ORIGINAL ARTICLE Two novel mutations identified in familial cases with Donohue syndrome Tzipora C. Falik Zaccai1,2, Limor Kalfon1, Aharon Klar3, Mordechai Ben Elisha4, Haggit Hurvitz3, Galina Weingarten5, Emelia Chechik6, Vered Fleisher Sheffer4, Raid Haj Yahya3, Gal Meidan5, Eva Gross-Kieselstein3, Dvora Bauman7, Sylvia Hershkovitz4, Yuval Yaron8, Avi Orr-Urtreger8 & Efrat Wertheimer5 1Institute of Human Genetics, Western Galilee Medical Center, Naharia, Israel 2Faculty of Medicine in Galilee, Bar-Ilan University, Safed, Israel 3Department of Pediatrics, Bikur Cholim General Hospital, affiliated with the Hebrew University-Hadassah Medical School, Jerusalem, Israel 4Department of Neonatology, Western Galilee Medical Center, Naharia, Israel 5Department of Pathology, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel 6Sherutei Briut Clalit, Western Galilee District, Israel 7Department of Obstetrics and Gynecology, Bikur Cholim General Hospital, Jerusalem, Israel 8Genetics Institute, Tel Aviv Sourasky Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel Keywords Abstract Cardiomyopathy, Donohue syndrome, genotype–phenotype, insulin receptor. Donohue syndrome (DS) is a rare and lethal autosomal recessive disease caused by mutations in the insulin receptor (INSR) gene, manifesting marked insulin Correspondence resistance, severe growth retardation, hypertrichosis, and characteristic dysmor- Tzipora C. Falik-Zaccai, Institute of Human phic features. We report the clinical, molecular, and biochemical characterization Genetics, Western Galilee Medical Center – of three new patients with DS, and address genotype–phenotype issues playing a Naharia, P.O. Box 21, Naharia 22100. Israel. role in the pathophysiology of DS. A female infant born to first-degree cousins Tel: 972-50-7887-941; Fax: 972-4-9107553; Muslim Arab parents and two brothers born to first-degree cousins Druze parents E-mail:
[email protected] presented classical features of DS with hypertrophic cardiomyopathy and died in Funding Information infancy.