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Open Access Case report

Branchio-Oto-Renal Syndrome (BOR) associated with focal glomerulosclerosis in a patient with a novel EYA1 splice site mutation

Maddalena Gigante1*, Marilena d’Altilia1, Eustacchio Montemurno2, Sterpeta Diella1, Francesca Bruno1, Giuseppe S Netti1, Elena Ranieri1, Giovanni Stallone1, Barbara Infante1, Giuseppe Grandaliano1 and Loreto Gesualdo2

Author Affiliations

1 Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy

2 Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy

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BMC Nephrology 2013, 14:60  doi:10.1186/1471-2369-14-60

Published: 18 March 2013

Abstract

Background

Branchio-oto-renal (BOR) syndrome is an autosomal dominant disorder characterized by branchial, ear, and renal anomalies. The most common gene mutated in BOR patients is EYA1, the human homolog of the Drosophila eyes absent gene, while mutations in SIX1 gene, the human homolog of sine oculis, encoding a DNA binding protein interacting with EYA1, have been reported less frequently. Recently, mutations in another SIX family member, SIX5, have been described in BOR patients, however, this association has not been confirmed by other groups.

Case presentation

In this study, we have clinically and genetically characterized a proband that displayed hearing loss, pre-auricular pits, branchial fistulae, hypoplasia of the left kidney, bilateral mild hydronephrosis, progressive proteinuria and focal glomerulosclerosis. Mutational analysis of EYA1 gene revealed a novel splice site mutation, c.1475 + 1G > C, that affects EYA1 splicing and produces an aberrant mRNA transcript, lacking exon 15, which is predicted to encode a truncated protein of 456 aa.

Conclusion

This report provided the functional description of a novel EYA1 splice site mutation and described for the first time a case of BOR syndrome associated with the atypical renal finding of focal glomerulosclerosis, highlighting the importance of molecular testing and detailed clinical evaluation to provide accurate diagnosis and appropriate genetic counselling.

Keywords:
BOR syndrome; EYA1; Focal Glomerulosclerosis; Mutational analysis; RNA analysis