Division of Clinical and Metabolic Genetics, Department of Pediatrics, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Am J Med Genet A. 2010 May;152A(5):1268-72. doi: 10.1002/ajmg.a.33319.
We have identified by microarray-based comparative genomic hybridization analysis (aCGH), a homozygous deletion of 8q24.3 [arr cgh 8q24.3(140,879,937 --> 141,021,392)x0 mat pat] in a patient with dysmorphic facial features, dysgenesis of the corpus callosum, and severe mental retardation. The deletion was inherited from asymptomatic, consanguineous parents, each of them being heterozygous for the same deletion. The only gene known to map to this segment is the NIBP gene, and so far no clinical manifestations have been found in association with this gene mutation in homozygous or heterozygous state in humans. Our findings suggest that a homozygous deletion in the NIBP gene results in an autosomal recessive condition with multiple abnormalities and severe delay. In addition, the child inherited a 781-kb deletion on 4q32.2 from the mother that contains the SPOCK3 gene. We suggest that this heterozygous deletion is likely to be non-contributory to the phenotype.
我们通过基于微阵列的比较基因组杂交分析(aCGH)发现,一名具有畸形面部特征、胼胝体发育不良和严重智力迟钝的患者存在 8q24.3 号染色体的纯合缺失[arr cgh 8q24.3(140,879,937 --> 141,021,392)x0 mat pat]。该缺失是从无症状、近亲结婚的父母遗传而来,他们各自均为同一缺失的杂合子。已知映射到该片段的唯一基因是 NIBP 基因,到目前为止,在人类中尚未发现与该基因纯合或杂合状态突变相关的临床表现。我们的研究结果表明,NIBP 基因的纯合缺失导致常染色体隐性遗传,表现为多种异常和严重的发育迟缓。此外,患儿从母亲那里遗传了一条 781kb 的 4q32.2 缺失,该缺失包含 SPOCK3 基因。我们推测这种杂合缺失可能与表型无关。