title: Branchio-Oto-Renal Syndrome (BOR) associated with focal glomerulosclerosis in a patient with a novel EYA1 splice site mutation.
abstract: BACKGROUND
  Branchio-oto-renal (BOR) syndrome is an autosomal dominant disorder characterized by branchial, ear, and renal anomalies. The most common gene mutated in BOR patients is EYA1, the human homolog of the Drosophila eyes absent gene, while mutations in SIX1 gene, the human homolog of sine oculis, encoding a DNA binding protein interacting with EYA1, have been reported less frequently. Recently, mutations in another SIX family member, SIX5, have been described in BOR patients, however, this association has not been confirmed by other groups.
  
  
  METHODS
  In this study, we have clinically and genetically characterized a proband that displayed hearing loss, pre-auricular pits, branchial fistulae, hypoplasia of the left kidney, bilateral mild hydronephrosis, progressive proteinuria and focal glomerulosclerosis. Mutational analysis of EYA1 gene revealed a novel splice site mutation, c.1475 + 1G > C, that affects EYA1 splicing and produces an aberrant mRNA transcript, lacking exon 15, which is predicted to encode a truncated protein of 456 aa.
  
  
  CONCLUSIONS
  This report provided the functional description of a novel EYA1 splice site mutation and described for the first time a case of BOR syndrome associated with the atypical renal finding of focal glomerulosclerosis, highlighting the importance of molecular testing and detailed clinical evaluation to provide accurate diagnosis and appropriate genetic counselling.
authors.affiliation: Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy. mgigante@medicina.unifg.it
authors.forename: Maddalena
authors.initials: M
authors.lastname: Gigante
authors.forename: Marilena
authors.initials: M
authors.lastname: d'Altilia
authors.forename: Eustacchio
authors.initials: E
authors.lastname: Montemurno
authors.forename: Sterpeta
authors.initials: S
authors.lastname: Diella
authors.forename: Francesca
authors.initials: F
authors.lastname: Bruno
authors.forename: Giuseppe S
authors.initials: GS
authors.lastname: Netti
authors.forename: Elena
authors.initials: E
authors.lastname: Ranieri
authors.forename: Giovanni
authors.initials: G
authors.lastname: Stallone
authors.forename: Barbara
authors.initials: B
authors.lastname: Infante
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Grandaliano
authors.forename: Loreto
authors.initials: L
authors.lastname: Gesualdo
mesh_terms: D000328:Adult; D019280:Branchio-Oto-Renal Syndrome / Q000150:complications / Q000175:diagnosis / Q000235:genetics*; D005923:Glomerulosclerosis, Focal Segmental / Q000150:complications / Q000175:diagnosis / Q000235:genetics*; D006801:Humans; D047908:Intracellular Signaling Peptides and Proteins / Q000235:genetics*; D008297:Male; D009154:Mutation / Q000235:genetics*; D009687:Nuclear Proteins / Q000235:genetics*; D017027:Protein Tyrosine Phosphatases / Q000235:genetics*; D022821:RNA Splice Sites / Q000235:genetics*
chemical_list: D047908:Intracellular Signaling Peptides and Proteins; D009687:Nuclear Proteins; D022821:RNA Splice Sites; C104381:EYA1 protein, human; D017027:Protein Tyrosine Phosphatases