Pediatric endocrinology

Identification of a second genetic alteration in patients with SHOX deficiency individuals: a potential explanation for phenotype variability

Eur J EndocrinolPublished Genetic analysis study

Authors' conclusion

In conclusion, variants in genes related to the growth plate have a potential role as genetic modifiers of the phenotype in individuals with SHOX deficiency. In individuals with SHOX alterations restricted to the regulatory region, a second alteration could be critical to determine the penetrance and expression of the phenotype.

Study context

Population
Individuals with SHOX deficiency from 48 families48 families
Participants
98 individuals
Comparison
SHOX alteration restricted to regulatory region vs alteration compromising SHOX coding region
Outcome
Potential genetic modifier variants
Methodological detailstargeted gene panel, family-based
  • Targeted gene panel
  • Family-based

Main finding

As reported in the abstract

Heterozygous variants in genes with potential modifier role

8 variants in 11 individuals from 9 families

Further findings

Prevalence of a second likely pathogenic variant

P = 0.04

Original publication

Identification of a second genetic alteration in patients with SHOX deficiency individuals: a potential explanation for phenotype variability. Eur J Endocrinol. Published 11 September 2023. doi:10.1093/ejendo/lvad128

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