Heterozygous deletion of HOXC10-HOXC9 causes lower limb abnormalities in congenital vertical talus

Genes involved in limb patterning are sensitive to the gene dosage effect.1 In this brief communication, we examine the possible associations between the heterozygous deletion of HOXC10-HOXC9 and congenital vertical talus (CVT). In 2016, Alvarado et al2 reported the associations between deletions of 5′ HOXC genes (HOXC12, HOXC13) and CVT; however, subsequent reports on CVT-related genes have been limited. In this study, a novel 18.7 kb heterozygous deletion, which affected the HOXC10 and HOXC9 genes, was exclusively identified in CVT-affected patients. Additionally, in a mouse C2C12 cell model, we found that this deletion impaired cell proliferation and differentiation. Our findings contribute to existing knowledge on CVT-related genes, offering possibilities for genetic diagnosis of CVT.

CVT is a type of foot deformity, with an estimated prevalence of approximately 1 in 10 000 live births.3 It is characterised by irreducible dislocation of the talus scaphoid joint, which leads…