%0 Journal Article %T Novel missense WFS1 variant causing autosomal dominant atypical Wolfram syndrome. %A Mair H %A Fowler N %A Papatzanaki ME %A Sudhakar P %A Maldonado RS %J Ophthalmic Genet %V 43 %N 4 %D 08 2022 %M 35450504 %F 1.274 %R 10.1080/13816810.2022.2068038 %X In contrast to the classic autosomal recessive Wolfram syndrome, Wolfram-like syndrome (WLS) is an autosomal dominant disease caused by heterozygous variants in the WFS1 gene. Here, we present deep phenotyping of a mother and son with a WFS1 variant NM_006005.3:c.2508 G > T, p. (Lys836Asn) detected with next-generation sequencing, which is novel at the nucleotide level. In this Greek family, the proband and mother had sensorineural hearing loss and mild non-progressive vision loss with optic nerve atrophy. An initial optic atrophy panel that did not test for WFS1 was unremarkable, but a broader inherited retinal dystrophy panel found the WFS1 variant.
This study highlights the importance of including WFS1 sequencing in the evaluation of optic nerve atrophy to discover syndromic conditions.