Varvagiannis Konstantinos, Papoulidis Ioannis, Koromila Theodora, Kefalas Konstantinos, Ziegler Monika, Liehr Thomas, Petersen Michael B, Gyftodimou Yolanda, Manolakos Emmanouil
Department of Genetics, Institute of Child Health, Athens, Greece.
Eurogenetica S.A., Laboratory of Genetics, Athens-Thessaloniki, Greece.
Meta Gene. 2014 Apr 15;2:274-82. doi: 10.1016/j.mgene.2014.03.004. eCollection 2014 Dec.
We report on a 27 month old boy presenting with psychomotor delay and dysmorphic features, mainly mild facial asymmetry, prominent cup-shaped ears, long eyelashes, open mouth appearance and slight abnormalities of the hands and feet. Array comparative genomic hybridization revealed a 393 kb microdeletion in 7p11.2. We discuss the possible involvement of CHCHD2, GBAS, MRPS17, SEPT14 and PSPH on our patient's phenotype. Additionally, we studied the expression of two other genes deleted in the patient, CCT6A and SUMF2, for which there is scarce data in the literature. Based on current knowledge and the de novo occurrence of this finding in our proband we presume that the aberration is likely to be pathogenic in our case. However, a single gene disorder, elsewhere in the genome or in this very region cannot be ruled out. Further elucidation of the properties of this chromosomal region, as well as of the role of the genes involved will be needed in order to draw safe conclusions regarding the association of the chromosomal deletion with the patient's features.
我们报告了一名27个月大的男孩,其表现出精神运动发育迟缓及畸形特征,主要为轻度面部不对称、明显的杯状耳、长睫毛、张口外观以及手脚轻微异常。阵列比较基因组杂交显示7p11.2存在一个393 kb的微缺失。我们讨论了CHCHD2、GBAS、MRPS17、SEPT14和PSPH可能与我们患者表型的关联。此外,我们研究了患者缺失的另外两个基因CCT6A和SUMF2的表达,文献中关于这两个基因的数据很少。基于目前的知识以及该发现于我们先证者中的新发情况,我们推测在我们的病例中这种畸变可能具有致病性。然而,不能排除基因组其他位置或该区域存在单基因疾病的可能性。为了就染色体缺失与患者特征之间的关联得出可靠结论,需要进一步阐明该染色体区域的特性以及相关基因的作用。