Clinical spectrum of MTOR-related hypomelanosis of Ito with neurodevelopmental abnormalities.

PURPOSE: Hypomelanosis of Ito (HI) is a skin marker of somatic mosaicism. Mosaic MTOR pathogenic variants have been reported in HI with brain overgrowth. We sought to delineate further the pigmentary skin phenotype and clinical spectrum of neurodevelopmental manifestations of MTOR-related HI. METHODS: From two cohorts totaling 71 patients with pigmentary mosaicism, we identified 14 patients with Blaschko-linear and one with flag-like pigmentation abnormalities, psychomotor impairment or seizures, and a postzygotic MTOR variant in skin. Patient records, including brain magnetic resonance image (MRI) were reviewed. Immunostaining (n = 3) for melanocyte markers and ultrastructural studies (n = 2) were performed on skin biopsies. RESULTS: MTOR variants were present in skin, but absent from blood in half of cases. In a patient (p.[Glu2419Lys] variant), phosphorylation of p70S6K was constitutively increased. In hypopigmented skin of two patients, we found a decrease in stage 4 melanosomes in melanocytes and keratinocytes. Most patients (80%) had macrocephaly or (hemi)megalencephaly on MRI. CONCLUSION: MTOR-related HI is a recognizable neurocutaneous phenotype of patterned dyspigmentation, epilepsy, intellectual deficiency, and brain overgrowth, and a distinct subtype of hypomelanosis related to somatic mosaicism. Hypopigmentation may be due to a defect in melanogenesis, through mTORC1 activation, similar to hypochromic patches in tuberous sclerosis complex

Rapid assessment of female preference for male size predicts subsequent choice of spawning partner in a socially monogamous cichlid fish.

5 pagesInternational audienceAlthough size-assortative mating in convict cichlids, Amatitliana nigrofasciata, is supposed to result from mutual mating preference for larger individuals, female choice in relation to male size remains ambiguous. We revisited the evidence for directional preference for larger males in female convict cichlids using a classical two-way choice apparatus in which each female could decide to spend time in front of a small male or a large one. We found evidence for female preference for large males, as assessed from association preference during a 4-hour period following encounter. Furthermore, females decided to spawn in front of the initially preferred male more often than expected by chance. Our results thus confirm the existence of a directional preference for large males in female convict cichlids, and indicate that association preference measured over a short period of time can provide a quick and reliable proxy for reproductive preference in this species

Correction to: Clinical spectrum of MTOR-related hypomelanosis of Ito with neurodevelopmental abnormalities

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