Genetics (clinical), Biochemistry, Genetics and Molecular Biology
80
Scopus Publications
1996
Scholar Citations
23
Scholar h-index
43
Scholar i10-index
Scopus Publications
Molecular characterization of Alkaptonuria in Brazilian patients Carolina Araújo Moreno, Ruy Pires de Oliveira Sobrinho, Josep Jorente, Simone Appenzeller, Nelma Gláucia Silva Meira, Lucas Cadete Caldeira Costa, Angelina Xavier Acosta, Mara Sanches Guaragna, Carlos Eduardo Steiner Molecular Genetics and Metabolism Reports, 2026 Alkaptonuria is a rare inborn error of metabolism, with few reports from Brazil and typically lacking genotype descriptions in the Brazilian population. A retrospective study of clinical and molecular data of individuals with alkaptonuria submitted to whole genome sequencing. Five individuals from four unrelated families were enrolled, with ages ranging from 8 months to 61 years at first evaluation and currently ranging from 26 to 65 years. All presented a history of dark urine since infancy and accentuated elevation of homogentisic acid excretion in urine samples. In two consanguineous families from the State of Bahia, the c.847 A > T and c.899 T > G variants were identified in homozygous status in the HGD gene; one of the individuals also had a history of infertility and presented the homozygous c.537 + 1G > A variant in the STX2 gene. The two remaining families without consanguinity, both from the State of São Paulo, presented with a combination of the heterozygous variants c.508G > A and c.899 T > G in one individual, and deletion of exon 13 of the HGD gene in trans with the c.1007-172 A > G deep intronic variant as a possible causative variant in another patient. Although small, the present series represents the first cohort of Brazilian individuals with alkaptonuria investigated by genomic sequencing, identifying a common variant (c.899 T > G) in two families and three exonic and one deep intronic variant in the HGD gene, besides a possible double diagnosis comprising infertility due to a homozygous variant of uncertain significance in the STX2 gene.
Genotype-Phenotype Analysis and New Clinical Findings in a Series of 24 Patients Presenting with Noonan Syndrome and Related Disorders Bruna Miranda Corso, Luiza de Oliveira Simões, Karina Montemor Klegen de Oliveira, Ana Mondadori dos Santos, Luise Longo Angeloni, Ruy Pires de Oliveira Sobrinho, Vera Lúcia Gil-da-Silva-Lopes, Antonia Paula Marques-de-Faria, Andréa Trevas Maciel Guerra, Gil Guerra-Junior, Alexander Augusto de Lima Jorge, Elisângela Pereira de Souza Quedas, Henrique Garcia Silveira, Giovana Toccoli, Maria Isabel Melaragno, , Mara Sanches Guaragna, Carlos Eduardo Steiner Molecular Syndromology, 2026 Introduction: RASopathies are a heterogeneous group of conditions of the Ras/MAPK pathway presenting with overlapping features such as growth deficiency, neurodevelopmental disorders, cardiac defects, craniofacial dysmorphisms, cutaneous and ocular abnormalities, and increased cancer risk. Methods: This retrospective study analyzed the medical records regarding clinical and molecular data from 2018 to 2024 in a single center for rare diseases of individuals diagnosed with Noonan syndrome and related disorders previously submitted to diagnostic molecular analysis through Next Generation Sequencing techniques. Results: 24 patients were enrolled with an even sex ratio distribution and ages ranging from one month to 16 years at first evaluation. The main reason for referral was diagnostic assessment due to a combination of dysmorphic features (24/24; 100%), growth deficiency (18/24; 75%), neurodevelopmental disorders (15/24; 62.5%), and/or heart disease (13/24; 54.1%). Final diagnoses included 15 individuals with Noonan syndrome (nine with variants in PTPN11, two in SOS1, and one each in LZTR1, A2ML1, and MRAS, besides one with variants in both LZTR1 and SOS1), two with Noonan syndrome with multiple lentigines (both with variants in PTPN11), two with Neurofibromatosis-Noonan (NF1), two with Cardiofaciocutaneous syndrome (BRAF), and one each with Noonan syndrome-like with loose anagen hair (PPP1CB), Noonan syndrome-like (CBL), and Costello syndrome (HRAS); one individual presented with a double diagnosis of Noonan and Klinefelter syndromes. Discussion/Conclusion: Three pairs of unrelated patients presented recurrent variants in the PTPN11 gene, partially concordant in phenotypic correlation among the pairs but not fully concordant compared to previously described cases in the literature. Undescribed features in this group included myopathy and megacolon in a patient with Noonan syndrome-like, hypogonadotropic hypogonadism, and azoospermia in a patient with Noonan syndrome-like with loose anagen hair, and schizophrenia in a patient with Costello syndrome. One patient with Noonan syndrome had a novel variant of the A2ML1 gene (c.1829G>A), but the variant was strictly of uncertain significance, while c.2033G>A in the LZTR1 gene and c.1A>G in the NF1 gene are variants for the first time associated with features of Noonan syndrome.
From diagnosis to daily life: A comparative pilot study on healthcare access and challenges for neurofibromatosis type 1 in public systems of Brazil and Portugal Déborah Domeneghetti de Francisco, Isabela Mayá Wayhs Silva, Jorge M. Saraiva, Carlos Eduardo Steiner, Vera Lúcia Gil-da-Silva-Lopes Clinics, 2026 • First study of NF1 patient experiences in the health systems of Brazil and Portugal. • Portuguese patients showed lower genetic and health literacy than Brazilians. • Access to neurologists and psychiatrists was a key barrier in both countries. • Despite economic differences, both nations face similar barriers in multidisciplinary care. • Findings highlight urgent need for national NF1 data and structured care pathways. Neurofibromatosis type 1 is a systemic genetic disease with manifestations that include neurocognitive alterations. The disease's characteristics influence various areas of the lives of affected individuals, regardless of their place of residence. This study compares the experiences of a small group of patients with type 1 neurofibromatosis in two public hospitals in Brazil and Portugal. This is an exploratory, cross-sectional, and descriptive study. Patients of legal age or those responsible for underage patients were included in a health service in the Clinical Hospital of the State University of Campinas in Brazil and the Clinical Academic Center of Coimbra in Portugal. They answered an online form about quality of life and access to health. 18 participants were included, 13 Brazilians and 5 Portuguese. Most were female and had a mean age at diagnosis of 8.2-years. The mean age of Brazilians was 9.1-years for the first consultation with a geneticist and 15.5-years among Portuguese. The average number of professionals accessed was 4.5 among Brazilians and 3.8 among Portuguese. Small sample size, restricted temporal aspect, convenience bias of participants with internet access, and self-declaration of data by participants. Both Brazilians and Portuguese participants with neurofibromatosis type 1 presented similar difficulties regarding access to health. The differences found between the participants from both countries focus on access to medical geneticists and their health literacy. Expanding studies would help identify care priorities related to the specificities of NF1 that could improve the quality of life of affected individuals.
Assessment of diagnostic yield and clinical utility of genome sequencing in critically ill infants Carolina A. Moreno, Marina de França, Joana R. M. Prota, Michele P. Migliavacca, Anne C. B. Teixeira, Bruna M. C. de Azevedo, Lucas S. de Santana, Eduardo Perrone, Jéssica G. A. Espolaor, Luiza A. Virmond, Renata M. Minillo, Renata Y. Yamada, Vivian P. Cintra, Caio R. D. C. Quaio, José R. M. Ceroni, Kelin Chen, Thiago Y. T. Silva, Antonio V. C. Coelho, Gustavo S. de Oliveira, José B. Nascimento Junior, Livia M. S. Moura, Luciana S. Mofatto, Marcel P. Caraciolo, Rafael L. M. Guedes, Rodrigo A. S. Barreiro, Catarina S. Gomes, Roseli F. Rodrigues, Lucas R. Correia, Ana P. A. Oliveira, Carolina D. Carlos, Marina C. da Matta, Matheus M. Lima, Nuria B. Zurro, Ana F. M. Ferreira, Gabriela B. C. Colichio, Gabriela P. Campilongo, Renata M. R. da Silva, Letícia T. Ferreira, Priscila I. Higaki, Karla O. Pelegrino, Allan C. de Oliveira, Cecília Micheletti, Rodrigo A. Fock, Anna C. X. M. Sobreira, Andriene S. dos Santos, Raquel T. B. da Silva, Joselito Sobreira Filho, Mariane B. A. L. Laurentino, Paula T. Lyra, Ana L. G. Cunha, Camila C. M. Mendes, Joziele S. Lima, Carlos E. Steiner, Denise P. Cavalcanti, Julia L. Heleno, Chong A. Kim, Magda M. S. Carneiro-Sampaio, Werther B. de Carvalho, Ester S. Ramos, Marcela L. de Almeida, Mariana P. L. Ferriani, Tatiana F. de Almeida, João B. Oliveira Pediatric Research, 2026
A Series of Patients with Genodermatoses in a Reference Service for Rare Diseases: Results from the Brazilian Rare Genomes Project Carlos Eduardo Steiner, Maria Beatriz Puzzi, Antonia Paula Marques-de-Faria, Ruy Pires de Oliveira Sobrinho, Vera Lúcia Gil-da-Silva-Lopes, Carolina Araújo Moreno, and Genes, 2025 Background/Objectives: Genodermatoses are genetic conditions with clinical symptoms manifesting in the skin and adjoining tissues, individually rare but comprising a large and heterogeneous group of disorders that represents 15% of genetic diseases. This article discusses the results of individuals with genodermatoses from a reference center for rare diseases studied through whole genome sequencing conducted by the Brazilian Rare Genomes Project between 2021 and 2023. Methods: A retrospective case series with data comprising sex, age at first assessment in the hospital, family history, clinical findings, and molecular results. Results: Excluding neurofibromatosis type 1, Ehlers–Danlos syndrome and RASopathies are discussed elsewhere. Diagnoses in this work comprised ectodermal dysplasias (n = 6), ichthyosis (n = 4), albinism (n = 4), tuberous sclerosis complex (n = 4), and incontinentia pigmenti (n = 3), in addition to 11 others with individual rare conditions. The sex ratio was 17:16 (M:F), consanguinity was present in 6/33 (18%), and the age at the first evaluation ranged from neonatal to 26 years (median 13.65 years). Negative results were 3/33 (9%), novel variants were 17/41 (41.4%), and 7/30 (23%) presented initially with a double molecular diagnosis, three confirming composed phenotypes. Conclusions: Besides reporting 17 novel variants in 14 genes (BLM, CACNA1B, EDA, ELN, ENG, ERC6, EVC2, PNPLA1, PITCH1, PORCN, SIN3A, TP63, TYR, and WNT10B), the study also identified three atypical clinical presentations due to dual diagnoses, and the c.454C>T variant in the SDR9C7 gene, previously reported only in dogs, was, for the first time, confirmed as causative for ichthyosis in humans.
Bathrocephaly and Serpentine Fibula as Underrated Features of Osteogenesis Imperfecta Type I: A Case Report Felício de Freitas Netto, Ruy Pires de Oliveira Sobrinho, Tatiana Ferreira de Almeida, Carlos Eduardo Steiner, and Molecular Syndromology, 2025 Introduction: Osteogenesis imperfecta (OI) comprises a heterogeneous group of skeletal dysplasias characterized mainly by bone fragility and propensity to fractures. The most common forms include classic types I, II, III, and IV, according to the classification of Sillence, caused by variants in the COL1A1 or COL1A2 genes. This report describes a case series of patients with OI type I confirmed by whole genome sequencing, highlighting the clinical and radiological manifestations of one atypical family. Case Presentation: Six individuals (1M:5F), aged 8 months to 34 years at their first consultation, were enrolled. All were clinically classified as OI type I due to the presence of osteopenia associated with blue sclerae and bone fractures; four presented with short stature, two with hearing loss, and one with fragile teeth; molecular testing confirmed that all presented with heterozygous pathogenic or likely pathogenic variants in the COL1A1 gene. In one family, an unusual presentation was observed in the patient and her daughter, both of whom presented with severe short stature (Z-score <−6), abnormal skull shape (bathrocephaly), codfish vertebrae, bowing of the long bones in the lower limbs, and serpentine fibulas. Conclusion: Bathrocephaly and serpentine fibula are rarely reported in classical OI types and are more frequently associated with other skeletal dysplasias, such as Hajdu-Cheney syndrome. This case report highlights the importance of recognizing underrated manifestations in OI and underscores the need for molecular confirmation.
Microdeletion 3q13.2q21.2 in a Patient Previously Diagnosed with MOMO Syndrome Ruy Pires de Oliveira-Sobrinho, , Társis Paiva Vieira, Carlos Eduardo Steiner Molecular Syndromology, 2024 Background: MOMO syndrome is a rare disorder with variable presentation and unknown etiology belonging to the overgrowth syndromes group. Case Presentation: The authors describe a patient presenting with severe developmental delay, absent speech, autism spectrum disorder, central nervous system malformations, bilateral optic atrophy, and postnatal overgrowth, besides a dysmorphic and progressive coarse face. A clinical diagnosis of MOMO syndrome was proposed, but he developed megaesophagus, megacolon, paraparesis, and severe acne during the clinical follow-up, which are not described in this condition. Whole-genome sequencing detected a deletion of 11.9 Mb at 3q13.2q21.2 comprising 80 genes, including the ZBTB20 gene associated with Primrose syndrome. Conclusion: Despite the atypical manifestations in this patient, the overlapping features between MOMO syndrome, Primrose syndrome, and 3q13.31 deletion led the authors to propose that MOMO syndrome could be part of the Primrose/3q13.31 microdeletion syndrome spectrum.
Clinical Findings in a Series of Thirty Eight Patients with Williams-Beuren Syndrome Karina Montemor Klegen de Oliveira, Luiza de Oliveira Simões, Ana Mondadori dos Santos, Carlos Eduardo Steiner Cytogenetic and Genome Research, 2024 Introduction: Williams-Beuren syndrome is a contiguous gene syndrome caused by microdeletion of the locus 7q11.23. It is a clinically recognizable condition whose cardinal features include growth deficiency, variable degrees of neurodevelopmental disorders, congenital cardiac defects, outgoing personality, and typical facies. Case Series Presentation: This retrospective study analyzed 38 consecutive patients in a single center for rare diseases, diagnosed by Preus criteria modified by the Sugayama scoring system, comprising 17 male and 21 female individuals aged 1 month to 55 years. Cases were divided into two groups concerning (a) exclusive clinical diagnosis or (b) clinical diagnosis followed by a laboratory cytogenetic or cytogenomic test; except for hypertension, no significant difference was seen among both groups. The most frequent findings were intellectual deficiency, developmental delay, typical facies, and overfriendliness, all above 80% of the total sample. On the other hand, supravalvar aortic stenosis was found in only 32.4%, while other congenital heart diseases were seen in 56.7% of the sample. Unusual features included one individual with 13 pairs of ribs, another with unilateral microphthalmia, and three with unilateral renal agenesis. Comorbidities comprised 9 cases of hypothyroidism and 1 case each of precocious puberty, segmental vitiligo, type 1 diabetes mellitus, and congenital adrenal hyperplasia. Conclusion: Preus criteria modified by the Sugayama scoring system are still efficient and helpful for clinical diagnosis. This is the second report on microphthalmia and the first study describing the association between vitiligo, type 1 diabetes mellitus, and congenital adrenal hyperplasia in individuals with Williams-Beuren syndrome.
Epidemiological characterization of rare diseases in Brazil: A retrospective study of the Brazilian Rare Diseases Network Bibiana Mello de Oliveira, Filipe Andrade Bernardi, João Francisco Baiochi, Mariane Barros Neiva, Milena Artifon, Alberto Andrade Vergara, Ana Maria Martins, Anete Sevciovic Grumach, Angelina Xavier Acosta, Antonette Souto El Husny, Bethania de Freitas Rodrigues Ribeiro, Camila Ferreira Ramos, Carlos Eduardo Steiner, Chong Ae Kim, Denise Maria Christofolini, Diego Bettiol Yamada, Ellaine Doris Fernandes Carvalho, Erlane Marques Ribeiro, Fabíola de Arruda Bastos, Faradiba Sarquis Serpa, Flávia Reseda Brandão, Giselle Maria Araujo Felix Adjuto, Isabelle Carvalho, Jonas Alex Morales Saute, Juan Clinton Llerena Junior, Larissa Souza Mario Bueno, Luiz Carlos Santana da Silva, Mara Lucia Schmitz Ferreira Santos, Marcela Câmara Machado Costa, Marcia Maria Costa Giacon Giusti, Marcial Francis Galera, Márcio Eloi Colombo Filho, Maria Denise Fernandes Carvalho de Andrade, Maria Teresinha De Oliveira Cardoso, Marilaine Matos de Menezes Ferreira, Michelle Zeny, Milena Coelho Fernandes Caldato, Ney Boa Sorte, Nina Rosa de Castro Musolino, Paula Frassinetti Vasconcelos de Medeiros, Paulo Ricardo Gazzola Zen, Raquel Tavares Boy Da Silva, Rayana Elias Maia, Rodrigo Fock, Rosemarie Elizabeth Schimidt Almeida, Solange Oliveira Rodrigues Valle, Tatiana Amorim, Thaís Bomfim Teixeira, Vania Mesquita Gadelha Prazeres, Victor Evangelista de Faria Ferraz, Vinicius Costa Lima, Wagner José Martins Paiva, Ida Vanessa Doederlein Schwartz, Domingos Alves, Têmis Maria Félix, Raras Network Group, Adlya de Sousa Melo, Adrya Rafaela da Silva Rocha, Amanda Aragão, Amanda Delfino Braccini, Amanda Maria Schmidt, Ana Mondadori dos Santos, Ana Carolina de Souza e Silva, Ana Catarina Góes Leite Lima, Anna Luiza Scasso, Anne Caroline Magalhães Oliveira, Arthur Perico, Bárbara da Silva Aniceto, Barbara Pinheiro, Beatriz Ono Badaró, Beatriz Brasil Braga, Beatriz de Oliveira Chapiesk, Beatriz Felix Pinheiro, Beatriz Pereira, Betânia de Souza Ponce, Bianca Martins, Blenda Antunes Cacique Curçino de Eça, Bruna de Souza, Brunno Busnardo Paschoalino, Bruno Valadares, Caio Lôbo de Oliveira, Camila Sales, Carine Pacheco Alexandre, Carla Desengrini Girelli, Carolina Balluz, Carolina de Paiva Farias, Carolina Oliveira Vilemar, Caroline Duarte Arrigoni, Catharina de Almeida Passos, Catharine Harumi, Cleber Barbieri, Daniel Prado, Daniela Monteiro, Dhallya Andressa da Silva Cruz, Eduardo Batista, Eduardo José Pereira Naves, Elaine Samara Pinheiro Mendes da Silva, Estela Teixeira, Fabio Amaral, Fernanda Caroline Moreira, Flavia Liberato de Souza, Flavia Boggian, Francisco André Gomes Bastos Filho, Gabriel Lima Lôla, Gabriel Pereira, Gabrielle Diehl, Giovanna Pessanha Cordeiro, Giulia Duran, Gustavo Foz Fonseca, Helena Mello, Henrique Serpa, Henrique Veiga, Ingrid Gabriel, Isabella Formenti, Isabella de Brito Ramos, Isabella Ramos Paiva, Janaina Ferreira, Jannine Barboza Rangel, Jôbert Pôrto Florêncio, Josevaldo Monteiro Maia Filho, Júlia Emily Silva Dantas, Julia Cordeiro Milke, Juliana Rios, Julya Pavao, Kahue Aluaxe Angelo, Karina Montemor Klegen de Oliveira, Katheryne Barbosa de Carvalho, Kauanne Zulszeski, Leticia Raabe Mota de Lima, Livia Polisseni Cotta Nascimento, Lorena Alves dos Santos Pereira, Lorenzo Makariewicz, Luan Junio Pereira Bittencourt, Luana Medeiros, Luana Souza Vasconcelos, Lucca Nogueira Paes Jannuzzi, Luciana Costa Pinto da Silva, Luisa Aguilar, Luiza Valeria Chibicheski, Luiza de Oliveira Simões, Maria Teresa Aires Cabral Dias, Mariana Lopes dos Santos, Mariana Pacheco Oliveira Neves, Marina Teixeira Henriques, Matheus Viganô Leal, Milena Atique Tacla, Milena Soares Souza, Moises Ribeiro da Paz, Morya Silva, Natan Soares, Nicole da Silva Gilbert, Otavio Mauricio Silva, Paula Dourado Sousa, Paulo Rocha, Raissa Emanuelle Jacob, Raissa Vieira Leite da Silva, Raniery Barros Carvalho, Raphaella Nagib Carvalho Santos, Raquel Silva, Rebeca Pedrosa Holanda, Rebeca Falcão Lopes Mourão, Ricardo Cunha de Oliveira, Rodrigo Mesquita Costa Braga, Sabrina Macely, Sergio Morais, Sheila Constância Adolfo Mabote Mucumbi, Simei Nhime, Stefanny Karla Ferreira de Sousa, Tauane Franca Rego, Thayane Holanda Gurjão, Thuanne Cidreira dos Santos Gomes, Tiago Ramos Gazineu, Victória Scheibe Machado, Victória Feitosa Muniz, Victória Rocha, Vitor Leão, Wendyson Oliveira, Willian Miguel, Yasmin de Araújo Ribeiro, Yasmin Amorim dos Santos Orphanet Journal of Rare Diseases, 2024 Background The Brazilian Policy for Comprehensive Care for People with Rare Diseases was implemented in 2014; however, national epidemiological data on rare diseases (RDs) are scarce and mainly focused on specific disorders. To address this gap, University Hospitals, Reference Services for Neonatal Screening, and Reference Services for Rare Diseases, all of which are public health institutions, established the Brazilian Rare Diseases Network (RARAS) in 2020. The objective of this study was to perform a comprehensive nationwide epidemiological investigation of individuals with RDs in Brazil. This retrospective survey collected data from patients receiving care in 34 healthcare facilities affiliated with RARAS in 2018 and 2019. Results The survey included 12,530 participants with a median age of 15.0 years, with women representing 50.5% of the cohort. Classification according to skin color demonstrated that 5044 (47.4%) participants were admixed. Most had a confirmed diagnosis (63.2%), with a predominance of phenylketonuria (PKU), cystic fibrosis (CF), and acromegaly. Common clinical manifestations included global developmental delay and seizures. The average duration of the diagnostic odyssey was 5.4 years (± 7.9 years). Among the confirmed diagnoses, 52.2% were etiological (biochemical: 42.5%; molecular: 30.9%), while 47.8% were clinical. Prenatal diagnoses accounted for 1.2%. Familial recurrence and consanguinity rates were 21.6% and 6.4%, respectively. Mainstay treatments included drug therapy (55.0%) and rehabilitation (15.6%). The Public Health System funded most diagnoses (84.2%) and treatments (86.7%). Hospitalizations were reported in 44.5% of cases, and the mortality rate was 1.5%, primarily due to motor neuron disease and CF. Conclusion This study marks a pioneering national-level data collection effort for rare diseases in Brazil, offering novel insights to advance the understanding, management, and resource allocation for RDs. It unveils an average diagnostic odyssey of 5.4 years and a higher prevalence of PKU and CF, possibly associated with the specialized services network, which included newborn screening services.
Low-pass whole genome sequencing as a cost-effective alternative to chromosomal microarray analysis for low- and middle-income countries Patricia C. Mazzonetto, Darine Villela, Ana C. V. Krepischi, Paulo M. Pierry, Adriano Bonaldi, Luiz Gustavo D. Almeida, Marcelo G. Paula, Matheus Carvalho Bürger, Ana Gabriela de Oliveira, Gustavo G. G. Fonseca, Roberto Giugliani, Mariluce Riegel‐Giugliani, Débora Bertola, Guilherme Lopes Yamamoto, Maria Rita Passos‐Bueno, Gabriele da Silva Campos, Ana Claudia Dantas Machado, Juliana F. Mazzeu, Eduardo Perrone, Roseli M. Zechi‐Ceide, Nancy M. Kokitsu‐Nakata, Társis Paiva Vieira, Carlos Eduardo Steiner, Vera Lúcia Gil‐da‐Silva‐Lopes, Daniela Koeller Rodrigues Vieira, Raquel Boy, João Monteiro de Pina‐Neto, Cristovam Scapulatempo‐Neto, Fernanda Milanezi, Carla Rosenberg American Journal of Medical Genetics Part A, 2024 Low‐pass whole genome sequencing (LP‐WGS) has been applied as alternative method to detect copy number variants (CNVs) in the clinical setting. Compared with chromosomal microarray analysis (CMA), the sequencing‐based approach provides a similar resolution of CNV detection at a lower cost. In this study, we assessed the efficiency and reliability of LP‐WGS as a more affordable alternative to CMA. A total of 1363 patients with unexplained neurodevelopmental delay/intellectual disability, autism spectrum disorders, and/or multiple congenital anomalies were enrolled. Those patients were referred from 15 nonprofit organizations and university centers located in different states in Brazil. The analysis of LP‐WGS at 1x coverage (>50kb) revealed a positive testing result in 22% of the cases (304/1363), in which 219 and 85 correspond to pathogenic/likely pathogenic (P/LP) CNVs and variants of uncertain significance (VUS), respectively. The 16% (219/1363) diagnostic yield observed in our cohort is comparable to the 15%–20% reported for CMA in the literature. The use of commercial software, as demonstrated in this study, simplifies the implementation of the test in clinical settings. Particularly for countries like Brazil, where the cost of CMA presents a substantial barrier to most of the population, LP‐WGS emerges as a cost‐effective alternative for investigating copy number changes in cytogenetics.
Maple syrup urine disease diagnosis in Brazilian patients by massive parallel sequencing Rafael Hencke Tresbach, Fernanda Sperb-Ludwig, Rodrigo Ligabue-Braun, Fernanda Hendges de Bitencourt, Tássia Tonon, Carolina Fischinger Moura de Souza, Fabiano de Oliveira Poswar, Maria Efigênia de Queiroz Leite, Tatiana Amorim, Gilda Porta, João Seda Neto, Irene Kazumi Miura, Carlos Eduardo Steiner, Ana Maria Martins, André Luiz Santos Pessoa, Erlane Marques Ribeiro, Ida Vanessa Doederlein Schwartz Molecular Genetics and Metabolism, 2024
Disease progression in Sanfilippo type B: Case series of Brazilian patients Yorran Hardman Araújo Montenegro, Francyne Kubaski, Franciele Barbosa Trapp, Mariluce Riegel-Giugliani, Carolina Fischinger Moura de Souza, Erlane Marques Ribeiro, Charles Marques Lourenço, Augusto César Cardoso-dos-Santos, Márcia Gonçalves Ribeiro, Chong Ae Kim, Matheus Augusto Araújo Castro, Emília Katiane Embiruçu, Carlos Eduardo Steiner, Filippo Pinto e Vairo, Guilherme Baldo, Roberto Giugliani, Fabiano de Oliveira Poswar Genetics and Molecular Biology, 2024
Biallelic variants in DNA2 cause poikiloderma with congenital cataracts and severe growth failure reminiscent of Rothmund-Thomson syndrome Ricardo Di Lazzaro Filho, Guilherme Lopes Yamamoto, Tiago J Silva, Leticia A Rocha, Bianca D W Linnenkamp, Matheus Augusto Araújo Castro, Deborah Bartholdi, André Schaller, Tosso Leeb, Samantha Kelmann, Claudia Y Utagawa, Carlos E Steiner, Leandra Steinmetz, Rachel Sayuri Honjo, Chong Ae Kim, Lisa Wang, Raphaël Abourjaili-Bilodeau, Philippe M Campeau, Matthew Warman, Maria Rita Passos-Bueno, Nicolas C Hoch, Debora Romeo Bertola Journal of Medical Genetics, 2023
Epidemiology of rare diseases in Brazil: protocol of the Brazilian Rare Diseases Network (RARAS-BRDN) Têmis Maria Félix, Bibiana Mello de Oliveira, Milena Artifon, Isabelle Carvalho, Filipe Andrade Bernardi, Ida V. D. Schwartz, Jonas A. Saute, Victor E. F. Ferraz, Angelina X. Acosta, Ney Boa Sorte, Domingos Alves, Tatiana Amorim, Gisele Maria Araujo Felix Adjuto, Rosemarie Elizabeth Schimidt Almeida, Flávia Resedá Brandão, Larissa Souza Mario Bueno, Maria Denise Fernandes Carvalho de Andrade, Cristina Iacovelo Cagliari, Maria Terezinha Cardoso, Ellaine Doris Fernandes Carvalho, Marcela Câmara Machado Costa, Antonette El-Husny, Lavinia Schuler Faccini, Rodrigo Ambrosio Fock, Rodrigo Neves Florêncio, Marcial Francis Galera, Roberto Giugliani, Liane de Rosso Giuliani, Anette S. Grumach, Dafne G. Horovitz, Juan Clinton Llerena-Junior, Chong A. E. Kim, Rayana Elias Maia, Ana Maria Martins, Paula Frassinetti Vasconcelos de Medeiros, Nina Rosa de Castro Musolino, Marcelo Eidi Nita, Henrique Gil da Silva Nunesmaia, Jose Carlison Santos de Oliveira, Wagner José Martins Paiva, Helena Pimentel, Louise Lapagesse de Camargo Pinto, Vânia Mesquita Gadelha Prazeres, Betânia de Freitas Rodrigues Ribeiro, Erlane Ribeiro, Márcia Maria Jardim Rodrigues, Maria José Sparça Salles, Maria Teresa Vieira Sanseverino, Eliane Pereira dos Santos, Mara Lucia Schmitz Ferreira Santos, Flávia Mori Sarti, Luiz Carlos Santana da Silva, Raquel Tavares Boy da Silva, Carlos Eduardo Steiner, Ana Beatriz Winter Tavares, Thais Bonfim Teixeira, Alberto Vergara, Paulo Ricardo Gazzola Zen, Marcos Guimarães Zuchetti, and Orphanet Journal of Rare Diseases, 2022
Sanfilippo syndrome type B: Analysis of patients diagnosed by the MPS Brazil Network Yorran Hardman Araújo Montenegro, Carolina Fischinger Moura Souza, Francyne Kubaski, Franciele Barbosa Trapp, Maira Graeff Burin, Kristiane Michelin‐Tirelli, Sandra Leistner‐Segal, Ana Carolina Brusius Facchin, Fernanda S. Medeiros, Luciana Giugliani, Erlane Marques Ribeiro, Charles Marques Lourenço, Augusto César Cardoso‐dos‐Santos, Márcia Gonçalves Ribeiro, Chong Ae Kim, Matheus Augusto Araújo Castro, Emília Katiane Embiruçu, Carlos Eduardo Steiner, Maria Lucia Castro Moreira, Hector Quintero Montano, Guilherme Baldo, Roberto Giugliani American Journal of Medical Genetics Part A, 2022
Diagnosis and Management of Classical Homocystinuria in Brazil: A Summary of 72 Late-Diagnosed Patients Soraia Poloni, Giovana W. Hoss, Fernanda Sperb-Ludwig, Taciane Borsatto, Maria Juliana R. Doriqui, Emília K.E.A Leão, Ney Boa-Sorte, Charles M. Lourenço, Chong A. Kim, Carolina F. M. de Souza, Helio Rocha, Marcia Ribeiro, Carlos E. Steiner, Carolina A. Moreno, Pricila Bernardi, Eugenia Valadares, Osvaldo Artigalas, Gerson Carvalho, Hector Y. C. Wanderley, Vânia D’Almeida, Luiz C. Santana-da-Silva, Henk J. Blom, Ida V. D. Schwartz Journal of Inborn Errors of Metabolism and Screening, 2018
CBS mutations are good predictors for B6-responsiveness: A study based on the analysis of 35 Brazilian Classical Homocystinuria patients Soraia Poloni, Fernanda Sperb‐Ludwig, Taciane Borsatto, Giovana Weber Hoss, Maria Juliana R. Doriqui, Emília K. Embiruçu, Ney Boa‐Sorte, Charles Marques, Chong A. Kim, Carolina Fischinger Moura de Souza, Helio Rocha, Marcia Ribeiro, Carlos E. Steiner, Carolina A. Moreno, Pricila Bernardi, Eugenia Valadares, Osvaldo Artigalas, Gerson Carvalho, Hector Y. C. Wanderley, Johanna Kugele, Melanie Walter, Lorena Gallego‐Villar, Henk J. Blom, Ida Vanessa D. Schwartz Molecular Genetics and Genomic Medicine, 2018
Enzyme replacement therapy for mucopolysaccharidosis type I among patients followed within the MPS Brazil network Alícia Dorneles Dornelles, Louise Lapagesse de Camargo Pinto, Ana Carolina de Paula, Carlos Eduardo Steiner, Charles Marques Lourenço, Chong Ae Kim, Dafne Dain Gandelman Horovitz, Erlane Marques Ribeiro, Eugênia Ribeiro Valadares, Isabela Goulart, Isabel C. Neves de Souza, João Ivanildo da Costa Neri, Luiz Carlos Santana-da-Silva, Luiz Roberto Silva, Márcia Ribeiro, Ruy Pires de Oliveira Sobrinho, Roberto Giuglianiand, Ida Vanessa Doederlein Schwartz Genetics and Molecular Biology, 2014
Genotypic and phenotypic analysis of 396 individuals with mutations in Sonic Hedgehog Benjamin D Solomon, Kelly A Bear, Adrian Wyllie, Amelia A Keaton, Christele Dubourg, Veronique David, Sandra Mercier, Sylvie Odent, Ute Hehr, Aimee Paulussen, Nancy J Clegg, Mauricio R Delgado, Sherri J Bale, Felicitas Lacbawan, Holly H Ardinger, Arthur S Aylsworth, Ntombenhle Louisa Bhengu, Stephen Braddock, Karen Brookhyser, Barbara Burton, Harald Gaspar, Art Grix, Dafne Horovitz, Erin Kanetzke, Hulya Kayserili, Dorit Lev, Sarah M Nikkel, Mary Norton, Richard Roberts, Howard Saal, G B Schaefer, Adele Schneider, Erika K Smith, Ellen Sowry, M Anne Spence, Stavit A Shalev, Carlos E Steiner, Elizabeth M Thompson, Thomas L Winder, Joan Z Balog, Donald W Hadley, Nan Zhou, Daniel E Pineda-Alvarez, Erich Roessler, Maximilian Muenke Journal of Medical Genetics, 2012
Clinical and biochemical study of 29 Brazilian patients with metachromatic leukodystrophy Osvaldo Artigalás, Valeska Lizzi Lagranha, Maria Luiza Saraiva‐Pereira, Maira Graeff Burin, Charles Marques Lourenço, Hélio van der Linden, Mara Lúcia Ferreira Santos, Sergio Rosemberg, Carlos Eduardo Steiner, Fernando Kok, Carolina F. Moura de Souza, Laura B. Jardim, Roberto Giugliani, Ida Vanessa Schwartz Journal of Inherited Metabolic Disease, 2010
Additional EFNB1 mutations in craniofrontonasal syndrome Deeann Wallis, Felicitas Lacbawan, Mahim Jain, Vazken M. Der Kaloustian, Carlos E. Steiner, John B. Moeschler, H. Wolfgang Losken, Ilkka I. Kaitila, Stephen Cantrell, Virginia K. Proud, John C. Carey, Donald W. Day, Dorit Lev, Ahmad S. Teebi, Luther K. Robinson, H. Eugene Hoyme, Nadia Al‐Torki, Jacqueline Siegel‐Bartelt, John B. Mulliken, Nathaniel H. Robin, Dolores Saavedra, Elaine H. Zackai, Maximilian Muenke American Journal of Medical Genetics Part A, 2008
No mutation in genes of the WNT signaling pathway in patients with Zimmermann-Laband syndrome Benjamin Abo-Dalo, Melanie Roes, Sonia Canún, Martin Delatycki, Gabriele Gillessen-Kaesbach, Ihor Hrytsiuk, Christine Jung, Bronwyn Kerr, David Mowat, Eva Seemanova, Carlos E. Steiner, Helen Stewart, Patrick Thierry, Griet van Buggenhout, Sue White, Martin Zenker, Kerstin Kutsche Clinical Dysmorphology, 2008
Molecular genetics study of deafness in Brazil: 8-Year experience Camila Andréa de Oliveira, Fabiana Alexandrino, Thalita Vitachi Christiani, Carlos Eduardo Steiner, José Luiz Rosemberis Cunha, Andréa Trevas Maciel Guerra, Edi Lúcia Sartorato American Journal of Medical Genetics Part A, 2007
What syndrome is this? Ruy Pires De Oliveira Sobrinho, Carlos Eduardo Steiner Pediatric Dermatology, 2007
Mutations in the gene encoding filamin B disrupt vertebral segmentation, joint formation and skeletogenesis Deborah Krakow, Stephen P Robertson, Lily M King, Timothy Morgan, Eiman T Sebald, Cristina Bertolotto, Sebastian Wachsmann-Hogiu, Dora Acuna, Sandor S Shapiro, Toshiro Takafuta, Salim Aftimos, Chong Ae Kim, Helen Firth, Carlos E Steiner, Valerie Cormier-Daire, Andrea Superti-Furga, Luisa Bonafe, John M Graham, Arthur Grix, Carlos A Bacino, Judith Allanson, Martin G Bialer, Ralph S Lachman, David L Rimoin, Daniel H Cohn Nature Genetics, 2004
A locus for spondylocarpotarsal synostosis syndrome at chromosome 3p14 C Steiner, N Ehtesham, K D Taylor, E Sebald, R Cantor, L M King, X Guo, T Hang, M S Hu, J-R Cui, B Friedman, D Norato, J Allanson, C Honeywell, G Mettler, F Field, R Lachman, D H Cohn, D Krakow Journal of Medical Genetics, 2004
Frequency of the different mutations causing spinocerebellar ataxia (SCA1, SCA2, MJD/SCA3 and DRPLA) in a large group of Brazilian patients. Iscia Lopes-Cendesi, Hélio G.A. Teive, Maria E Calcagnotto, Jaderson C. da Costa, Francisco Cardoso, Erika Viana, Jaime A. Maciel, João Radvany, Walter O. Arruda, Paulo C. Trevisol-Bittencourt, Pedro Rosa Neto, Isabel Silveira, Carlos E. Steiner, Walter Pinto-Júnior, André S. Santos, Ylmar Correa Neto, Lineu C. Werneck, Abelardo Q.C. Araújo, Gerson Carakushansky, Luiz R. Mello, Laura B. Jardim, Guy A. Rouleau Arquivos De Neuro Psiquiatria, 1997
A comprehensive approach to users from a Brazilian clinical genetics service: an observational study DD de Francisco, IMW Silva, CE Steiner, VL Gil-da-Silva-Lopes Orphanet Journal of Rare Diseases , 2026 2026
Assessment of diagnostic yield and clinical utility of genome sequencing in critically ill infants CA Moreno, M de França, JRM Prota, MP Migliavacca, ACB Teixeira, ... Pediatric Research, 1-12 , 2026 2026
Genome Sequencing for the Diagnosis of Rare Disorders: The Brazilian Rare Genomes Project AVC Coelho, RS de Albuquerque, C dos Santos Gomes, ... Human Genetics and Genomics Advances , 2026 2026
From diagnosis to daily life: A comparative pilot study on healthcare access and challenges for neurofibromatosis type 1 in public systems of Brazil and Portugal DD Francisco, IMW Silva, JM Saraiva, CE Steiner, VL Gil-da-Silva-Lopes Clinics 81, 100875 , 2026 2026
Molecular characterization of Alkaptonuria in Brazilian patients CA Moreno, RP de Oliveira Sobrinho, J Jorente, S Appenzeller, ... Molecular Genetics and Metabolism Reports 46, 101288 , 2026 2026
National insights into the diagnostic odyssey of Fabry disease patients in Brazil: Data from the RARAS network SO Kyosen, GR Alves, NI Alves, MA Curiati, MH Yamamoto, AX Acosta, ... Molecular Genetics and Metabolism 147 (2), 109510 , 2026 2026
Clinical, epidemiological, diagnostic and therapeutic profile of Fabry disease patients: A study based on the Brazilian national network for rare diseases VL Ferraz, FD Poswar, AX Acosta, CE Steiner, F Bernardi, TM Felix, ... Molecular Genetics and Metabolism 147 (2), 109409 , 2026 2026
Bathrocephaly and serpentine fibula as underrated features of Osteogenesis Imperfecta type I: a case report F de Freitas Netto, RP de Oliveira Sobrinho, TF De Almeida, CE Steiner, ... Molecular Syndromology , 2025 2025
A Series of Patients with Genodermatoses in a Reference Service for Rare Diseases: Results from the Brazilian Rare Genomes Project CE Steiner, MB Puzzi, AP Marques-de-Faria, RP de Oliveira Sobrinho, ... Genes 16 (5), 522 , 2025 2025 Citations: 2
Whole Genome Sequencing for the Diagnosis of Rare Disorders CC AV, R Sales de Albuquerque, C dos Santos Gomes, ... 2025
Whole Genome Sequencing for the Diagnosis of Rare Disorders AV Campos Coelho, R Sales de Albuquerque, C dos Santos Gomes, ... medRxiv, 2025.04. 25.25326373 , 2025 2025
Genotype-phenotype analysis and new clinical findings in a series of 24 patients presenting with Noonan syndrome and related disorders BM Corso, LO Simões, KMK de Oliveira, AM dos Santos, LL Angeloni, ... Molecular Syndromology , 2025 2025
Clinical Findings in a Series of Thirty Eight Patients with Williams-Beuren Syndrome KMK de Oliveira, LO Simões, AM Dos Santos, CE Steiner Cytogenetic and Genome Research 164 (3-4), 139-147 , 2024 2024 Citations: 2
Microdeletion 3q13. 2q21. 2 in a Patient Previously Diagnosed with MOMO Syndrome RP de Oliveira-Sobrinho, TP Vieira, CE Steiner, ... Molecular Syndromology 15 (6), 523-530 , 2024 2024
A novel homozygous variant in DCHS1 in a Brazilian boy with clinical features of Van Maldergem syndrome G Correia-Costa, BF Rodrigues, CE Steiner, VL Gil-da-Silva-Lopes, ... EUROPEAN JOURNAL OF HUMAN GENETICS 32, 1555-1555 , 2024 2024
Wiedemann-Steiner syndrome: clinical and molecular characterization of six Brazilian patients AM dos Santos, CG Bruzaca, LC Bonadia, CS Bertuzzo, ... EUROPEAN JOURNAL OF HUMAN GENETICS 32, 1538-1538 , 2024 2024
Low‐pass whole genome sequencing as a cost‐effective alternative to chromosomal microarray analysis for low‐and middle‐income countries PC Mazzonetto, D Villela, ACV Krepischi, PM Pierry, A Bonaldi, ... American Journal of Medical Genetics Part A 194 (11), e63802 , 2024 2024 Citations: 8
Epidemiological characterization of rare diseases in Brazil: A retrospective study of the Brazilian Rare Diseases Network BM de Oliveira, FA Bernardi, JF Baiochi, MB Neiva, M Artifon, AA Vergara, ... Orphanet Journal of Rare Diseases 19 (1), 405 , 2024 2024 Citations: 18
Multiple Aneuploidy: First Report of a Patient Presenting with a Karyotype 45, X/48, XXX,+ 21 GRC Costa, J Jorente, LB Pontes, NL Viguetti Campos, ... Cytogenetic and Genome Research 164 (2), 103-109 , 2024 2024
Maple syrup urine disease diagnosis in Brazilian patients by massive parallel sequencing RH Tresbach, F Sperb-Ludwig, R Ligabue-Braun, FH de Bitencourt, ... Molecular Genetics and Metabolism 143 (1-2), 108569 , 2024 2024
MOST CITED SCHOLAR PUBLICATIONS
Mutations in the gene encoding filamin B disrupt vertebral segmentation, joint formation and skeletogenesis D Krakow, SP Robertson, LM King, T Morgan, ET Sebald, C Bertolotto, ... Nature genetics 36 (4), 405-410 , 2004 2004 Citations: 332
Gray and white matter imbalance–typical structural abnormality underlying classic autism? L Bonilha, F Cendes, C Rorden, M Eckert, P Dalgalarrondo, LM Li, ... Brain and Development 30 (6), 396-401 , 2008 2008 Citations: 151
Frequency of spinocerebellar ataxia type 1, dentatorubropallidoluysian atrophy, and Machado-Joseph disease mutations in a large group of spinocerebellar ataxia patients I Silveira, I Lopes-Cendes, S Kish, P Maciel, C Gaspar, P Coutinho, ... Neurology 46 (1), 214-218 , 1996 1996 Citations: 137
Mucopolysaccharidoses in Brazil: what happens from birth to biochemical diagnosis? T Vieira, I Schwartz, V Munoz, L Pinto, C Steiner, M Ribeiro, R Boy, ... American Journal of Medical Genetics Part A 146 (13), 1741-1747 , 2008 2008 Citations: 124
Genotypic and phenotypic analysis of 396 individuals with mutations in Sonic Hedgehog BD Solomon, KA Bear, A Wyllie, AA Keaton, C Dubourg, V David, ... Journal of medical genetics 49 (7), 473-479 , 2012 2012 Citations: 87
Growth deficiency, mental retardation and unusual facies CE Steiner, AP Marques Clinical dysmorphology 9 (2), 155-156 , 2000 2000 Citations: 68
Frequency of the different mutations causing spinocerebellar ataxia (SCA1, SCA2, MJD/SCA3 and DRPLA) in a large group of Brazilian patients I Lopes-Cendesi, HGA Teive, ME Calcagnotto, JC da Costa, F Cardoso, ... Arquivos de Neuro-psiquiatria 55 (3B), 519-529 , 1997 1997 Citations: 60
G59S mutation in theGJB2 (connexin 26) gene in a patient with Bart–Pumphrey syndrome F Alexandrino, EL Sartorato, AP Marques-de-Faria, CE Steiner American Journal Of Medical Genetics-A 136 (3), 282-284 , 2005 2005 Citations: 52
Genetic and neurological evaluation in a sample of individuals with pervasive developmental disorders CE Steiner, MM Guerreiro, AP Marques-de-Faria Arquivos de neuro-psiquiatria 61, 176-180 , 2003 2003 Citations: 43
Ethical issues related to the access to orphan drugs in Brazil: the case of mucopolysaccharidosis type I R Boy, IVD Schwartz, BC Krug, LC Santana-da-Silva, CE Steiner, ... Journal of medical ethics 37 (4), 233-239 , 2011 2011 Citations: 39
Molecular genetics study of deafness in Brazil: 8‐year experience CA de Oliveira, F Alexandrino, TV Christiani, CE Steiner, JLR Cunha, ... American Journal of Medical Genetics Part A 143 (14), 1574-1579 , 2007 2007 Citations: 39
Additional EFNB1 mutations in craniofrontonasal syndrome D Wallis, F Lacbawan, M Jain, VM Der Kaloustian, CE Steiner, ... American Journal of Medical Genetics Part A 146 (15), 2008-2012 , 2008 2008 Citations: 38
Enzyme replacement therapy for Mucopolysaccharidosis Type I among patients followed within the MPS Brazil Network AD Dornelles, LLC Pinto, AC Paula, CE Steiner, CM Lourenço, CA Kim, ... Genetics and molecular biology 37 (1), 23-29 , 2014 2014 Citations: 36
Genotype and natural history in unrelated individual with phenylketonuria and autistic behavior CE Steiner, AX Acosta, MM Guerreiro, AP Marques-de-Faria Arquivos de neuro-psiquiatria 65 (2A), 202-205 , 2007 2007 Citations: 36
CBS mutations are good predictors for B6‐responsiveness: A study based on the analysis of 35 Brazilian Classical Homocystinuria patients S Poloni, F Sperb‐Ludwig, T Borsatto, G Weber Hoss, MJR Doriqui, ... Molecular genetics & genomic medicine 6 (2), 160-170 , 2018 2018 Citations: 33
Cognitive and behavioral heterogeneity in genetic syndromes LFL Pegoraro, CE Steiner, EHRV Celeri, CEM Banzato, P Dalgalarrondo Jornal de pediatria 90 (2), 155-160 , 2014 2014 Citations: 31
Clinical findings and natural history in ten unrelated families with juvenile and adult GM1 gangliosidosis JS Kannebley, L Silveira-Moriyama, LOD Bastos, CE Steiner JIMD Reports, Volume 24, 115-122 , 2015 2015 Citations: 30
Clinical profile and molecular characterization of Galactosemia in Brazil: identification of seven novel mutations DF Garcia, JS Camelo Jr, GA Molfetta, M Turcato, CFM Souza, G Porta, ... BMC medical genetics 17 (1), 39 , 2016 2016 Citations: 27
Clinical and biochemical study of 29 Brazilian patients with metachromatic leukodystrophy O Artigalás, VL Lagranha, ML Saraiva‐Pereira, MG Burin, CM Lourenço, ... Journal of Inherited Metabolic Disease: Official Journal of the Society for … , 2010 2010 Citations: 26
Glycogen storage diseases: Twenty‐seven new variants in a cohort of 125 patients F Sperb-Ludwig, FC Pinheiro, M Bettio Soares, T Nalin, EM Ribeiro, ... Molecular Genetics & Genomic Medicine 7 (11), e877 , 2019 2019 Citations: 25