SCYL1 disease and liver transplantation diagnosed by reanalysis of exome sequencing and deletion/duplication analysis of SCYL1.

Abstract

SCYL1 disease results from biallelic pathogenic variants in SCYL1. We report two new patients with severe hepatic phenotype requiring liver transplantation. Patient charts reviewed. DNA samples and skin fibroblasts were utilized. Literature was reviewed. 13-year-old boy and 9-year-old girl siblings had acute liver insufficiency and underwent living related donor liver transplantation in infancy with no genetic diagnosis. Both had tremor, global developmental delay, and cognitive dysfunction during their follow-up in the medical genetic clinic for diagnostic investigations after their liver transplantation. Exome sequencing identified a likely pathogenic variant (c.399delC; p.Asn133Lysfs*136) in SCYL1. Deletion/duplication analysis of SCYL1 identified deletions of exons 7-8 in Patient 1. Both variants were confirmed in Patient 2 and the diagnosis of SCYL1 disease was confirmed in both patients at the age of 13 and 9 years, respectively. SCYL1 protein was not expressed in both patients' fibroblast using western blot analysis. Sixteen patients with SCYL1 disease reported in the literature. Liver phenotype (n = 16), neurological phenotype (n = 13) and skeletal phenotype (n = 11) were present. Both siblings required liver transplantation in infancy and had variable phenotypes. Exome sequencing may miss the diagnosis and phenotyping of patients can help to diagnose patients.

• Authors: Vanda McNiven, Daniela Gattini, Iram Siddiqui, Stephane Pelletier, Herbert Brill, Yaron Avitzur, Saadet Mercimek-Andrews
• Journal: American journal of medical genetics. Part A (Am J Med Genet A) Vol. 185 Issue 4 Pg. 1091-1097 (04 2021) ISSN: 1552-4833 [Electronic] United States
• PMID: 33442927 (Publication Type: Journal Article)
• Copyright: © 2021 Wiley Periodicals LLC.

Chemical References

• Adaptor Proteins, Vesicular Transport
• DNA-Binding Proteins
• SCYL1 protein, human

Topics

• Adaptor Proteins, Vesicular Transport (deficiency, genetics)
• Adolescent
• Child
• DNA-Binding Proteins (deficiency, genetics)
• Developmental Disabilities (diagnosis, genetics, therapy)
• Female
• Genetic Predisposition to Disease
• Humans
• Liver (pathology, surgery)
• Liver Transplantation
• Living Donors
• Male
• Nervous System Malformations (diagnosis, genetics, pathology, therapy)
• Siblings
• Exome Sequencing