe intellectual disability, the typical craniofacial gestalt, microcephaly, short stature, feeding difficulties, and congenital heart defects. Both patients had long and slender fingers and all toenails were dystrophic and hypoplastic. One of the patients had seizures.


Inheritance

The heterozygous mutations in the SMARCE1 gene that were identified in patients with CSS5 by Tsurusaki et al. (2012) and Wieczorek et al. (2013) occurred de novo.


Molecular Genetics

In a Japanese patient with CSS5, Tsurusaki et al. (2012) identified a de novo heterozygous missense mutation in the SMARCE1 gene (Y73C; 603111.0001). The mutation was found by exome sequencing. Functional studies of the variant were not performed.

Wieczorek et al. (2013) identified a de novo heterozygous missense mutation affecting the same codon as the mutation identified by Tsurusaki et al. (2012) (Y73S; 603111.0006) in a 3-year-old girl with CSS5. The mutation was found by whole-exome sequencing; functional studies of the variant were not performed. The patient was 1 of 46 individuals with a clinical diagnosis of CSS who underwent sequencing, suggesting that SMARCE1 mutations are not common in this disorder.


REFERENCES

  1. Kosho, T., Okamoto, N., Coffin-Siris Syndrome International Collaborators. Genotype-phenotype correlation of Coffin-Siris syndrome caused by mutations in SMARCB1, SMARCA4, SMARCE1, and ARID1A. Am. J. Med. Genet. 166C: 262-275, 2014. [PubMed: 25168959] [Full Text: https://doi.org/10.1002/ajmg.c.31407]

  2. Tsurusaki, Y., Okamoto, N., Ohashi, H., Kosho, T., Imai, Y., Hibi-Ko, Y., Kaname, T., Naritomi, K., Kawame, H., Wakui, K., Fukushima, Y., Homma, T., and 19 others. Mutations affecting components of the SWI/SNF complex cause Coffin-Siris syndrome. Nature Genet. 44: 376-378, 2012. [PubMed: 22426308] [Full Text: https://doi.org/10.1038/ng.2219]

  3. Wieczorek, D., Bogershausen, N., Beleggia, F., Steiner-Haldenstatt, S., Pohl, E., Li, Y., Milz, E., Martin, M., Thiele, H., Altmuller, J., Alanay, Y., Kayserili, H., and 44 others. A comprehensive molecular study on Coffin-Siris and Nicolaides-Baraitser syndromes identifies a broad molecular and clinical spectrum converging on altered chromatin remodeling. Hum. Molec. Genet. 22: 5121-5135, 2013. [PubMed: 23906836] [Full Text: https://doi.org/10.1093/hmg/ddt366]


Creation Date:
Cassandra L. Kniffin : 5/3/2016

Edit History:
carol : 10/31/2022
alopez : 05/09/2016
ckniffin : 5/4/2016