METHODS: The proband is a 14-year-old male who presented with congenital complex hypospadias, neurodevelopmental differences, and subtle dysmorphism. A family history of neurodevelopmental differences and VSD was noted. Microarray testing and whole exome sequencing found the 46,XY proband had a large heterozygous in-frame deletion of exons 4-10 of the CUX1 gene.
CONCLUSIONS: Our review of the literature has revealed that variants in CUX1 are associated with a range of VSD and suggest this gene should be considered in cases where a VSD is noted at birth, especially if there is a familial history of VSD and/or neurodevelopmental differences. Further work is required to fully investigate the role and regulation of CUX1 in sex development.
方法:先证者是一名14岁男性,患有先天性复杂性尿道下裂,神经发育差异,和微妙的畸形。记录了神经发育差异和VSD的家族史。微阵列测试和整个外显子组测序发现,46,XY先证子具有CUX1基因外显子4-10的大量杂合框内缺失。
结论:我们对文献的回顾表明,CUX1的变异与一系列VSD相关,并建议在出生时发现VSD的情况下应考虑该基因,特别是如果有VSD和/或神经发育差异的家族史。需要进一步的工作来充分研究CUX1在性发育中的作用和调节。