Clinical and genetic characteristics of Turkish pediatric short stature cohort


Adanur Sağlam K., Bekfilavioğlu S., Yıldız Boyraz A., Cimbek E. A., Özden A., Türkyılmaz A., ...More

57th European Society of Human Genetics (ESHG) Conference, Berlin, Germany, 1 - 04 June 2024, pp.987

  • Publication Type: Conference Paper / Summary Text
  • City: Berlin
  • Country: Germany
  • Page Numbers: pp.987
  • Karadeniz Technical University Affiliated: Yes

Abstract

Background/Objectives: Children with <-2 SDS height for age

and ethnicity are defined as short stature. Here we aim to present

genetic etiologies in a Turkish pediatric patient cohort with short

stature.

Methods: Genetic testing and clinical follow-up of pediatric

patients with short stature were retrospectively reviewed. Patients

tested with Whole Exome Sequencing (WES) and SNP-array

analyses were included. Patients with secondary causes of short

stature and those with additional chromosomal diseases and

methylation defects that may cause short stature were not

included in the study. SNP-array and WES were performed in 40

and 76 patients, respectively.

Results: Of the total cases, 9 (37.5%) were female and 15

(62.5%) were male. The median age at initial presentation was 1,81

years. The median height of boys was -2.86 SDS and that of girls

was -3.68 SDS. 24 unique variations of ACAN(n = 1), ACP5(n = 1),

BLM(n = 2), BRAF(n = 1), COL10A1(n = 1), CUL7(n = 2),

DYNC2H1(n = 2), EXT1(n = 1), FGD1(n = 2), GNPAT(n = 1), LRP5(n =

1), NF1(n = 1), OBSL1(n = 2), PGAP1(n = 1), SRCAP(n = 2),

TRIM37(n = 1), TRPV4(n = 2) genes were found in 22 patients from

20 different families. Diagnostic success rate was 28.94% in

patients who were tested with WES. 4p16 and SHOX deletions

were found in 2 patients from 2 different families. Growth

hormone therapy was administered to patients with variations in

ACAN, ACP5, COL10A1 genes and SHOX deletion.

Conclusion: It is necessary to reveal the genetic causes of short

stature for managing treatable causes in a timely manner, having

information about the prognosis and providing accurate genetic

counselling to families, including the risk of recurrence.

Grants: No

Conflict of Interest: None declared