4.5 Article

Pituitary stalk interruption syndrome broadens the clinical spectrum of theTTC26ciliopathy

Journal

CLINICAL GENETICS
Volume 98, Issue 3, Pages 303-307

Publisher

WILEY
DOI: 10.1111/cge.13805

Keywords

Caroli disease; cholestasis; ciliopathy; hypophysis; pituitary; TTC26

Funding

  1. Israel Science Foundation [2034/18]
  2. Morris Kahn Family Foundation
  3. National Knowledge Center for Rare/Orphan Diseases of the Israel Ministry of Science, Technology and Space at Ben Gurion University

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Ciliopathies are a heterogeneous group of disorders, related to abnormal ciliary function. Severe biliary ciliopathy, caused by bi-allelic mutations inTTC26, has been recently described in the context of a syndrome of polydactyly and severe neonatal cholestasis, with brain, kidney and heart involvement. Pituitary involvement has not been previously reported for patients with this condition. Pituitary stalk interruption syndrome (PSIS) is a congenital anomaly of the pituitary gland, diagnosed by characteristic MRI findings. We now describe four patients withTTC26ciliopathy due to a homozygous c.695A>G p.Asn232Ser mutation and delineate PSIS as a novel clinical feature of this disorder, highlighting an important role of TTC26 in pituitary development.

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