Human Genetics

, Volume 121, Issue 5, pp 591–599

Molecular diagnostics of Meckel–Gruber syndrome highlights phenotypic differences between MKS1 and MKS3

  • Mark B. Consugar
  • Vickie J. Kubly
  • Donna J. Lager
  • Cynthia J. Hommerding
  • Wai Chong Wong
  • Egbert Bakker
  • Vincent H. Gattone II
  • Vicente E. Torres
  • Martijn H. Breuning
  • Peter C. Harris
Original Investigation

DOI: 10.1007/s00439-007-0341-3

Cite this article as:
Consugar, M.B., Kubly, V.J., Lager, D.J. et al. Hum Genet (2007) 121: 591. doi:10.1007/s00439-007-0341-3

Abstract

Meckel–Gruber syndrome (MKS) is a recessively inherited, lethal disorder characterized by renal cystic dysplasia, occipital encephalocele, polydactyly and biliary dysgenesis. MKS is genetically heterogeneous with three loci mapped and two identified; MKS1 (17q23) and MKS3 (8q22.1). MKS1 is part of the Finnish disease heritage, while MKS3 has been described exclusively in consanguineous Asian families. Here we aimed to establish molecular diagnostics for MKS, determine the importance of MKS1 and MKS3 in non-consanguineous populations, and study genotype/phenotype correlations. The coding regions of MKS1 and MKS3 were screened for mutations by direct sequencing in 17 families clinically diagnosed with MKS in the US or The Netherlands. The clinical phenotype was compared to genic and allelic effects. Both mutations were identified in ten families; five MKS1 and five MKS3. All but two were compound heterozygotes, consistent with their non-consanguineous nature. The MKS1-Finmajor mutation accounted for 7/10 MKS1 mutations; two novel changes were additionally detected. Seven novel mutations were found in MKS3, including three missense changes. We concluded that MKS1 and MKS3 account for the majority of MKS in non-consanguineous populations of European origin. Polydactyly is usually found in MKS1 but rare in MKS3. Cases with no, or milder, CNS phenotypes were only found in MKS3; hypomorphic missense mutations may be associated with less severe CNS outcomes. This study is consistent with further genetic heterogeneity of MKS, but underlines the value of molecular diagnostics of the known genes to aid family planning decisions.

Keywords

Meckel syndrome MKS1 MKS3 Molecular diagnostics Genotype/phenotype correlations 

Supplementary material

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Mark B. Consugar
    • 1
  • Vickie J. Kubly
    • 1
  • Donna J. Lager
    • 2
  • Cynthia J. Hommerding
    • 1
  • Wai Chong Wong
    • 1
  • Egbert Bakker
    • 3
  • Vincent H. Gattone II
    • 4
  • Vicente E. Torres
    • 1
  • Martijn H. Breuning
    • 3
  • Peter C. Harris
    • 1
  1. 1.Division of Nephrology and HypertensionMayo Clinic College of MedicineRochesterUSA
  2. 2.Division of Pathology and Laboratory MedicineMayo Clinic College of MedicineRochesterUSA
  3. 3.Center for Human and Clinical GeneticsLeiden University Medical CenterLeidenThe Netherlands
  4. 4.Department of Anatomy and Cell BiologyIndiana University School of MedicineIndianapolisUSA