RGD Reference Report - Genetic heterogeneity in Rubinstein-Taybi syndrome: delineation of the phenotype of the first patients carrying mutations in EP300. - Rat Genome Database

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Genetic heterogeneity in Rubinstein-Taybi syndrome: delineation of the phenotype of the first patients carrying mutations in EP300.

Authors: Bartholdi, D  Roelfsema, JH  Papadia, F  Breuning, MH  Niedrist, D  Hennekam, RC  Schinzel, A  Peters, DJ 
Citation: Bartholdi D, etal., J Med Genet. 2007 May;44(5):327-33. Epub 2007 Jan 12.
RGD ID: 7296921
Pubmed: PMID:17220215   (View Abstract at PubMed)
PMCID: PMC2597984   (View Article at PubMed Central)
DOI: DOI:10.1136/jmg.2006.046698   (Journal Full-text)

BACKGROUND: Rubinstein-Taybi syndrome (RSTS) is a congenital disorder characterised by growth retardation, facial dysmorphisms, skeletal abnormalities and mental retardation. Broad thumbs and halluces are the hallmarks of the syndrome. RSTS is associated with chromosomal rearrangements and mutations in the CREB-binding protein gene (CREBBP), also termed CBP, encoding the CREB-binding protein. Recently, it was shown that mutations in EP300, coding for the p300 protein, also cause RSTS. CBP and EP300 are highly homologous genes, which play important roles as global transcriptional coactivators. OBJECTIVE: To report the phenotype of the presently known patients with RSTS (n = 4) carrying germline mutations of EP300. RESULTS: The patients with EP300 mutations displayed the typical facial gestalt and malformation pattern compatible with the diagnosis of RSTS. However, three patients exhibited much milder skeletal findings on the hands and feet than typically observed in patients with RSTS. CONCLUSIONS: Part of the clinical variability in RSTS is explained by genetic heterogeneity. The diagnosis of RSTS must be expanded to include patients without broad thumbs or halluces.

RGD Manual Disease Annotations    Click to see Annotation Detail View
TermQualifierEvidenceWithReferenceNotesSourceOriginal Reference(s)
Rubinstein-Taybi syndrome  IAGP 7296921DNA:nonsense mutation and deletions:multiple (human)RGD 
Rubinstein-Taybi syndrome  ISOEP300 (Homo sapiens)7296921; 7296921DNA:nonsense mutation and deletions:multiple (human)RGD 

Phenotype Annotations    Click to see Annotation Detail View

Manual Human Phenotype Annotations - RGD

TermQualifierEvidenceWithReferenceNotesSourceOriginal Reference(s)
Abnormal skeletal morphology  IAGP 7296921DNA:nonsense mutation more ...RGD 
Abnormality of the face  IAGP 7296921DNA:nonsense mutation more ...RGD 
Growth delay  IAGP 7296921DNA:nonsense mutation more ...RGD 
Intellectual disability  IAGP 7296921DNA:nonsense mutation more ...RGD 
Objects Annotated

Genes (Rattus norvegicus)
Ep300  (E1A binding protein p300)

Genes (Mus musculus)
Ep300  (E1A binding protein p300)

Genes (Homo sapiens)
DRD4  (dopamine receptor D4)
EP300  (E1A binding protein p300)


Additional Information