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Chromosomal Abnormalities in Syndromic Orofacial Clefts: Report of Three Children. Case Rep Genet 2018; 2018:1928918. [PMID: 30271639 PMCID: PMC6151207 DOI: 10.1155/2018/1928918] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2018] [Revised: 08/01/2018] [Accepted: 08/27/2018] [Indexed: 11/29/2022] Open
Abstract
This case series of three children reports clinical features and chromosomal abnormalities seen in a craniofacial clinic. All presented with orofacial cleft, developmental or intellectual disability, and dysmorphism. Emanuel syndrome or supernumerary der (22)t(11; 22), the prototype of complex small supernumerary marker disorders, was seen in one child. Duplication 4q27q35.2 with concomitant deletion 21q22.2q22.3 and duplication 12p13.33p13.32 with concomitant deletion 18q22.3q23 seen in the remaining two children are not reported in literature. Maternal balanced translocation was established in both of these children.
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2
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Mekkawy MK, Mazen IM, Kamel AK, Vater I, Zaki MS. Genotype/phenotype correlation in a female patient with 21q22.3 and 12p13.33 duplications. Am J Med Genet A 2016; 170A:1050-8. [PMID: 26749249 DOI: 10.1002/ajmg.a.37523] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2015] [Accepted: 11/25/2015] [Indexed: 01/10/2023]
Abstract
Many chromosomal rearrangements that lead to copy-number gains or losses have been shown to cause distinctive and recognizable clinical phenotypes. Conventional cytogenetic analysis can detect many, but not all, rearrangements depending on its power of resolution. The wide use of whole-genome array-based comparative genomic hybridization (array-CGH) techniques has allowed the detection of novel syndromes and to establish genotype-phenotype correlations by delineating at high resolution the regions involved in specific chromosomal aberrations. We report on a two and half-year-old female patient with intellectual disability and distinctive phenotypic features resulting from a de novo duplication of about 0.3 Mb in 21q22.3 associated with duplication of about 0.3 Mb in 12p13.33. The patient's chromosomal abnormalities were identified at the cytogenetic molecular level, using SNP array analysis, while GTG banding technique revealed a normal karyotype. Clinical findings of the patient were compared with Down syndrome and 12p duplication syndrome. This study suggests that an area of contiguous genes on the distal part of chromosome 21 (21q22.3) contribute to the Down syndrome phenotype and indicates that genes in the distal region of 12p (12p13.33) account for many facial characteristics and hypotonia of trisomy 12p syndrome.
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Affiliation(s)
- Mona K Mekkawy
- Division of Human Genetics and Genome Research, Department of Human Cytogenetics, National Research Centre, Cairo, Egypt
| | - Inas M Mazen
- Division of Human Genetics and Genome Research, Department of Clinical Genetics, National Research Centre, Cairo, Egypt
| | - Alaa K Kamel
- Division of Human Genetics and Genome Research, Department of Human Cytogenetics, National Research Centre, Cairo, Egypt
| | - Inga Vater
- Institute of Human Genetics, Christian-Albrechts-University Kiel and University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
| | - Maha S Zaki
- Division of Human Genetics and Genome Research, Department of Clinical Genetics, National Research Centre, Cairo, Egypt
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3
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D'Angelo CS, Moller Dos Santos MF, Alonso LG, Koiffmann CP. Two New Cases of 1p21.3 Deletions and an Unbalanced Translocation t(8;12) among Individuals with Syndromic Obesity. Mol Syndromol 2015; 6:63-70. [PMID: 26279650 DOI: 10.1159/000371600] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/08/2014] [Indexed: 01/09/2023] Open
Abstract
Obesity is a highly heritable but genetically heterogeneous disorder. Various well-known microdeletion syndromes (e.g. 1p36, 2q37, 6q16, 9q34, 17p11.2) can cause this phenotype along with intellectual disability (ID) and other findings. Chromosomal microarrays have identified 'new' microdeletion/duplication syndromes often associated with obesity. We report on 2 unrelated patients with an overlapping region of deletion at 1p21.3p21.2, and a third patient with a de novo recurrent unbalanced translocation der(8)t(8;12)(p23.1;p13.31), detected by 180K array CGH in a prospective cohort of syndromic obesity patients. Deletion of 1p21.3 is a rare condition, and there have been only 11 cases of the same recurrent translocation between chromosomes 8 and 12 [t(8;12)] reported to date. The former has been associated with ID, autistic spectrum disorder (ASD) and mild dysmorphic features, and in 4 patients who were obese or had a tendency to obesity, a minimal overlapping region of 2 genes, DPYD and MIR137, was detected; t(8;12) has recently been recognized to cause a childhood obesity syndrome due to duplication of the GNB3 gene. Thus, our findings add to the existing literature on the clinical description of these new syndromes, providing additional support that these loci are associated with syndromic obesity. We suggest that heterozygous loss of MIR137 may contribute to obesity as well as ID and ASD.
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Affiliation(s)
- Carla S D'Angelo
- Department of Genetics and Evolutionary Biology, Human Genome and Stem Cell Center, Institute of Biosciences, University of São Paulo, São Paulo, Brazil
| | - Mauren F Moller Dos Santos
- Department of Genetics and Evolutionary Biology, Human Genome and Stem Cell Center, Institute of Biosciences, University of São Paulo, São Paulo, Brazil
| | - Luis G Alonso
- Genetics Division, Department of Morphology and Genetics, Federal University of São Paulo, São Paulo, Brazil
| | - Celia P Koiffmann
- Department of Genetics and Evolutionary Biology, Human Genome and Stem Cell Center, Institute of Biosciences, University of São Paulo, São Paulo, Brazil
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Winawer MR, Klassen TL, Teed S, Shipman M, Leung EH, Palmer AA. A locus on mouse Ch10 influences susceptibility to limbic seizure severity: fine mapping and in silico candidate gene analysis. GENES BRAIN AND BEHAVIOR 2014; 13:341-9. [PMID: 24373497 DOI: 10.1111/gbb.12116] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/02/2013] [Revised: 11/19/2013] [Accepted: 12/16/2013] [Indexed: 11/29/2022]
Abstract
Identification of genes contributing to mouse seizure susceptibility can reveal novel genes or pathways that provide insight into human epilepsy. Using mouse chromosome substitution strains and interval-specific congenic strains (ISCS), we previously identified an interval conferring pilocarpine-induced limbic seizure susceptibility on distal mouse chromosome 10 (Ch10). We narrowed the region by generating subcongenics with smaller A/J Ch10 segments on a C57BL/6J (B6) background and tested them with pilocarpine. We also tested pilocarpine-susceptible congenics for 6-Hz ECT (electroconvulsive threshold), another model of limbic seizure susceptibility, to determine whether the susceptibility locus might have a broad effect on neuronal hyperexcitability across more than one mode of limbic seizure induction. The ISCS Line 1, which contained the distal 2.7 Mb segment from A/J (starting at rs29382217), was more susceptible to both pilocarpine and ECT. Line 2, which was a subcongenic of Line 1 (starting at rs13480828), was not susceptible, thus defining a 1.0 Mb critical region that was unique to Line 1. Bioinformatic approaches identified 45 human orthologs within the unique Line 1 susceptibility region, the majority syntenic to human Ch12. Applying an epilepsy network analysis of known and suspected excitability genes and examination of interstrain genomic and brain expression differences revealed novel candidates within the region. These include Stat2, which plays a role in hippocampal GABA receptor expression after status epilepticus, and novel candidates Pan2, Cdk2, Gls2 and Cs, which are involved in neural cell differentiation, cellular remodeling and embryonic development. Our strategy may facilitate discovery of novel human epilepsy genes.
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Affiliation(s)
- M R Winawer
- Department of Neurology; G.H. Sergievsky Center, Columbia University, New York, NY, USA
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Goldlust IS, Hermetz KE, Catalano LM, Barfield RT, Cozad R, Wynn G, Ozdemir AC, Conneely KN, Mulle JG, Dharamrup S, Hegde MR, Kim KH, Angle B, Colley A, Webb AE, Thorland EC, Ellison JW, Rosenfeld JA, Ballif BC, Shaffer LG, Demmer LA, Rudd MK. Mouse model implicates GNB3 duplication in a childhood obesity syndrome. Proc Natl Acad Sci U S A 2013; 110:14990-4. [PMID: 23980137 PMCID: PMC3773733 DOI: 10.1073/pnas.1305999110] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Obesity is a highly heritable condition and a risk factor for other diseases, including type 2 diabetes, cardiovascular disease, hypertension, and cancer. Recently, genomic copy number variation (CNV) has been implicated in cases of early onset obesity that may be comorbid with intellectual disability. Here, we describe a recurrent CNV that causes a syndrome associated with intellectual disability, seizures, macrocephaly, and obesity. This unbalanced chromosome translocation leads to duplication of over 100 genes on chromosome 12, including the obesity candidate gene G protein β3 (GNB3). We generated a transgenic mouse model that carries an extra copy of GNB3, weighs significantly more than its wild-type littermates, and has excess intraabdominal fat accumulation. GNB3 is highly expressed in the brain, consistent with G-protein signaling involved in satiety and/or metabolism. These functional data connect GNB3 duplication and overexpression to elevated body mass index and provide evidence for a genetic syndrome caused by a recurrent CNV.
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Affiliation(s)
- Ian S. Goldlust
- Department of Human Genetics, Emory University School of Medicine, Atlanta, GA 30322
| | - Karen E. Hermetz
- Department of Human Genetics, Emory University School of Medicine, Atlanta, GA 30322
| | - Lisa M. Catalano
- Department of Human Genetics, Emory University School of Medicine, Atlanta, GA 30322
| | | | - Rebecca Cozad
- Department of Human Genetics, Emory University School of Medicine, Atlanta, GA 30322
| | - Grace Wynn
- Department of Human Genetics, Emory University School of Medicine, Atlanta, GA 30322
| | - Alev Cagla Ozdemir
- Department of Human Genetics, Emory University School of Medicine, Atlanta, GA 30322
| | - Karen N. Conneely
- Department of Human Genetics, Emory University School of Medicine, Atlanta, GA 30322
- Departments of Biostatistics and Bioinformatics and
| | - Jennifer G. Mulle
- Department of Human Genetics, Emory University School of Medicine, Atlanta, GA 30322
- Epidemiology, Emory University School of Public Health, Atlanta, GA 30322
| | - Shikha Dharamrup
- Department of Human Genetics, Emory University School of Medicine, Atlanta, GA 30322
| | - Madhuri R. Hegde
- Department of Human Genetics, Emory University School of Medicine, Atlanta, GA 30322
| | - Katherine H. Kim
- Division of Genetics, Northwestern University Feinberg School of Medicine, Chicago, IL 60614
| | - Brad Angle
- Division of Genetics, Northwestern University Feinberg School of Medicine, Chicago, IL 60614
| | - Alison Colley
- Department of Clinical Genetics, South Western Sydney Local Health District, Liverpool, NSW 1871, Australia
| | - Amy E. Webb
- Amy E. Webb Pediatrics, Pismo Beach, CA 93449
| | - Erik C. Thorland
- Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN 55905
| | - Jay W. Ellison
- Signature Genomic Laboratories, PerkinElmer, Inc., Spokane, WA 99207
| | - Jill A. Rosenfeld
- Signature Genomic Laboratories, PerkinElmer, Inc., Spokane, WA 99207
| | - Blake C. Ballif
- Signature Genomic Laboratories, PerkinElmer, Inc., Spokane, WA 99207
| | - Lisa G. Shaffer
- Signature Genomic Laboratories, PerkinElmer, Inc., Spokane, WA 99207
| | - Laurie A. Demmer
- Division of Genetics and Metabolism, Tufts University School of Medicine, Boston, MA 02111; and
| | | | - M. Katharine Rudd
- Department of Human Genetics, Emory University School of Medicine, Atlanta, GA 30322
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