Clefting
Gene: ECEL1
Comment on list classification: Although there are more than three cases reported with clefting, it is only present in a small subsection (<10%) of patients with ECEL1 biallelic variants. Hence, this gene should be rated amber.Created: 14 Aug 2023, 3:19 p.m. | Last Modified: 14 Aug 2023, 3:19 p.m.
Panel Version: 4.89
PMID:3013119 - Seven individuals from four unrelated families were reported with a wide phenotypic spectrum including severe congenital contractural syndromes and distal arthrogryposis type 5D and were identified with biallelic variants in ECEL1 gene. Of these two individuals from two different families presented with cleft palate. However, literature review in this publication showed that only three patients from a total of 34 patients with biallelic ECEL1 variants had cleft palate (9%).
DECIPHER database - The only patient reported in DECIPHER with compound heterozygous sequence variants in ECEL1 gene had cleft soft palate.
This gene was associated with distal arthrogryposis in both OMIM (MIM #615065) and Gene2Phenotype ('definitive' rating in the DD panel). OMIM recorded cleft palate as one of the clinical manifestations affecting some patients with this disorder.
Sources: LiteratureCreated: 11 Aug 2023, 2:33 p.m. | Last Modified: 14 Aug 2023, 1:22 p.m.
Panel Version: 4.86
Mode of inheritance
BIALLELIC, autosomal or pseudoautosomal
Phenotypes
Arthrogryposis, distal, type 5D, OMIM:615065
Publications
Gene: ecel1 has been classified as Amber List (Moderate Evidence).
gene: ECEL1 was added gene: ECEL1 was added to Clefting. Sources: Literature Mode of inheritance for gene: ECEL1 was set to BIALLELIC, autosomal or pseudoautosomal Publications for gene: ECEL1 were set to 30131190; 37010288 Phenotypes for gene: ECEL1 were set to Arthrogryposis, distal, type 5D, OMIM:615065 Review for gene: ECEL1 was set to AMBER