Gürsoy Semra, Kutbay Yaşar Bekir, Özdemir Taha Reşid, Hazan Filiz
Departments of Pediatric Genetics, Dr. Behcet Uz Children's Hospital, İzmir, Turkey.
Department of Medical, Genetics, Tepecik Training and Research Hospital, İzmir, Turkey.
Turk J Pediatr. 2019;61(4):589-593. doi: 10.24953/turkjped.2019.04.017.
Gürsoy S, Kutbay YB, Özdemir TR, Hazan F. The clinical and molecular features of three Turkish patients with a rare genetic disorder: 2q37 deletion syndrome. Turk J Pediatr 2019; 61: 589-593. Chromosome 2q37 deletion syndrome is a rare chromosomal disorder which is characterized by mild-moderate intellectual disability, brachymetaphalangy of digits 3-5, short stature, obesity, hypotonia and characteristic facial appearance. Here, we report three Turkish patients who have 2q37 deletion in aCGH analysis with various sizes (9.08 Mb, 2.3 Mb and 2.021 Mb, respectively). HDAC4 gene, which is a class II histone deacetylase, has been considered to be associated with most of the features including brachymetaphalangy and intellectual disability. The deletion region included HDAC4 gene in the two patients. However, all of the patients had intellectual disability, especially with a cheerful mood. Some autistic features were detected in one of our patients. Although two patients had some skeletal findings, the deletion region did not contain HDAC4 gene in one of the patients. We suggest that our findings support understanding and updating knowledge on the phenotype-genotype correlation in patients with 2q37 deletion syndrome.
居尔索伊·S、库特贝伊·YB、厄兹德米尔·TR、哈赞·F。三名患有罕见遗传病:2q37缺失综合征的土耳其患者的临床和分子特征。《土耳其儿科学杂志》2019年;61: 589 - 593。2q37染色体缺失综合征是一种罕见的染色体疾病,其特征为轻至中度智力残疾、3 - 5指骨短粗、身材矮小、肥胖、肌张力低下和特征性面容。在此,我们报告三名土耳其患者,他们在aCGH分析中存在不同大小(分别为9.08兆碱基、2.3兆碱基和2.021兆碱基)的2q37缺失。II类组蛋白去乙酰化酶HDAC4基因被认为与包括指骨短粗和智力残疾在内的大多数特征相关。两名患者的缺失区域包含HDAC4基因。然而,所有患者均有智力残疾,尤其是情绪开朗。我们其中一名患者检测到一些自闭症特征。尽管两名患者有一些骨骼方面的表现,但其中一名患者的缺失区域不包含HDAC4基因。我们认为我们的研究结果有助于支持对2q37缺失综合征患者表型 - 基因型相关性的理解和知识更新。