Ehlers Danlos syndrome with a likely monogenic cause
Gene: TNXBComment on phenotypes: Previous phenotypes:
Ehlers-Danlos syndrome due to tenascin X deficiency, 606408;Classical-like EDS;clEDS;Ehlers-Danlos syndrome, classic-like typeCreated: 18 Mar 2021, 2:07 p.m. | Last Modified: 18 Mar 2021, 2:07 p.m.
Panel Version: 2.50
This gene has a pseudogene that covers some exons, maybe be possible to get round this during panel designCreated: 3 Apr 2019, 3:44 p.m.
This gene was part of an initial gene list collated by Duncan Baker, Sheffield Diagnostic Genetics Service, January 2019 on behalf of the GMS Musculoskeletal Specialist Group; Gene symbol submitted: TNXB; Suggested initial gene rating: greenCreated: 3 Apr 2019, 3:41 p.m.
Comment on publications: Cases with classical-like EDS with a variant in TNXB- to date 19 cases (from 15 families) PMID: 11642233,15733269,23768946,27582382,28306225Created: 12 Apr 2017, 11:37 a.m.
The 2017 International Classification of the Ehlers–Danlos Syndromes Malfait et al., 2017. PMID 28306229. Note there are difficulties in DNA testing due to the presence of the pseudogene (TNXA), which is more than 97% identical to the 30 end of TNXB (exons 32–44). With the only exception of exon 35, which partially shows a TNXB-specific sequence, exon and intron sequences in this region are identical or almost identical in both the gene and the pseudogene. This has implications both for sequencing and deletion/ duplication analysis.Created: 11 Apr 2017, 12:41 p.m.
Comment on publications: Added publications for evidence of gene-phenotype relationship to reflect current classification of EDS and The Ehlers–Danlos Syndromes, rare types. Malfait et al., 2017 (PMID:28306229), Brady et al., 2017 (PMID:28306225).Created: 11 Apr 2017, 12:23 p.m.
In relation to the EDS pathogenetic scheme, TNXB belongs to 'Disorders of structure and function of myomatrix, the interface between muscle and ECM'. The scheme regroups EDS subtypes for which the proteins, coded by the causative genes, function within the same pathway, and which are likely to have shared pathogenic mechanisms, based on current knowledge.Created: 11 Apr 2017, 12:16 p.m.
This gene is listed in the Ehlers Danlos Syndrome Variant Database https://eds.gene.le.ac.uk/home.php?select_db=TNXBCreated: 11 Apr 2017, 12:15 p.m.
Comment on phenotypes: Amended and updated phenotypes based in OMIM, Orphanet and The 2017 International Classification of the Ehlers–Danlos Syndromes Malfait et al., 2017Created: 11 Apr 2017, 12:10 p.m.
This is a rare recessive form of EDSCreated: 30 Mar 2017, 10:47 a.m.
Comment on list classification: Hard to interpret sequence data but definitely causes EDS.Created: 8 Apr 2016, 3:16 p.m.
Phenotypes for gene: TNXB were changed from Ehlers-Danlos syndrome due to tenascin X deficiency, 606408; Classical-like EDS; clEDS; Ehlers-Danlos syndrome, classic-like type to Ehlers-Danlos syndrome, classic-like, 1, OMIM:606408
Source NHS GMS was added to TNXB. Rating Changed from Green List (high evidence) to Green List (high evidence)
25 July 2017 Panel reviews were assessed, and panel was revised according to reviews and further curation.
Publications for TNXB were set to 28306229; 28306225;11642233;15733269;23768946;27582382
Publications for TNXB were set to 28306229;28306225
Phenotypes for TNXB were set to Ehlers-Danlos syndrome due to tenascin X deficiency, 606408;Classical-like EDS;clEDS;Ehlers-Danlos syndrome, classic-like type
TNXB was added to Ehlers-Danlos syndromespanel. Sources: Radboud University Medical Center, Nijmegen,Expert list,Expert Review Green
TNXB was created by ellenmcdonagh