Hu Jie, Ou Zhishuo, Infante Elena, Kochmar Sally J, Madan-Khetarpal Suneeta, Hoffner Lori, Parsazad Shafagh, Surti Urvashi
Center for Clinical Genetics and Genomics, Pittsburgh Cytogenetics Laboratory, Magee-Womens Hospital of UPMC, Pittsburgh, PA 15213 USA.
Department of Obstetrics, Gynecology & Reproductive Sciences, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213 USA.
Mol Cytogenet. 2017 Jun 19;10:24. doi: 10.1186/s13039-017-0326-4. eCollection 2017.
Duplications or deletions in the 12q13.13 region are rare. Only scattered cases with duplications and/or deletions in this region have been reported in the literature or in online databases. Owing to the limited number of patients with genomic alteration within this region and lack of systematic analysis of these patients, the common clinical manifestation of these patients has remained elusive.
Here we report an 802 kb duplication in the 12q13.13q13.13 region in a 14 year-old male who presented with dysmorphic features, developmental delay (DD), mild intellectual disability (ID) and mild deformity of digits. Comparing the phenotype of our patient with those of reported patients, we find that patients with the 12q13.13 duplication or the deletion share similar phenotypes, including dysmorphic facies, abnormal nails, intellectual disability, and deformity of digits or limbs. However, patients with the deletion appear to have more severe deformity of digits or limbs.
Deletion and duplication of the 12q13.13 region may represent novel contiguous gene alteration syndromes. All seven reported 12q13.13 deletions and three of four duplications are de novo and vary in size. Therefore, these genomic alterations are not due to non-allelic homologous recombination.
12q13.13区域的重复或缺失较为罕见。文献或在线数据库中仅报道了该区域存在重复和/或缺失的散发病例。由于该区域基因组改变的患者数量有限,且缺乏对这些患者的系统分析,这些患者的常见临床表现仍不明确。
在此,我们报告一名14岁男性患者,其12q13.13q13.13区域存在802 kb的重复,该患者具有畸形特征、发育迟缓(DD)、轻度智力障碍(ID)和轻度手指畸形。将我们患者的表型与已报道患者的表型进行比较,我们发现12q13.13重复或缺失的患者具有相似的表型,包括面部畸形、指甲异常、智力障碍以及手指或肢体畸形。然而,缺失患者的手指或肢体畸形似乎更为严重。
12q13.13区域的缺失和重复可能代表新的连续性基因改变综合征。报道的所有7例12q13.13缺失和4例重复中的3例都是新发的,且大小各异。因此,这些基因组改变并非由于非等位基因同源重组所致。