“…In addition to multiple and variably expressed developmental phenotypes, one observes many phenotypes that can be interpreted as evidence of premature aging, including endocrine abnormalities, gonadal failure, sarcopenia, osteoporosis, increased susceptibility to infectious agents, and progeroid features of skin (Neveling et al 2009). Additional relevant observations have included nuclear aberrations and diminished replication of cultured fibroblasts (Willingale-Theune et al 1989), hypersensitivity to oxidative stress (Liebetrau et al 1997), mitochondrial damage (Pagano et al 2014), and preneoplastic lesions such as leukoplakias of the oral cavity (Grein Cavalcanti et al 2015) and early myelodysplasias (Quentin et al 2011). It has also been described as “a highly penetrant cancer susceptibility syndrome” (Auerbach 2009).…”