Medical Genetics Centre, Guangdong Women and Children Hospital, Guangzhou, Guangdong, China.
Prenatal diagnostic center, Huizhou No2 Maternal and Children's Healthcare Hospital, Huizhou, China.
BMC Med Genomics. 2023 May 23;16(1):114. doi: 10.1186/s12920-023-01534-7.
A multitude of studies have highlighted that copy number variants (CNVs) are associated with neurodevelopmental disorders (NDDs) characterized by a wide range of clinical characteristics. Benefiting from CNV calling from WES data, WES has emerged as a more powerful and cost-effective molecular diagnostic tool, which has been widely used for the diagnosis of genetic diseases, especially NDDs. To our knowledge, isolated deletions on chromosome 1p13.2 are rare. To date, only a few patients were reported with 1p13.2 deletions and most of them were sporadic. Besides, the correlation between 1p13.2 deletions and NDDs remained unclear.
Here, we first reported five members in a three-generation Chinese family who presented with NDDs and carried a novel 1.41 Mb heterozygous 1p13.2 deletion with precise breakpoints. The diagnostic deletion contained 12 protein-coding genes and was observed to segregate with NDDs among the members of our reported family. Whether those genes contribute to the patient's phenotypes is still inconclusive.
We hypothesized that the NDD phenotype of our patients was caused by the diagnostic 1p13.2 deletion. However, further in-depth functional experiments are still needed to establish a 1p13.2 deletion-NDDs relationship. Our study might supplement the spectrum of 1p13.2 deletion-NDDs.
大量研究表明,拷贝数变异(CNVs)与神经发育障碍(NDDs)有关,这些障碍具有广泛的临床特征。得益于 WES 数据中的 CNV 调用,WES 已成为一种更强大且具有成本效益的分子诊断工具,已广泛用于遗传疾病的诊断,尤其是 NDDs。据我们所知,染色体 1p13.2 上的孤立缺失非常罕见。迄今为止,只有少数患者报道有 1p13.2 缺失,而且大多数是散发性的。此外,1p13.2 缺失与 NDDs 之间的相关性尚不清楚。
在这里,我们首次报道了一个三代表亲的中国家庭的五名成员,他们均患有 NDDs,并携带了一个新的 1.41 Mb 杂合性 1p13.2 缺失,具有精确的断点。诊断性缺失包含 12 个编码蛋白的基因,在我们报道的家族成员中与 NDDs 共分离。这些基因是否导致了患者的表型尚不清楚。
我们假设我们患者的 NDD 表型是由诊断性的 1p13.2 缺失引起的。然而,仍需要进一步深入的功能实验来建立 1p13.2 缺失-NDDs 之间的关系。我们的研究可能会补充 1p13.2 缺失-NDDs 的谱。