Barros Fontes Marshall I, Dos Santos Ana P, Rossi Torres Fábio, Lopes-Cendes Iscia, Cendes Fernando, Appenzeller Simone, Kawasaki de Araujo Tânia, Lopes Monlleó Isabella, Gil-da-Silva-Lopes Vera L
Department of Medical Genetics, School of Medical Sciences, University of Campinas (UNICAMP), Campinas, Brazil; Department of Medical Genetics Sector, State University of Health Sciences of Alagoas (UNCISAL), Maceió, Brazil.
Department of Medical Genetics, School of Medical Sciences, University of Campinas (UNICAMP), Campinas, Brazil.
Mol Syndromol. 2017 Jan;8(1):36-41. doi: 10.1159/000452753. Epub 2016 Nov 25.
Microdeletions in the chromosomal region 17p13.3 are associated with neuronal migration disorders, and is the main gene involved. The largest genomic imbalances, including the and genes, cause more severe structural abnormalities of the brain and other associated dysmorphic features. Here, we describe a 3-year-old boy with a microdeletion in 17p13.3 presenting with minor facial dysmorphisms, a cleft palate, neurodevelopmental delay, and behavioral disorder with no structural malformation of the brain. The patient was evaluated by a clinician using a standard protocol. Laboratory investigation included GTG-banding, whole-genome AGH, and array-CGH. Whole-genome AGH and array-CGH analysis identified an estimated 2.1-Mb deletion in the 17p13.3 region showing haploinsufficiency of the , , , and genes and no deletion of . The complex gene interaction on brain development and function is illustrated in the genotype-phenotype correlation described here. This report reinforces the importance of the 17p13.3 region in developmental abnormalities and highlights the weak implication of the and genes in palatogenesis.
染色体区域17p13.3的微缺失与神经元迁移障碍相关,且 是主要涉及的基因。最大的基因组失衡,包括 和 基因,会导致更严重的脑部结构异常及其他相关的畸形特征。在此,我们描述一名3岁男孩,其17p13.3存在微缺失,表现为轻微面部畸形、腭裂、神经发育迟缓及行为障碍,但无脑部结构畸形。该患者由临床医生按照标准方案进行评估。实验室检查包括GTG显带、全基因组AGH和阵列比较基因组杂交。全基因组AGH和阵列比较基因组杂交分析确定在17p13.3区域存在估计2.1兆碱基的缺失,显示 、 、 和 基因单倍剂量不足,且 无缺失。本文所述的基因型 - 表型相关性说明了大脑发育和功能中复杂的基因相互作用。本报告强化了17p13.3区域在发育异常中的重要性,并突出了 和 基因在腭裂发生中的微弱影响。