On this page, you will find information about a genetic change that was identified in a UDN participant. We are trying to find others with the same or similar condition. (Sharing information on this website is not a requirement of UDN participation. Only descriptions of participants who give explicit consent will appear here.)

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Date of Report April 25, 2016
Full Gene Name Zinc finger and BTB domain containing 24
Location Chromosome 6 (6q21)
Ideogram: ZBTB24 gene on chromosome 6

Click to enlarge ideogram in new window (generated using the NCBI Genome Decoration Page )
Function The ZBTB24 gene codes for a protein that seems to be involved in DNA methylation of juxtacentromeric DNA during B-cell development (de Greef et al., 2011 ).
Database Links GeneCards: GC06M109462 NCBI Gene: 9841 OMIM: 614064 UniProtKB/Swiss-Prot: O43167
Clinical Significance A change in the ZBTB24 gene was identified in a UDN participant. Research is underway to see if this change is causing symptoms in this patient.
The participant, a 2-year-old Caucasian female with an undiagnosed condition, was found to carry a single copy of the following genetic variant in the ZBTB24 gene: c.452C>G/p.S151C. A second variant was not detected, as expected for autosomal recessive inheritance.
Gene Inheritance Pattern Position Transcript DNA Change Protein Change
ZBTB24* autosomal recessive chr6:109802778 NM_014797.2 c.452C>G p.S151C
p.Ser151Cys
*Patient only has one variant

After birth, the patient was found to be missing a thyroid (absent thyroid). She proceeded to have difficulty feeding, which may have been the result of facial paralysis. At 9 months, she was brought to the hospital with swelling around both eyes and a biopsy showed atypical histiocytic cells. Her blood pressure has been consistently elevated and she has had intermittent transaminitis. She has also had several bacterial and fungal infections; raised red plaques on her elbows, chest, and face; and one episode of fingertip peeling, which lasted for 2 months. Recently a muscle biopsy of the thigh showed polymyositis, which has caused atrophy of the pelvis and thighs (proximal muscles) and secondary mitochondrial depletion.

Some of her other features include:

  • Primary immune deficiency (low IGG)
  • Improper closing of soft palate muscle in mouth when speaking (velopharyngeal insufficiency)
  • Elevated hemidiaphragm
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