Extending the clinical spectrum of X-linked Tonne-Kalscheuer syndrome (TOKAS): new insights from the fetal perspective Article Swipe
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· 2024
· Open Access
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· DOI: https://doi.org/10.1136/jmg-2024-109854
Introduction Tonne-Kalscheuer syndrome (TOKAS) is a recessive X-linked multiple congenital anomaly disorder caused by RLIM variations. Of the 41 patients reported, only 7 antenatal cases were described. Method After the antenatal diagnosis of TOKAS by exome analysis in a family followed for over 35 years because of multiple congenital anomalies in five male fetuses, a call for collaboration was made, resulting in a cohort of 11 previously unpublished cases. Results We present a TOKAS antenatal cohort, describing 11 new cases in 6 French families. We report a high frequency of diaphragmatic hernia (9 of 11), differences in sex development (10 of 11) and various visceral malformations. We report some recurrent dysmorphic features, but also pontocerebellar hypoplasia, pre-auricular skin tags and olfactory bulb abnormalities previously unreported in the literature. Although no clear genotype–phenotype correlation has yet emerged, we show that a recurrent p.(Arg611Cys) variant accounts for 66% of fetal TOKAS cases. We also report two new likely pathogenic variants in RLIM , outside of the two previously known mutational hotspots. Conclusion Overall, we present the first fetal cohort of TOKAS, describe the clinical features that made it a recognisable syndrome at fetopathological examination, and extend the phenotypical spectrum and the known genotype of this rare disorder.
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- article
- Language
- en
- Landing Page
- https://doi.org/10.1136/jmg-2024-109854
- https://jmg.bmj.com/content/jmedgenet/early/2024/06/07/jmg-2024-109854.full.pdf
- OA Status
- hybrid
- Cited By
- 1
- References
- 28
- Related Works
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- OpenAlex ID
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Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4399426336Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1136/jmg-2024-109854Digital Object Identifier
- Title
-
Extending the clinical spectrum of X-linked Tonne-Kalscheuer syndrome (TOKAS): new insights from the fetal perspectiveWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
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2024-06-07Full publication date if available
- Authors
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Silvestre Cuinat, Chloé Quēlin, Claire Effray, Christèle Dubourg, G. Le Bouar, Anne-Sophie Cabaret-Dufour, Philippe Loget, Maïa Proisy, Fanny Sauvestre, Mélie Sarreau, Sophie Martin-Berenguer, Claire Bénéteau, Sophie Naudion, Vincent Michaud, Benoı̂t Arveiler, Aurélien Trimouille, Pierre Macé, Sabine Sigaudy, Olga O. Glazunova, Julia Torrents, Laure Raymond, Marie‐Hélène Saint‐Frison, Tania Attié‐Bitach, Mathilde Lefebvre, Yline Capri, Nicolas Bourgon, Christel Thauvin‐Robinet, Frédéric Tran Mau‐Them, Ange‐Line Bruel, Antonio Vitobello, Anne‐Sophie Denommé‐Pichon, Laurence Faivre, Anne‐Claire Bréhin, Alice Goldenberg, Sophie Patrier-Sallebert, Alexandre Perani, Benjamin Dauriat, Sylvie Bourthoumieu, Catherine Yardin, Valentine Marquet, Marion Barnique, Maryse Fiorenza-Gasq, Isabelle Marey, D. Tournadre, Raïa Doumit, F. Nugues, Tahsin Stefan Barakat, Francisco Bustos, Sylvie Jaillard, Erika Launay, Laurent Pasquier, Sylvie OdentList of authors in order
- Landing page
-
https://doi.org/10.1136/jmg-2024-109854Publisher landing page
- PDF URL
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https://jmg.bmj.com/content/jmedgenet/early/2024/06/07/jmg-2024-109854.full.pdfDirect link to full text PDF
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YesWhether a free full text is available
- OA status
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hybridOpen access status per OpenAlex
- OA URL
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https://jmg.bmj.com/content/jmedgenet/early/2024/06/07/jmg-2024-109854.full.pdfDirect OA link when available
- Concepts
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Cohort, Exome sequencing, Fetus, Pediatrics, Hypoplasia, Medicine, Phenotype, Biology, Pathology, Genetics, Pregnancy, Internal medicine, GeneTop concepts (fields/topics) attached by OpenAlex
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1Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1Per-year citation counts (last 5 years)
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28Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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