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Brachydactyly type A1 is an autosomal dominant disorder primarily characterized by hypoplasia or aplasia of the middle phalanges of digits 2–5 (PMID:25758993). Two unrelated probands with complex BDA1 phenotypes harbored heterozygous BMPR1B variants: c.975A>C (p.Lys325Asn) and c.447-1G>A, both absent from population controls and predicted deleterious (PMID:25758993).
The splice-site c.447-1G>A variant is predicted to cause a frameshift, while p.Lys325Asn affects the kinase domain, and both are likely to act via a dominant-negative mechanism analogous to BMPR1B mutations in brachydactyly type A2 (PMID:25758993). No additional segregation data are available. These findings expand the genetic spectrum of BDA1 and support sequencing of BMPR1B in patients with brachydactyly type A1.
Gene–Disease AssociationLimitedTwo unrelated probands with novel BMPR1B variants provide preliminary evidence ([PMID:25758993]). Genetic EvidenceLimitedIdentification of two heterozygous pathogenic variants in two unrelated individuals; no segregation data available ([PMID:25758993]). Functional EvidenceLimitedVariants predicted to disrupt splicing or kinase function and to act via dominant-negative mechanism analogous to BDA2 mutations ([PMID:25758993]). |