CTNNB1 syndrome (CTNNB1-NDD) in a child with cerebral palsy: a case report
- Authors: Golosnaya G.S.1, Ermolenko N.A.1, Krasnorutskaya O.N.1, Efimova V.L.2, Larionova T.A.3, Tysyachina M.D.4
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Affiliations:
- N. N. Burdenko Voronezh State Medical University
- A. I. Herzen Russian State Pedagogical University
- V. V. Vinogradov City Clinical Hospital, Moscow Healthcare Department
- Medical Center «Consultative and diagnostic epileptological care», “Epihelp” clinic
- Issue: Vol 18, No 1 (2023)
- Pages: 46-51
- Section: CLINICAL OBSERVATIONS
- Published: 26.06.2023
- URL: https://rjdn.abvpress.ru/jour/article/view/433
- DOI: https://doi.org/10.17650/2073-8803-2023-18-1-46-51
- ID: 433
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Full Text
Abstract
In this article, we report a case of CTNNB1 syndrome (CTNNB1-NDD) in a child with cerebral palsy and also provide a literature review on the problem. CTNNB1 syndrome is an exceedingly rare and poorly studied disorder, which makes it particularly interesting due the difficulties associated with its diagnosis and description of the disease phenotype, as well as highly polymorphic clinical manifestations. Verification of the diagnosis is important to determine the prognosis of a child with cerebral palsy and visual impairment, as well as for reproductive planning in the family.
About the authors
G. S. Golosnaya
N. N. Burdenko Voronezh State Medical University
Author for correspondence.
Email: ggolosnaya@yandex.ru
Galina Stanislavovna Golosnaya, Department of Neurology
10 Studencheskaya St., Voronezh 394036
Russian FederationN. A. Ermolenko
N. N. Burdenko Voronezh State Medical University
Email: fake@neicon.ru
ORCID iD: 0000-0001-7197-6009
Department of Neurology
10 Studencheskaya St., Voronezh 394036
Russian FederationO. N. Krasnorutskaya
N. N. Burdenko Voronezh State Medical University
Email: fake@neicon.ru
ORCID iD: 0000-0003-4796-7334
Department of Polyclinic Pediatrics
10 Studencheskaya St., Voronezh 394036
Russian FederationV. L. Efimova
A. I. Herzen Russian State Pedagogical University
Email: fake@neicon.ru
ORCID iD: 0000-0001-7029-9317
Department of Age Psychology and Family Pedagogy
48 Naberezhnaya Reki Moyki, Saint Petersburg 191186
Russian FederationT. A. Larionova
V. V. Vinogradov City Clinical Hospital, Moscow Healthcare Department
Email: fake@neicon.ru
ORCID iD: 0000-0002-8739-7498
Build. 2, 61 Vavilova St., Moscow 117292
Russian FederationM. D. Tysyachina
Medical Center «Consultative and diagnostic epileptological care», “Epihelp” clinic
Email: fake@neicon.ru
ORCID iD: 0009-0003-1327-9522
Build. 2, 23 Novocheremushkinskaya St., Moscow 117218
Russian FederationReferences
- Prityko A.G., Chebanenko N.V., Sokolov P.L. et al. Congenital spastic cerebral palsy: genetic aspects of pathogenesis. Acta Biomed Sci 2019;4(3):28–39. (In Russ.). doi: 10.29413/ABS.2019-4.3.4
- Coussa R.G., Zhao Y., DeBenedictis M.J. et al. Novel mutation in CTNNB1 causes familial exudative vitreoretinopathy (FEVR) and microcephaly: case report and review of the literature. Ophthalmic Genet 2020;41:63–8.
- De Ligt J., Willemsen M.H., van Bon B.W. et al. Diagnostic exome sequencing in persons with severe intellectual disability. N Engl J Med 2012;367:1921–9.
- Dixon M.W., Stem M.S., Schuette J.L. et al. CTNNB1 mutation associated with familial exudative vitreoretinopathy (FEVR) phenotype. Ophthalmic Genet 2016;37:468–70.
- Dubruc E., Putoux A., Labalme A. et al. A new intellectual disability syndrome caused by CTNNB1 haploinsufficiency. Am J Med Genet A 2014;164A:1571–5.
- Ho S., Tsang M.H., Fung J.L. et al. CTNNB1-related neurodevelopmental disorder in a Chinese population: a case series. Am J Med Genet A 2022;188:130–7.
- Jin S.C., Lewis S.A., Bakhtiari S. et al. Mutations disrupting neuritogenesis genes confer risk for cerebral palsy. Nat Genet 2020;52:1046–56.
- Karolak J.A., Szafranski P., Kilner D. et al. Heterozygous CTNNB1 and TBX4 variants in a patient with abnormal lung growth, pulmonary hypertension, microcephaly, and spasticity. Clin Genet 2019;96:366–70.
- Ke Z., Chen Y. Case report: a de novo CTNNB1 nonsense mutation associated with neurodevelopmental disorder, retinal detachment, polydactyly. Front Pediatr 2020;8:575673.
- Kharbanda M., Pilz D.T., Tomkins S. et al. Clinical features associated with CTNNB1 de novo loss of function mutations in ten individuals. Eur J Med Genet 2017;60:130–5.
- Kuechler A., Willemsen M.H., Albrecht B. et al. De novo mutations in beta-catenin (CTNNB1) appear to be a frequent cause of intellectual disability: expanding the mutational and clinical spectrum. Hum Genet 2015;134:97–109.
- Li N., Xu Y., Li G. et al. Exome sequencing identifies a de novo mutation of CTNNB1 gene in a patient mainly presented with retinal detachment, lens and vitreous opacities, microcephaly, and developmental delay: case report and literature review. Medicine (Baltimore) 2017;96:e6914.
- López-Rivera J.A., Perez-Palma E., Symonds J. et al. A catalogue of new incidence estimates of monogenic neurodevelopmental disorders caused by de novo variants. Brain 2020;143:1099–105.
- Nikopoulos K., Venselaar H., Collin R.W.J. et al. Overview of the mutation spectrum in familial exudative vitreoretinopathy and Norrie disease with identification of 21 novel variants in FZD4, LRP5, and NDP. Hum Mutat 2010;31:656–66.
- Panagiotou E.S., Sanjurjo S.C., Poulter J.A. et al. Defects in the cell signaling mediator beta-catenin cause the retinal vascular condition FEVR. Am J Hum Genet 2017;100:960–8.
- Pipo-Deveza J., Fehlings D., Chitayat D. et al. Rationale for doparesponsive CTNNB1/ss-catenin deficient dystonia. Mov Disord 2018;33:656–7.
- Rossetti L.Z., Bekheirnia M.R., Lewis A.M. et al. Missense variants in CTNNB1 can be associated with vitreoretinopathy-seven new cases of CTNNB1-associated neurodevelopmental disorder including a previously unreported retinal phenotype. Mol Genet Genomic Med 2021;9:e1542.
- Sun W., Xiao X., Li S. et al. Germline mutations in CTNNB1 associated with syndromic FEVR or Norrie disease. Invest Ophthalmol Vis Sci 2019;60:93–7.
- Tucci V., Kleefstra T., Hardy A. et al. Dominant beta-catenin mutations cause intellectual disability with recognizable syndromic features. J Clin Invest 2014;124:1468–82.
- Wang H., Zhao Y., Yang L. et al. Identification of a novel splice mutation in CTNNB1 gene in a Chinese family with both severe intellectual disability and serious visual defects. Neurol Sci 2019;40:1701–4.
- Winczewska-Wiktor A., Badura-Stronka M., Monies-Nowicka A. et al. A de novo CTNNB1 nonsense mutation associated with syndromic atypical hyperekplexia, microcephaly and intellectual disability: a case report. BMC Neurol 2016;16:35.
- Zhan T., Rindtorff N., Boutros M. Wnt signaling in cancer. Oncogene 2017;36:1461–73.
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