Fan Yanjie, Qiu Wenjuan, Wang Lili, Gu Xuefan, Yu Yongguo
Department of Pediatric Endocrinology/Genetics, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Institute for Pediatric Research, Shanghai, China.
Am J Med Genet A. 2016 Feb;170A(2):515-522. doi: 10.1002/ajmg.a.37454. Epub 2015 Nov 6.
Genomic rearrangements involving dosage change of genes have been implicated in a range of developmental disorders. Increasing evidences suggest copy number variations (CNVs) of autism susceptibility candidate gene 2 (AUTS2) are associated with a syndromic form of developmental delay and intellectual disability. However, the genetic and clinical profiles involving AUTS2 variations have not been fully characterized in Asian patients yet, and the outcome of treatments has not been reported. Here we report de novo exonic deletions of AUTS2 detected by chromosomal microarray analysis (CMA) in three Chinese children referred to the clinic for developmental delay, including two deletions involving only exon 6 (98.4 and 262 kb, respectively) and one deletion involving the C-terminal of AUTS2 (2147 kb). The phenotypic presentations of these three patients were described and compared with previous cases in literature. In addition, we presented the outcome of hormonal treatment for short stature in one patient.
涉及基因剂量变化的基因组重排与一系列发育障碍有关。越来越多的证据表明,自闭症易感性候选基因2(AUTS2)的拷贝数变异(CNV)与一种综合征形式的发育迟缓及智力残疾相关。然而,亚洲患者中涉及AUTS2变异的遗传和临床特征尚未完全明确,且治疗结果也未见报道。在此,我们报告通过染色体微阵列分析(CMA)在三名因发育迟缓前来就诊的中国儿童中检测到的AUTS2新发外显子缺失,其中包括两个仅涉及外显子6的缺失(分别为98.4和262 kb)以及一个涉及AUTS2 C端的缺失(2147 kb)。描述了这三名患者的表型特征,并与文献中先前报道的病例进行了比较。此外,我们还介绍了其中一名患者因身材矮小接受激素治疗的结果。