PMID- 10574673 OWN - NLM STAT- MEDLINE DCOM- 20000111 LR - 20180607 IS - 1055-6656 (Print) IS - 1055-6656 (Linking) VI - 36 IP - 6 DP - 1999 Nov TI - A novel FGFR2 gene mutation in Crouzon syndrome associated with apparent nonpenetrance. PG - 533-41 AB - OBJECTIVE: To determine whether specific mutations within the fibroblast growth factor receptor 2 (FGFR2) gene that are associated with Crouzon syndrome can be present in an individual who had been assumed to be "clinically normal." METHODS: Most mutations responsible for Crouzon syndrome occur in exons IIIa (U) or IIIc (B) of the FGFR2 gene, which facilitates allelotyping using polymerase chain reaction (PCR)-mediated mutation analysis. Once a specific mutation was identified in the index case, remaining affected family members and "clinically normal" first-degree relatives were analyzed in order to correlate genotype with phenotype. RESULTS: A novel missense mutation--a G to T transversion--involving the first base of codon 362 was identified in all Crouzon syndrome-affected family members and in one "clinically normal"-appearing parent following DNA sequencing of exon B of the FGFR2 gene and specific BstNI restriction fragment length polymorphism. Pattern profile analysis demonstrated a consistent collection of abnormal cephalometric measurements in the Crouzon-affected family members and, to a lesser degree, in the "clinically normal" parent. CONCLUSION: We have identified a novel missense mutation in the FGFR2 gene that predicts an Ala362Ser substitution shared by all family members affected by Crouzon syndrome and by a "clinically normal"-appearing father. These data support nonpenetrance of Crouzon syndrome when the diagnosis is based on clear clinical findings. Only through cephalometry was there an indication of minimal expression of Crouzon syndrome in the "clinically normal"-appearing father. FAU - Everett, E T AU - Everett ET AD - Department of Oral Facial Development, Indiana University School of Dentistry, Indianapolis 46202, USA. FAU - Britto, D A AU - Britto DA FAU - Ward, R E AU - Ward RE FAU - Hartsfield, J K Jr AU - Hartsfield JK Jr LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Cleft Palate Craniofac J JT - The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association JID - 9102566 RN - 0 (Receptors, Fibroblast Growth Factor) RN - EC 2.7.10.1 (FGFR2 protein, human) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) RN - EC 2.7.10.1 (Receptor, Fibroblast Growth Factor, Type 2) SB - IM MH - Cephalometry MH - Craniofacial Dysostosis/diagnostic imaging/*genetics MH - DNA Mutational Analysis MH - Female MH - Head/diagnostic imaging MH - Humans MH - Male MH - Mutation, Missense MH - Pedigree MH - *Penetrance MH - Polymerase Chain Reaction MH - Radiography MH - Receptor Protein-Tyrosine Kinases/*genetics MH - Receptor, Fibroblast Growth Factor, Type 2 MH - Receptors, Fibroblast Growth Factor/*genetics EDAT- 1999/11/26 09:00 MHDA- 2001/03/28 10:01 CRDT- 1999/11/26 09:00 PHST- 1999/11/26 09:00 [pubmed] PHST- 2001/03/28 10:01 [medline] PHST- 1999/11/26 09:00 [entrez] AID - 10.1597/1545-1569_1999_036_0533_anfgmi_2.3.co_2 [doi] PST - ppublish SO - Cleft Palate Craniofac J. 1999 Nov;36(6):533-41. doi: 10.1597/1545-1569_1999_036_0533_anfgmi_2.3.co_2.