Entry - #616894 - ROBINOW SYNDROME, AUTOSOMAL DOMINANT 3; DRS3 - OMIM
# 616894

ROBINOW SYNDROME, AUTOSOMAL DOMINANT 3; DRS3


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
3q27.1 Robinow syndrome, autosomal dominant 3 616894 AD 3 DVL3 601368
Clinical Synopsis
 
Phenotypic Series
 

INHERITANCE
- Autosomal dominant
GROWTH
Height
- Short stature
HEAD & NECK
Head
- Macrocephaly (in some patients)
Face
- Frontal bossing (in some patients)
- Midface hypoplasia
- Long philtrum
- Micrognathia
Ears
- Hearing loss (rare)
- Low-set ears (rare)
Eyes
- Prominent eyes
- Upslanting palpebral fissures
- Epicanthal folds (in some patients)
- Hypertelorism (in some patients)
- Telecanthus (in some patients)
- Long eyelashes (in some patients)
- Blue sclerae (in some patients)
Nose
- Short nose
- Wide nasal bridge
- Low nasal bridge
- Anteverted nares
Mouth
- Downturned mouth
- Gingival hyperplasia
- Bilobed tongue
- Cleft palate
- Cleft lip (in some patients)
Teeth
- Missing teeth (in some patients)
- Malocclusion (in some patients)
Neck
- Short neck (in some patients)
- Webbed neck (in some patients)
CARDIOVASCULAR
Heart
- Ventricular septal defect
- Patent foramen ovale
- Pulmonary atresia
- Hypoplastic right heart
- Tricuspid regurgitation
Vascular
- Patent ductus arteriosus
CHEST
Ribs Sternum Clavicles & Scapulae
- Pectus anomaly
ABDOMEN
External Features
- Omphalocele (in some patients)
Gastrointestinal
- Short gut (rare)
- Anteriorly placed anus (rare)
GENITOURINARY
External Genitalia (Male)
- Buried penis (in 1 patient)
Internal Genitalia (Male)
- Cryptorchidism (in 1 patient)
SKELETAL
Skull
- Macrocephaly (in some patients)
Spine
- Scoliosis (in some patients)
- Kyphosis (in some patients)
Limbs
- Mesomelia
Hands
- Brachydactyly
- Clinodactyly
- Hypoplastic phalanges (in some patients)
- Broad thumb (in some patients)
Feet
- Broad first toe (in some patients)
MOLECULAR BASIS
- Caused by mutation in the dishevelled-3 gene (DVL3, 601368.0001)

TEXT

A number sign (#) is used with this entry because of evidence that autosomal dominant Robinow syndrome-3 (DRS3) is caused by heterozygous mutation in the DVL3 gene (601368) on chromosome 3q27.


Description

The clinical description of Robinow syndrome includes mesomelia, normal intellect, genital hypoplasia, and distinctive facial features comprising frontal bossing, prominent eyes, and a depressed nasal bridge, which are collectively referred to as a 'fetal face' (summary by White et al., 2016).

For a discussion of genetic heterogeneity in Robinow syndrome, see RRS (268310).


Molecular Genetics

In a cohort of 34 individuals with a clinical diagnosis of possible Robinow syndrome, White et al. (2016) performed direct Sanger sequencing of the penultimate and final exons of the DVL1 (601365), DVL2 (602151), and DVL3 genes, and identified 1 patient with a 1-bp deletion within the final exon of DVL3 (601368.0001). Sanger sequencing the penultimate and final exons of DVL1, DVL2, and DVL3 in 17 Robinow syndrome cases from an in-house database identified 4 more patients with mutations in DVL3, including two 1-bp deletions (601368.0002-601368.0003) and 2 splice site mutations (601368.0004-601368.0005). In addition, a DVL1 mutation was detected in 1 patient (see DRS2, 616331). White et al. (2016) stated that the phenotypic features of DVL1- and DVL3-mediated Robinow syndrome were largely concordant, but noted that only 2 of the 4 DVL3-mutated patients for whom clinical information was available had macrocephaly and all 4 had short stature, suggesting that head circumference and stature might be distinguishing features.


REFERENCES

  1. White, J. J., Mazzeu, J. F., Hoischen, A., Bayram, Y., Withers, M., Gezdirici, A., Kimonis, V., Steehouwer, M., Jhangiani, S. N., Muzny, D. M., Gibbs, R. A., Baylor-Hopkins Center for Mendelian Genetics, van Bon, B. W. M., Sutton, V. R., Lupski, J. R., Brunner, H. G., Carvalho, C. M. B. DVL3 alleles resulting in a -1 frameshift of the last exon mediate autosomal-dominant Robinow syndrome. Am. J. Hum. Genet. 98: 553-561, 2016. [PubMed: 26924530, images, related citations] [Full Text]


Creation Date:
Marla J. F. O'Neill : 4/4/2016
Edit History:
alopez : 04/04/2016

# 616894

ROBINOW SYNDROME, AUTOSOMAL DOMINANT 3; DRS3


ORPHA: 3107, 97360;   DO: 0060767;  


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
3q27.1 Robinow syndrome, autosomal dominant 3 616894 Autosomal dominant 3 DVL3 601368

TEXT

A number sign (#) is used with this entry because of evidence that autosomal dominant Robinow syndrome-3 (DRS3) is caused by heterozygous mutation in the DVL3 gene (601368) on chromosome 3q27.


Description

The clinical description of Robinow syndrome includes mesomelia, normal intellect, genital hypoplasia, and distinctive facial features comprising frontal bossing, prominent eyes, and a depressed nasal bridge, which are collectively referred to as a 'fetal face' (summary by White et al., 2016).

For a discussion of genetic heterogeneity in Robinow syndrome, see RRS (268310).


Molecular Genetics

In a cohort of 34 individuals with a clinical diagnosis of possible Robinow syndrome, White et al. (2016) performed direct Sanger sequencing of the penultimate and final exons of the DVL1 (601365), DVL2 (602151), and DVL3 genes, and identified 1 patient with a 1-bp deletion within the final exon of DVL3 (601368.0001). Sanger sequencing the penultimate and final exons of DVL1, DVL2, and DVL3 in 17 Robinow syndrome cases from an in-house database identified 4 more patients with mutations in DVL3, including two 1-bp deletions (601368.0002-601368.0003) and 2 splice site mutations (601368.0004-601368.0005). In addition, a DVL1 mutation was detected in 1 patient (see DRS2, 616331). White et al. (2016) stated that the phenotypic features of DVL1- and DVL3-mediated Robinow syndrome were largely concordant, but noted that only 2 of the 4 DVL3-mutated patients for whom clinical information was available had macrocephaly and all 4 had short stature, suggesting that head circumference and stature might be distinguishing features.


REFERENCES

  1. White, J. J., Mazzeu, J. F., Hoischen, A., Bayram, Y., Withers, M., Gezdirici, A., Kimonis, V., Steehouwer, M., Jhangiani, S. N., Muzny, D. M., Gibbs, R. A., Baylor-Hopkins Center for Mendelian Genetics, van Bon, B. W. M., Sutton, V. R., Lupski, J. R., Brunner, H. G., Carvalho, C. M. B. DVL3 alleles resulting in a -1 frameshift of the last exon mediate autosomal-dominant Robinow syndrome. Am. J. Hum. Genet. 98: 553-561, 2016. [PubMed: 26924530] [Full Text: https://doi.org/10.1016/j.ajhg.2016.01.005]


Creation Date:
Marla J. F. O'Neill : 4/4/2016

Edit History:
alopez : 04/04/2016