Abstract

We report a recurrent CNOT1 de novo missense mutation, GenBank: NM_016284.4; c.1603C>T (p.Arg535Cys), resulting in a syndrome of pancreatic agenesis and abnormal forebrain development in three individuals and a similar phenotype in mice. CNOT1 is a transcriptional repressor that has been suggested as being critical for maintaining embryonic stem cells in a pluripotent state. These findings suggest that CNOT1 plays a critical role in pancreatic and neurological development and describe a novel genetic syndrome of pancreatic agenesis and holoprosencephaly.

Highlights

  • Discovering genes with mutations causal of pancreatic agenesis is crucial to identifying factors needed for pancreatic development

  • We investigated an international cohort of 107 individuals diagnosed with pancreatic agenesis—defined by requiring both endocrine and exocrine replacement therapy within the first 6 months of life—and identified a mutation in a known gene in 98 of them (Table S1)

  • We identified a heterozygous missense mutation in CNOT1 (MIM: 604917; GenBank: NM_016284.4; c.1603C>T [p.Arg535Cys]) in three individuals with pancreatic agenesis

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Summary

Introduction

Discovering genes with mutations causal of pancreatic agenesis is crucial to identifying factors needed for pancreatic development. We identified a heterozygous missense mutation in CNOT1 (MIM: 604917; GenBank: NM_016284.4; c.1603C>T [p.Arg535Cys]) in three individuals with pancreatic agenesis.

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