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15q11.2(BP1-BP2)缺失患者的表型特征:一种新出现综合征的进一步描述

Phenotypic features in patients with 15q11.2(BP1-BP2) deletion: further delineation of an emerging syndrome.

作者信息

Cafferkey Michiala, Ahn Joo Wook, Flinter Frances, Ogilvie Caroline

机构信息

Department of Medical and Molecular Genetics, King's College, London, UK.

出版信息

Am J Med Genet A. 2014 Aug;164A(8):1916-22. doi: 10.1002/ajmg.a.36554. Epub 2014 Apr 8.

DOI:10.1002/ajmg.a.36554
PMID:24715682
Abstract

15q11.2 deletions flanked by BP1 and BP2 of the Prader-Willi/Angelman syndrome region have recently been linked to a range of neurodevelopment disorders including intellectual disability, speech and language delay, motor delay, autism spectrum disorders, epilepsy, and schizophrenia. Array CGH analysis of 14,605 patients referred for diagnostic cytogenetic testing found that 83 patients (0.57%) carried the 15q11.2(BP1-BP2) deletion. Phenotypic frequencies in the deleted cohort (n = 83) were compared with frequencies in the non-deleted cohort (n = 14,522); developmental delay, motor delay, and speech and language delay were all more prevalent in the deleted cohort. Notably, motor delay was significantly more common (OR = 6.37). These data indicate that developmental delay, motor delay, and speech and language delay are common clinical features associated with this deletion, providing substantial evidence to support this CNV as a susceptibility locus for a spectrum of neurodevelopmental disorders. © 2014 Wiley Periodicals, Inc.

摘要

普拉德-威利/安吉尔曼综合征区域中由BP1和BP2侧翼的15q11.2缺失最近已与一系列神经发育障碍相关联,包括智力残疾、言语和语言发育迟缓、运动发育迟缓、自闭症谱系障碍、癫痫和精神分裂症。对14605名接受诊断性细胞遗传学检测的患者进行的阵列比较基因组杂交分析发现,83名患者(0.57%)携带15q11.2(BP1-BP2)缺失。将缺失队列(n = 83)中的表型频率与非缺失队列(n = 14522)中的频率进行比较;发育迟缓、运动发育迟缓和言语及语言发育迟缓在缺失队列中更为普遍。值得注意的是,运动发育迟缓明显更为常见(OR = 6.37)。这些数据表明,发育迟缓、运动发育迟缓和言语及语言发育迟缓是与该缺失相关的常见临床特征,为支持这一拷贝数变异作为一系列神经发育障碍的易感位点提供了大量证据。© 2014威利期刊公司

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