Table 3.

Allelic Disorders

GenePathogenic Variant(s)Disorder/PhenotypeReferences/OMIM/
GeneReview
ACTB p.Arg183TrpDystonia-deafness syndrome. Drug-nonresponsive dystonia & early-onset sensorineural deafness w/variable presence of dysmorphism, DD/ID, scoliosis, & epilepsySkogseid et al [2018], Freitas et al [2019], OMIM 607371
LoF variantsDescribed in ~40 persons w/DD, ID, internal organ malformations (incl CHDs & renal tract anomalies), growth restriction, & facial dysmorphism distinct from BWCFF syndrome (interrupted wavy eyebrows, dense eyelashes, wide nose, wide mouth, prominent chin)Cuvertino et al [2017], Baumann et al [2020]
LoF variants (missense, small deletions, & single-base-pair insertion) clustering in 3′ region, exons 5 & 6Syndromic thrombocytopenia. Mild DD, mild variable dysmorphism, microcephaly, & leukocytosis as well as thrombocytopenia w/platelet anisotropy (variable size incl normal & enlarged platelets). Recurrent infection, photosensitivity &/or malformations (cleft lip, CHD), arrhythmia, & periventricular nodular heterotopias may occur.Nunoi et al [1999], Latham et al [2018], Sandestig et al [2019]
7p22.1 microdeletions involving ACTBVariable presentation, w/nonspecific DD, short stature, microcephaly, & dysmorphic traits Shimojima et al [2016]
ACTG1 Several missense variantsAutosomal dominant nonsyndromic progressive sensorineural hearing loss (DFNA20/26) Hereditary Hearing Loss and Deafness Overview
p.Pro70LeuIsolated coloboma in 2 unrelated persons Rainger et al [2017]

BWCFF = Baraitser-Winter cerebrofrontofacial; CHD = congenital heart defect; DD = developmental delay; ID = intellectual disability; LoF = loss of function

From: Baraitser-Winter Cerebrofrontofacial Syndrome

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