RFC4 variants cause a multisystemic disorder which partially overlaps with CANVAS
A new study published in American Journal of Human Genetics described bi-allelic loss-of-function variants in RFC4, which encodes a subunit of the replication factor C (RFC) complex required for DNA replication, and consequently for genomic integrity and cellular division. The variants were found among 9 individuals from 8 unrelated families, presenting with a multisystemic disorder of variable severity and age at onset. The disorder was characterized by a clinical spectrum of incoordination and muscle weakness, hearing impairment, and decreased body weight. Various analyses identified RFC4 mutations as expanding the genetic and phenotypic landscape of RFC-related disorders. Futher pathophysiological information revealed that RFC4 mutations resulted in decreased formation and stability of RFC complex affecting in fine DNA replication and cell cycle progression.
- Am J Hum Genet . 2024 Sep 5;111(9):1970-1993