Department of Human Genetics, Catholic University Leuven, 3000 Leuven, Belgium.
Research Group Experimental Oto-Rhino-Laryngology (ExpORL), Department of Neurosciences, Catholic University Leuven, 3000 Leuven, Belgium.
Genes (Basel). 2023 Mar 9;14(3):679. doi: 10.3390/genes14030679.
Although it is known that copy number variants (CNVs) on chromosome 22, such as 22q11.2 deletion (22q11.2DS) and 22q11.2 duplication (22q11.2Dup) syndromes, are associated with higher risk for neurodevelopmental issues, few studies have examined the language skills across 22q11.2Dup nor compared them with the 22q11.2DS. The current study aims to characterize language abilities in school-aged children with 22q11.2Dup ( = 29), compared to age-matched children with 22q11.2DS ( = 29). Standardized language tests were administered, assessing receptive and expressive language skills across different language domains. Results indicate that children with 22q11.2Dup demonstrate significantly more language problems compared to the general population. Mean language skills were not significantly different among children with 22q11.2 CNVs in this cohort. While children with 22q11.2DS demonstrated language difficulties starting at the word level, the most common language problems in children with 22q11.2Dup started at the sentence level. Importantly, both expressive and receptive language as well as lexico-semantic and morphosyntactic domains were impaired in children with 22q11.2 CNVs. Early identification, therapeutic intervention, and follow-up of language impairments in children with 22q11.2Dup are recommended to support language development and to reduce longitudinal impact of language and communicative deficits.
虽然已知染色体 22 上的拷贝数变异(CNVs),如 22q11.2 缺失(22q11.2DS)和 22q11.2 重复(22q11.2Dup)综合征,与神经发育问题的风险增加有关,但很少有研究检查过 22q11.2Dup 患者的语言技能,也没有将其与 22q11.2DS 进行比较。本研究旨在描述 22q11.2Dup(=29 例)患儿的语言能力,并与年龄匹配的 22q11.2DS 患儿(=29 例)进行比较。进行了标准化语言测试,评估了不同语言领域的接受性和表达性语言技能。结果表明,与一般人群相比,22q11.2Dup 患儿的语言问题明显更多。在本队列中,22q11.2 CNV 患儿的语言技能无显著差异。虽然 22q11.2DS 患儿的语言困难从单词水平开始,但 22q11.2Dup 患儿最常见的语言问题从句子水平开始。重要的是,22q11.2 CNV 患儿的表达和接受性语言以及词汇语义和形态句法领域均受损。建议对 22q11.2Dup 患儿进行早期识别、治疗干预和语言障碍随访,以支持语言发展,并减少语言和交流缺陷的纵向影响。