Table 1 Clinical phenotype of probands with disease-causative SMAD6 variants.

From: SMAD6-deficiency in human genetic disorders

Study

Patient cohort

Major defect (sub-category)

Number of probands

NS/S

Age

Additional features within the same organ system

Tan et al.10

Cardiovascular malformations

Bicuspid aortic valve (LVO)

1

NS

1.5 ya

Aortic stenosis

Cardiovascular malformations

Bicuspid aortic valve with coarctation of the aorta (LVO)

1

NS

30 ya

Aortic stenosis

Timberlake et al.11; Timberlake et al.12

Craniosynostosis

Craniosynostosis

17

NS

Paediatricb

Metopic synostosis (N = 12), sagittal synostosis (N = 3), metopic + sagittal synostosis (N = 2)

Jin et al.5

Congenital heart defect

Tetralogy of Fallot (CTD)

3

Unknownc

Paediatricb

Pulmonary stenosis (subvalvular (N = 2), valvar (N = 1)), ventricular septal defect (malalignment) (N = 1), coronary artery anomaly (right) (N = 1), left aortic arch with normal branching pattern (N = 1), patent foramen ovale (N = 1)

Congenital heart defect

Transposition of the Great Arteries (CTD)

1

Unknownc

Paediatricb

Atypical coronary arteries in D-loop Transposition of the Great Arteries, transposition D-loop of the Great Arteries with intact ventricular septum, left aortic arch with a normal branching pattern

Congenital heart defect

Hypoplastic left heart syndrome (LVO)

1

Unknownc

Paediatricb

Aortic arch hypoplasia, aortic atresia, hypoplasia ascending aorta, hypoplastic left ventricle (subnormal cavity volume), mitral atresia, restrictive patent foramen ovale

Congenital heart defect

Coarctation of the aorta (LVO)

1

Unknownc

Paediatricb

Atrial septal defect (secundum), left-sided patent ductus arteriosus, tubular hypoplasia of aorta, ventricular septal defect (malalignment, muscular outlet)

Congenital heart defect

Bicuspid aortic valve with coarctation of the aorta (LVO)

1

Unknownc

Paediatricb

Aortic arch hypoplasia, hypoplastic left ventricle (subnormal cavity volume), patent foramen ovale

Congenital heart defect

Other

1

Unknownc

Paediatricb

Left aortic arch with normal branching pattern, partially anomalous pulmonary veins, sinus venosus septal defect (superior type)

Congenital heart defect

Other

1

Unknownc

Paediatricb

Vascular ring, aberrant left subclavian artery, abnormal branching right aortic arch, right aortic arch left ligament

Gillis et al.4; Luyckx et al.7; Park et al.8

Cardiovascular malformations

Bicuspid aortic valve-related thoracic aortic aneurysm

15

NS

Average 64.1 y

Aortic valve calcification (N = 1), coarctation of the aorta (N = 2), aortic regurgitation (N = 1), aortic stenosis (N = 1)

Kloth et al.6d

Cardiovascular malformations

Coarctation of the aorta (LVO)

1

Se

6 y

Suspected tricuspid aortic valve

 

Other

1

NS

10 y

Dysplastic and stenotic pulmonary valve, dilated cardiomyopathy, stenotic left main coronary artery

Yang et al.13; Shen et al.9

Radioulnar synostosis

Radioulnar synostosis

77

NS

Average 5 y

Lateral left radioulnar synostosis (N = 17), lateral right radioulnar synostosis (N = 6), bilateral radioulnar synostosis (N = 54)

Calpena et al.3

Craniosynostosis

Craniosynostosis

26

Sf/NSg

Not reported

Metopic synostosis (N = 15), sagittal synostosis (N = 6), right coronal synostosis (N = 2), sagittal + left coronal synostosis (N = 1), sagittal + bicoronal synostosis (N = 2)

  1. NS non-syndromic, S syndromic, LVO left ventricular obstruction, CTD conotruncal defect, y years, NA not applicable.
  2. This table excludes patients with known disease-related genetic hits at other loci in addition to SMAD6.
  3. aUnclear if the aorta has been evaluated.
  4. bAge is not specified.
  5. cTwo patients had extra-cardiac abnormalities (i.e., syndromic cases).
  6. dOnly paper describing bi-allelic variants.
  7. eConsanguineous family with facial dysmorphism, unilateral hypoplasia, bilateral radioulnar synostosis, bilateral toe 2/3 syndactyly, very dry and scaly skin, dysrhythmic electro-encephalogram without seizure activity and mild intellectual disability.
  8. fSeven syndromic probands.
  9. gNineteen non-syndromic probands.