
A CASE OF TREACHER COLLINS SYNDROME Ulusal S1,*, Gürkan H1, Vatansever Ü2, Kürkçü K3, Tozkir H1, Acunaş BA2 *Corresponding Author: Dr. Selma Ulusal, Department of Medical Genetics, Trakya University, Faculty of
Medicine, Edirne, Turkey; Tel.: +90-284-235-76-42-2346; Gsm: +90-533-2504116; Fax: +90-284-235-27-30;
E-mail: selmaulusal@trakya.edu.tr page: 77
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INTRODUCTION
Treacher Collins syndrome (TCS, OMIM
154500), also known as mandibulofacial dysostosis,
is a rare developmental disorder of the craniofacial
region and is one of the most severe forms of mandibulofacial
dysostosis syndromes [1]. The disease
was named after the report of Treacher Collins in
1900 [2] and reviewed in detail by Franceschetti and
Klein in 1949 [3]. The estimated incidence is about
1/50,000 live births [1].
Treacher Collins syndrome is transmitted in an
autosomal dominant manner, but only 40.0% of cases
are familial [1,4]. Mutations of the TCOF1 gene,
which is located on 5q32-q33.1, have been found to
be responsible for most of the cases. The TCOF1 gene
encodes the treacle protein, a serine/alanine rich protein
predicted to have an important role in ribosome
biogenesis [5]. More than 130 mutations have been
reported in the TCOF1 gene. Deletions ranging from
1 to 40 bases are the most common causes of TCS [6].
Clinical manifestations of TCS include downward
slanting of palpebral fissures, hypoplasia of the
zygomatic complex and the mandible, complete or
partial cleft palate, coloboma of the lower eyelids,
and atresia of external ear canals with abnormalities
of the external ears accompanied by conductive
hearing loss [7,8].
The phenotypic variability of the clinical symptoms
in TCS is a major obstacle for its diagnosis.
Although there is as yet no clear explanation, genotype
and phenotype discordance have been reported
in some studies [8,9]. Phenotypic expression of the
syndrome is so mild in some individuals that they
cannot be distinguished physically, while some others
experience sudden death after birth due to the respiratory
distress [10].
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