Abstract
Currarino syndrome (CS) is a rare autosomal dominant disease that has been described as a triad of partial sacral agenesis, anorectal anomalies, and a presacral mass. Mutations in the HLXB9 gene have been suggested to be the genetic background of CS. In this study, sequence analysis of the HLXB9 gene was performed in two familial and two sporadic Korean patients showing the clinical features of CS, and two mutations in the HLXB9 gene were identified only in the two familial cases. One mutation (R295W) has been reported previously, and the other (H260_Q261delinsLELLELE) is novel. Consistent with previous observations, the phenotypic expression of the mutation carriers in the CS families varies from mild to severe, including the complete triad. This study confirms that familial CS patients in Korea have the same genetic background as other ethnicities and reaffirms the phenotype variability among CS patients with the same mutation.
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
References
Belloni E, Martucciello G, Verderio D, Ponti E, Seri M, Jasonni V, Torre M, Ferrari M, Tsui LC, Scherer SW (2000) Involvement of the HLXB9 homeobox gene in Currarino syndrome. Am J Hum Genet 66:312–319
Currarino G, Coln D, Votteler T (1981) Triad of anorectal, sacral, and presacral anomalies. AJR Am J Roentgenol 137:395–398
Emans PJ, Kootstra G, Marcelis CL, Beuls EA, van Heurn LW (2005) The Currarino triad: the variable expression. J Pediatr Surg 40:1238–1242
Garcia-Barcelo M, So MT, Lau DK, Leon TY, Yuan ZW, Cai WS, Lui VC, Fu M, Herbrick JA, Gutter E, Proud V, Li L, Pierre-Louis J, Aleck K, van Heurn E, Belloni E, Scherer SW, Tam PK (2006) Population differences in the polyalanine domain and 6 new mutations in HLXB9 in patients with Currarino syndrome. Clin Chem 52:46–52
Gaskill SJ, Marlin AE (1996) The Currarino triad: its importance in pediatric neurosurgery. Pediatr Neurosurg 25:143–146
Hagan DM, Ross AJ, Strachan T, Lynch SA, Ruiz-Perez V, Wang YM, Scambler P, Custard E, Reardon W, Hassan S, Nixon P, Papapetrou C, Winter RM, Edwards Y, Morrison K, Barrow M, Cordier-Alex MP, Correia P, Galvin-Parton PA, Gaskill S, Gaskin KJ, Garcia-Minaur S, Gereige R, Hayward R, Homfray T (2000) Mutation analysis and embryonic expression of the HLXB9 Currarino syndrome gene. Am J Hum Genet 66:1504–1515
Hunt PT, Davidson KC, Ashcraft KW, Holder TM (1977) Radiography of hereditary presacral teratoma. Radiology 122:187–191
Kim HS, Park CW, Bak KH, Lee U (1993) Presacral mass in Currarino triad: case report. J Korean Neurosurg Soc 22:905–911
Kochling J, Pistor G, Marzhauser Brands S, Nasir R, Lanksch WR (1996) The Currarino syndrome-hereditary transmitted syndrome of anorectal, sacral and presacral anomalies. Case report and review of the literature. Eur J Pediatr Surg 6:114–119
Kochling J, Karbasiyan M, Reis A (2001) Spectrum of mutations and genotype–phenotype analysis in Currarino syndrome. Eur J Hum Genet 9:599–605
Lee SC, Chun YS, Jung SE, Park KW, Kim WK (1997) Currarino triad: anorectal malformation, sacral bony abnormality, and presacral mass—a review of 11 cases. J Pediatr Surg 32:58–61
Lynch SA, Wang Y, Strachan T, Burn J, Lindsay S (2000) Autosomal dominant sacral agenesis: Currarino syndrome. J Med Genet 37:561–566
O’Riordain DS, O’Connell PR, Kirwan WO (1991) Hereditary sacral agenesis with presacral mass and anorectal stenosis: the Currarino triad. Br J Surg 78:536–538
Ross AJ, Ruiz-Perez V, Wang Y, Hagan DM, Scherer S, Lynch SA, Lindsay S, Custard E, Belloni E, Wilson DI, Wadey R, Goodman F, Orstavik KH, Monclair T, Robson S, Reardon W, Burn J, Scambler P, Strachan T (1998) A homeobox gene, HLXB9, is the major locus for dominantly inherited sacral agenesis. Nat Genet 20:358–361
Tander B, Baskin D, Bulut M (1999) A case of incomplete Currarino triad with malignant transformation. Pediatr Surg Int 15:409–410
Urioste M, Garcia-Andrade Mdel C, Valle L, Robledo M, Gonzalez-Palacios F, Mendez R, Ferreiros J, Nuno J, Benitez J (2004) Malignant degeneration of presacral teratoma in the Currarino anomaly. Am J Med Genet A 128:299–304
Wang RY, Jones JR, Chen S, Rogers RC, Friez MJ, Schwartz CE, Graham JM Jr (2006) A previously unreported mutation in a Currarino syndrome kindred. Am J Med Genet A 140:1923–1930
Acknowledgments
This work was supported by the Samsung Biomedical Research Institute grant, #SBRI C-A6-403-2.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kim, IS., Oh, Sy., Choi, SJ. et al. Clinical and genetic analysis of HLXB9 gene in Korean patients with Currarino syndrome. J Hum Genet 52, 698–701 (2007). https://doi.org/10.1007/s10038-007-0173-y
Received:
Accepted:
Published:
Issue date:
DOI: https://doi.org/10.1007/s10038-007-0173-y
Keywords
This article is cited by
-
Genomics of human congenital hydrocephalus
Child's Nervous System (2021)
-
Currarino syndrome: report of five consecutive patients
Child's Nervous System (2014)
-
Associations of anorectal malformations and related syndromes
Pediatric Surgery International (2013)
-
Microcephaly, sensorineural deafness and Currarino triad with duplication–deletion of distal 7q
European Journal of Pediatrics (2010)