ALS deficiency caused by an exon 2 deletion and a novel missense variant in the gene encoding ALS

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dc.contributor.authorDominguez, Gonzalo
dc.contributor.authorPoggi, Helena
dc.contributor.authorArancibia, Mónica
dc.contributor.authorBenavides, Felipe
dc.contributor.authorMartínez, Alejandro
dc.date.accessioned2022-07-08T15:23:52Z
dc.date.available2022-07-08T15:23:52Z
dc.date.issued2019
dc.description.abstractContext ALS deficiency (ACLSD), caused by mutations in IGFALS, is characterized by a mild short stature, low concentrations of IGF-I and IGFBP-3, and a normal growth hormone (GH) stimulation test response. To our knowledge, no larger deletions have been reported. Case description A 17-year-old adolescent male was evaluated due to delayed puberty and short stature. He had a height of 154.4 cm (SDS -2.84), a weight of 53.3 kg (SDS -1.41), a BMI of 22.4 kg/m2 (SDS +0.31), a Tanner 2 pubertal stage with a testicular volume of 10 mL, and a bone age of 16 years (SDS -1.33). After biochemical evaluation, low IGF-I levels, undetectable IGFBP-3 levels, and a normal response to the GH stimulation test were observed, suggesting GH insensitivity. ACLSD was confirmed by ALS measurement (116 ng/mL, SDS -3.19) and genetic analysis of IGFALS. An apparently homozygous missense variant, p. Pro624Leu, was found in exon 2 of the proband; this mutation was observed on one allele of the proband's father but was absent in the mother and siblings. Deletion/duplication analysis by multiplex ligation-dependent probe amplification (MLPA) was consistent with a deletion encompassing a significant part of exon 2 on one allele in the proband and in his mother and siblings. Conclusion This is the first report of a large deletion in a patient with ACLSD. Deletion/duplication analysis should be considered in the genetic study of ACLSD, especially when homozygosity for a pathogenic variant cannot be confirmed by the study of the parents or when no variants are found but ALS concentrations are very low.es
dc.description.versionVersión publicadaes
dc.identifier.citationDominguez-Menéndez G, Poggi Mayorga H, Arancibia M, Benavides F, Martinez-Aguayo A. ALS deficiency caused by an exon 2 deletion and a novel missense variant in the gene encoding ALS. Growth Horm IGF Res. 2019 Oct-Dec;48-49:5-8. doi: 10.1016/j.ghir.2019.07.002es
dc.identifier.urihttps://doi.org/10.1016/j.ghir.2019.07.002es
dc.identifier.urihttp://hdl.handle.net/11447/6330
dc.language.isoenes
dc.subjectALS-IGFes
dc.subjectInsulin-likees
dc.subjectInsulin-like growth factor Ies
dc.subjectShort staturees
dc.subjectDelayed pubertyes
dc.subjectGrowth hormonees
dc.titleALS deficiency caused by an exon 2 deletion and a novel missense variant in the gene encoding ALSes
dc.typeArticlees
dcterms.sourceGrowth Hormone & IGF Researches

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