# ASXL3 gene variants causing Bainbridge-Ropers syndrome: clinical and genetic analysis of four Chinese patients

## TL;DR

This study reports four Chinese patients with Bainbridge-Ropers syndrome caused by ASXL3 gene variants, highlighting new clinical features and expanding the known spectrum of the disease.

## Contribution

The study identifies two novel ASXL3 gene variants and reports new clinical complications in BRPS patients.

## Key findings

- Two novel ASXL3 gene variants (c.1276del and c.3750del) were identified in unrelated Chinese patients.
- New clinical features such as long eyelashes, laryngeal cartilage hypoplasia, and dextrocardia were observed in BRPS patients.
- The findings expand the mutational and clinical spectrum of Bainbridge-Ropers syndrome.

## Abstract

Bainbridge-Ropers syndrome (BRPS, OMIM #615485) is a rare, heterogeneous autosomal dominant genetic disease that is mainly characterized by intellectual disability (ID) of varying degrees, developmental delay (DD), language impairments, failure to thrive, behavioral issues, hypotonia, feeding difficulties, and distinctive craniofacial features. It is caused by heterozygous pathogenic variants in the additional sex combs-like 3 (ASXL3, OMIM #615115) gene. In this study, four Chinese patients were diagnosed with BRPS caused by ASXL3 variants through whole exome sequencing. We detected two novel and two previously reported variants of the ASXL3 gene (NM_030632.3) in these 4 unrelated Chinese patients: two novel variants, namely, c.1276del (p.Val426*) and c.3750del (p.Glu1251Asnfs*5), and two recurrent variants, namely, c.4330C>T (p.Arg1444*) and c.4336_4337delAG (p.Arg1446fs*2). All four patients had a clinical profile similar to that associated with BRPS. Compared with previously reported cases of BRPS, these patients exhibited novel complications, including long eyelashes, congenital laryngeal cartilage hypoplasia and dextrocardia. These findings broaden our understanding of the mutational and clinical spectrum of BRPS, emphasizing the importance of long-term monitoring and vigilance regarding potential complications, such as cardiac abnormalities, in BRPS patients.