RT Journal Article SR Electronic T1 CLAPO syndrome: Identification of somatic activating PIK3CA mutations and delineation of the natural history and phenotype JF bioRxiv FD Cold Spring Harbor Laboratory SP 154591 DO 10.1101/154591 A1 Lara Rodriguez-Laguna A1 Kristina Ibañez A1 Gema Gordo A1 Sixto Garcia-Minaur A1 Fernando Santos-Simarro A1 Noelia Agra A1 Elena Vallespín A1 Victoria E Fernández-Montaño A1 Rubén Martín-Arenas A1 Ángela del Pozo A1 Héctor Gonzalez-Pecellín A1 Rocío Mena A1 Inmaculada Rueda-Arenas A1 María V. Gomez A1 Cristina Villaverde A1 Ana Bustamante A1 Carmen Ayuso A1 Víctor L. Ruiz-Perez A1 Julián Nevado A1 Pablo Lapunzina A1 Juan C. Lopez-Gutierrez A1 Victor Martinez-Glez YR 2017 UL http://biorxiv.org/content/early/2017/06/26/154591.abstract AB Background CLAPO syndrome is a rare vascular disorder characterized by Capillary malformation of the lower lip, Lymphatic malformation predominant on the face and neck, Asymmetry, and Partial/generalized Overgrowth. Although the genetic cause is not known, the tissue distribution of the clinical manifestations in CLAPO seems to follow a pattern of somatic mosaicism.Subjects and methods We clinically evaluated a cohort of 13 patients with CLAPO and screened 20 DNA blood/tissue samples from nine patients using high-throughput, deep sequencing.Results We identified five activating mutations in the PIK3CA gene in affected tissues from six of the nine patients studied; one of the variants (NM_006218.2:c.248T>C; p.Phe83Ser) has not been previously described in developmental disorders.Conclusions We describe for the first time the presence of somatic activating PIK3CA mutations in patients with CLAPO. We also report an update of the phenotype and natural history of the syndrome.