A Rare Case of Osteosarcoma in an Individual with the Recurrent n.64_65insT Variant in the <i>RNU</i><i>4-2</i> Gene

Background: Variants in the RNU4-2 gene are one of the most common autosomal causes of Neurodevelopmental Disorders (NDD). Despite the increased recognition of their clinical impact, associated malignancies have not been previously reported. Case Findings: We present a male patient with the most common RNU4-2 gene variant, n.64_65insT. At age 21, he was diagnosed with Osteosarcoma (OS), a condition not previously reported in affected individuals, and died 5 months later. Clinical Implication: This unique case expands the phenotype of RNU4-2-related neurodevelopmental disorder and highlights the importance of screening for cancer-related symptoms in patients with RNU4-2 gene variants.

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Publication Details

Journal
Case Reports in Clinical Medicine
Published
2025-01-01
DOI
https://doi.org/10.4236/crcm.2025.149064
Primary Topic
RNA modifications and cancer
Type
article
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article

A Rare Case of Osteosarcoma in an Individual with the Recurrent n.64_65insT Variant in the RNU4-2 Gene

Anna Bonfitto, Sampathkumar Rangasamy, Josh Lowry, Michael N. Pham et al.
Case Reports in Clinical Medicine
RNA modifications and cancer
article

A Rare Case of Osteosarcoma in an Individual with the Recurrent n.64_65insT Variant in the RNU4-2 Gene

Anna Bonfitto, Sampathkumar Rangasamy, Josh Lowry, Michael N. Pham, Ali Crawford, D.G. Hernandez, Matthew J. Huentelman, Vinodh Narayanan, Samuel P. Strom, Newell Belnap, Akanchha Kesari, Richard Wang, Hannah Haas, Marcus Naymik, Keri Ramsey, Jon Albay
article en

Abstract

Background: Variants in the RNU4-2 gene are one of the most common autosomal causes of Neurodevelopmental Disorders (NDD). Despite the increased recognition of their clinical impact, associated malignancies have not been previously reported. Case Findings: We present a male patient with the most common RNU4-2 gene variant, n.64_65insT. At age 21, he was diagnosed with Osteosarcoma (OS), a condition not previously reported in affected individuals, and died 5 months later. Clinical Implication: This unique case expands the phenotype of RNU4-2-related neurodevelopmental disorder and highlights the importance of screening for cancer-related symptoms in patients with RNU4-2 gene variants.

Case Reports in Clinical MedicineVol. 14(09)
Openalex Percentile: Top 78%
RNA modifications and cancer
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A Rare Case of Osteosarcoma in an Individual with the Recurrent n.64_65insT Variant in the <i>RNU</i><i>4-2</i> Gene — Anna Bonfitto, Sampathkumar Rangasamy, et al. · Case Reports in Clinical Medicine (2025) | TGRS Research Map | TGRS