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Table 2 Medical information

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:c.957+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

Eye disease

Unilateral nuclear sclerotic cataract noted at 13y with dense amblyopia

Divergent squint

Bilateral cataracts noted age 7y, lens aspiration and intraocular implants at age 8y

Developed cataracts

Developed cataracts

Developed cataracts, intraocular lens in place

Developed cataracts

Endocrine/metabolic disease

Hirsutism, axillary acanthosis, early menarche age 9y

Raised BMI

Hirsutism, insulin resistance, axillary acanthosis

Raised BMI

    

Neurological symptoms

 

Focal seizures at age 14y, EEG normal, treated with levetiracetam

Spasticity

Spasticity, mostly upper limbs

Spasticity

Dystonia

Spasticity

Brain imaging

Normal

 

Mild generalised atrophy

 

Normal

 

Immune disorders

No

No

Yes

Yes

Yes

Yes

Dysmorphic features

Up-slanting palpebral fissures, high narrow palate, tapering fingers

Up-slanting palpebral fissures, high narrow palate, tapering fingers

Not available

Not available

Not available

Not available

Skin

Large café au lait, striae distensae

Benign nodular prurigo, striae distensae

    

Other medical problems

Pes planus

Kyphosis and mild scoliosis

Migraine

Plano valgus foot deformity

Kyphosis

    
  1. All subjects from Family 1 and Family 2 developed cataracts. Subjects from Family 1 developed a metabolic syndrome with obesity, hirsutism and insulin resistance or diabetes. Though no major abnormalities were identified on brain imaging, some individuals have neurological symptoms with seizures in one participant (Family 1) and spasticity being present in Family 2. Family 2 also have an immunodeficiency with lymphopenia and inadequate antibody response titres