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Clinical characteristics of a newborn with Lowe syndrome

https://doi.org/10.21508/1027-4065-2025-70-6-61-67

Abstract

Oculocerebrorenal syndrome (Lowe syndrome) is a rare disease with an X-linked type of inheritance. Lowe syndrome occurs as a result of mutations in the OCRL gene (Xq25). The disease is characterized by eye damage, neurological disorders and renal dysfunction leading to renal failure. A clinical observation of a newborn child K. with the onset of the disease and genetic verification of the diagnosis in the neonatal period is presented. The leading clinical features in the clinical picture were: muscle hypotonia syndrome, congenital ventriculomegaly, congenital cataract of both eyes, proteinuria. The diagnosis is suspected: «E72.03 Lowe oculocerebrorenal syndrome». The diagnosis was confirmed by whole exome sequencing: a variant of the nucleotide sequence in exon 16 of the OCRL gene (chrX-129575174-TC-) was detected in the hemizygous state, leading to a nonsense substitution (NM_000276:c.1638_1639del:p. Phe547Ter). The identified variant was verified by direct Sanger sequencing. A rare hereditary disease was diagnosed in the neonatal period, which made it possible to provide a personalized approach to providing medical care to this patient due to his high comorbidity, and to plan a medical genetic examination of the family.

About the Authors

M. V. Artyushevskaya
Belarusian State Medical University
Belarus

220013, Minsk 



A. P. Sukhareva
Belarusian State Medical University ; Clinical Maternity Hospital of the Minsk Region
Belarus

220013, Minsk 

220076, Minsk



E. P. Mikhalenko
Institute of Genetics and Cytology of the National Academy of Sciences
Belarus

220072, Minsk



O. M. Malysheva
Institute of Genetics and Cytology of the National Academy of Sciences
Belarus

220072, Minsk



Yu. S. Stankevich
Institute of Genetics and Cytology of the National Academy of Sciences
Belarus

220072, Minsk



L. V. Shalkevich
Belarusian State Medical University
Belarus

220013, Minsk 



G. А. Sushchenya
Minsk Regional Children’s Clinical Hospital
Belarus

223053, Minsk region



A. M. Kozarezova
Clinical Maternity Hospital of the Minsk Region
Belarus

220076, Minsk 



References

1. Vasiliev S.A., Lazar D.N., Burd T.N., Neden L.Ch., Glushanina E.V. The role of the state institution «Republican scientific and practical center «Mother and child» in the organization of medical care for mother and children. Modern perinatal medical technologies in solving demographic security problems. Editors S.A. Vasil’ev, E.A. Ulezko. Issue 15. Minsk, 2022: 24–32. (in Russ.)

2. Shal’kevich L.V., Zhevneronok I.V., Ustinovich Yu.A., Tkachenko A.K. The neonatal encephalopathy in full-term newborns. Reproduktivnoe zdorov’e. Vostochnaya Evropa. 2020; 10(4): 509–517. (in Russ.) DOI: 10.34883/PI.2020.10.4.013

3. Prygunova T.M., Radaeva T.M., Stepanova E.Yu., Beresneva E.E., Azovtseva I.A. Floppy infant syndrome: the importance for the differential diagnosis of hereditary metabolic diseases, and degenerative diseases of the nervous system. Voprosy sovremennoy pediatrii. 2015; 14(5): 586–590. (in Russ.) DOI: 10.15690/vsp.v14i5.1444

4. Loi M. Lowe syndrome. Orphanet J Rare Dis. 2006; 1: 16. DOI: 10.1186/1750-1172-1-16

5. Zhang Y., Deng L., Chen X., Hu Y., Chen Y., Chen K., Zhou J. Novel pathogenic OCRL mutations and genotype-phenotype analysis of Chinese children affected by oculocerebrorenal syndrome: two cases and a literature review. BMC Med Genomics. 2021; 14(1): 219. DOI: 10.1186/s12920-021-01069-9

6. Paniri A., Fattahi S., Rasoulinejad A., Akhavan-Niaki H. A deletion mutation along with a novel DNA variation in OCRL cause Lowe syndrome in a child with multiple secondary manifestations. Int J Ophthalmol. 2021; 14(4): 636–638. DOI: 10.18240/ijo.2021.04.25

7. Pirruccello M., De Camilli P. Inositol 5-phosphatases: insights from the Lowe syndrome protein OCRL. Trends Biochem Sci. 2012; 37(4): 134–143. DOI: 10.1016/j.tibs.2012.01.002

8. Zhang L., Wang S., Mao R., Fu H., Wang J., Shen H. et al. Genotype-phenotype correlation reanalysis in 83 Chinese cases with OCRL mutations. Genet Res (Camb). 2022; 2022: 1473260. DOI: 10.1155/2022/1473260

9. Bökenkamp A., Ludwig M. The oculocerebrorenal syndrome of Lowe: an update. Pediatr Nephrol. 2016; 31(12): 2201– 2212. DOI: 10.1007/s00467-016-3343-3

10. Ma X., Ning K., Jabbehdari S., Prosseda P.P., Hu Y., Shue A. et al. Oculocerebrorenal syndrome of Lowe: Survey of ophthalmic presentations and management. Eur J Ophthalmol. 2020; 30(5): 966–973. DOI: 10.1177/1120672120920544

11. Zaniew M., Bokenkamp A., Kolbuc M., La S.C., Baronio F., Niemirska A. et al. Long-term renal outcome in children with OCRL mutations: retrospective analysis of a large international cohort. Nephrol Dial Transpl. 2018; 33(1): 85–94. DOI: 10.1093/ndt/gfw350

12. Ulezko E.A., Devyaltovskaya M.G., Simchenko A.V., Bartosh E.A., Kramko D.A., Kozoroez T.V. Method of diagnosing cerebral ischemia in newborn children. Minsk, 2023. 13. (in Russ.)

13. Ryzhkova O.P., Kardymon O.L., Prokhorchuk E.B. Konovalov F.A., Maslennikov A.B., Stepanov V.A. et al. Guidelines for the interpretation of massive parallel sequencing variants (update 2018, v2). Meditsinskaya genetika. 2019; 18(2): 3–23. (in Russ.) DOI 10.25557/2073–7998.2019.02.3–23

14. Song E., Luo N., Alvarado J.A. Lim M., Walnuss C., Neely D. et al. Ocular pathology of oculocerebrorenal syndrome of Lowe: novel mutations and genotype-phenotype analysis. Sci Rep. 2017; 7: 1442. DOI: 10.1038/s41598-017-01447-3


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For citations:


Artyushevskaya M.V., Sukhareva A.P., Mikhalenko E.P., Malysheva O.M., Stankevich Yu.S., Shalkevich L.V., Sushchenya G.А., Kozarezova A.M. Clinical characteristics of a newborn with Lowe syndrome. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2025;70(6):61-67. (In Russ.) https://doi.org/10.21508/1027-4065-2025-70-6-61-67

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ISSN 1027-4065 (Print)
ISSN 2500-2228 (Online)