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Table 1 Growth and development

From: Biallelic variants in COPB1 cause a novel, severe intellectual disability syndrome with cataracts and variable microcephaly

 

Family

 

Family 1

Family 2

Ethnicity

Roma (Polish)

Arab (Saudi)

COPB1 variant

NM_016451.4: c957+1G>T (homozygous)

GRCh37:g.14504577C>A

NM_016451.4: c.1651T>G p.(Phe551Val)

(homozygous)

GRCh37:g.14496127A>C

Patient ID

IV2

IV3

IV7

IV8

IV9

IV4

Sex

F

F

F

F

F

F

Age at physical assessment

14y

16y

15y

15y

11y

7y

OFC

− 2.6 SD

− 3.2 SD

− 2 SD

− 0.2 SD

− 7.9 SD

− 4.4 SD

Weight

+ 2.4 SD

+ 2.8 SD

− 3.1 SD

− 2.8 SD

− 3.9 SD

− 3.2 SD

Height

− 0.1 SD

− 1.9 SD

− 1.8 SD

− 1.2 SD

+ 0.6SD

− 2.2 SD

Neonatal issues

Hypotonia, torticollis

Hypotonia

Unknown

Unknown

Unknown

Unknown

Other genetic findings

Normal microcephaly and cataract panels

Balanced 12;13 insertional translocation

Normal microcephaly and cataract panels

Unbalanced 12;13 insertional translocation (761 Kb duplication of 13q13.3)

Homozygous for GJB2 c.71G>A

Normal immunodeficiency gene panel

Normal immunodeficiency gene panel

Normal immunodeficiency gene panel

Normal immuno-deficiency gene panel

Normal array CGH

Early development

Smiled at 13m

Sat at m

Walking at 5y

First words 3y

Smiled at 13m

Sat at 12m

Walking at 4y

Early milestones not available

Cannot walk

Early milestones not available

Cannot walk

Early milestones not available

Cannot walk

Early milestones not available

Cannot walk

Age at last developmental assessment

18y

16y

17y

15y

11y

11y

Intellectual disability

Severe

Severe

Severe

Severe

Severe

Severe

Language and hearing

Short phrases (unclear language)

Follows simple instructions

GJB2-associated deafness

No speech

Difficulty expressing needs

No speech

Language “fair”

No speech

Limited speech

Gross motor

Can go up stairs

Cannot climb

Difficulty on stairs

Poor balance

Uses wheelchair

Uses wheelchair

Unable to sit or stand

Unable to sit or stand

Social development and behaviour

Unable to perform self-care

Poor safety awareness

Intermittent incontinence (mostly urinary)

Unable to perform self-care

Incontinent of urine and faeces

Fully dependant

Fully dependant

Fully dependant

Fully dependant

  1. Shows subjects’ growth and development. Five of six subjects had microcephaly (− 2 SD); 3/6 had severe microcephaly (> 3SD). Patients in Family 1 developed disproportionate weight to height and a “metabolic syndrome” phenotype (see Table 2). In contrast, in Family 2, subjects were underweight. All participants have a severe intellectual disability. Gross motor abilities are variable with one participant in family 1 able to walk up stairs and two participants in Family 2 unable to sit