Jin Chunlei, Lei Yongliang, Liu Jiao, Shan Qunda, Qian Bixia, Zheng Fen, Chen Penglong, Bai Junjie
Prenatal Diagnosis Center, Lishui Maternity and Child Health Care Hospital, Zhejiang 323000, China. Email:
Be creative Lab (Beijing) Co., Ltd., Beijing 101111, China.
Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2019 Jun 10;36(6):628-631. doi: 10.3760/cma.j.issn.1003-9406.2019.06.025.
To analyze the genotype and phenotype of a sibpair with partial deletion of SATB2 gene caused by 2q33.1 microdeletion.
Both children have featured mental retardation and development delay, and were subjected to karyotyping, single nucleotide microarray (SNP array) and real-time fluorescence quantitative PCR analysis. Karyotyping and SNP Array analysis were also carried out on their parents to verify the origin of mutation.
Both sibs had a normal karyotype. SNP array showed that sib 1 had arr[hg19]2q33.1(200 192 328 - 200 197 269)×1 (4.9 kb), 2q35 (218 105 663 - 218 816 675)×3 (711 kb), while sib 2 had arr[hg19]2q33.1(200 192 328 - 200 197 269)×1 (4.9 kb), 2q35 (218 105 663-218 810 908)×3 (705.2 kb). The deletion has partially overlapped with that of 2q33.1 microdeletion syndrome and involved part of the SATB2 gene. The result of real-time fluorescence quantitative PCR assay was consistent with that of SNP assay. The duplication has originated from their father and has not been associated with any disease phenotypen.
Both sibs have carried partial deletion of SATB2 gene and had similar clinical phenotypes. Haploinsufficiency of such gene probably underlies the clinical manifestations in both patients.
分析由2q33.1微缺失导致SATB2基因部分缺失的一对同胞的基因型和表型。
两个孩子均有智力发育迟缓及发育延迟的特征,对其进行了核型分析、单核苷酸微阵列(SNP阵列)及实时荧光定量PCR分析。同时对其父母进行了核型分析和SNP阵列分析以验证突变的来源。
两个同胞的核型均正常。SNP阵列显示同胞1有arr[hg19]2q33.1(200 192 328 - 200 197 269)×1 (4.9 kb),2q35(218 105 663 - 218 816 675)×3 (711 kb),而同胞2有arr[hg19]2q33.1(200 192 328 - 200 197 269)×1 (4.9 kb),2q35(218 105 663 - 218 810 908)×3 (705.2 kb)。该缺失与2q33.1微缺失综合征的缺失部分重叠,并累及部分SATB2基因。实时荧光定量PCR检测结果与SNP检测结果一致。该重复来源于他们的父亲,且与任何疾病表型均无关联。
两个同胞均携带SATB2基因的部分缺失,且有相似的临床表型。该基因的单倍剂量不足可能是两名患者临床表现的基础。