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9q33.3q34.11 microdeletion: new contiguous gene syndrome encompassing STXBP1, LMX1B and ENG genes assessed using reverse phenotyping.


ABSTRACT: The increasing use of array-CGH in malformation syndromes with intellectual disability could lead to the description of new contiguous gene syndrome by the analysis of the gene content of the microdeletion and reverse phenotyping. Thanks to a national and international call for collaboration by Achropuce and Decipher, we recruited four patients carrying de novo overlapping deletions of chromosome 9q33.3q34.11, including the STXBP1, the LMX1B and the ENG genes. We restrained the selection to these three genes because the effects of their haploinsufficency are well described in the literature and easily recognizable clinically. All deletions were detected by array-CGH and confirmed by FISH. The patients display common clinical features, including intellectual disability with epilepsy, owing to the presence of STXBP1 within the deletion, nail dysplasia and bone malformations, in particular patellar abnormalities attributed to LMX1B deletion, epistaxis and cutaneous-mucous telangiectasias explained by ENG haploinsufficiency and common facial dysmorphism. This systematic analysis of the genes comprised in the deletion allowed us to identify genes whose haploinsufficiency is expected to lead to disease manifestations and complications that require personalized follow-up, in particular for renal, eye, ear, vascular and neurological manifestations.

SUBMITTER: Nambot S 

PROVIDER: S-EPMC4867444 | biostudies-literature | 2016 Jun

REPOSITORIES: biostudies-literature

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9q33.3q34.11 microdeletion: new contiguous gene syndrome encompassing STXBP1, LMX1B and ENG genes assessed using reverse phenotyping.

Nambot Sophie S   Masurel Alice A   El Chehadeh Salima S   Mosca-Boidron Anne-Laure AL   Thauvin-Robinet Christel C   Lefebvre Mathilde M   Marle Nathalie N   Thevenon Julien J   Perez-Martin Stéphanie S   Dulieu Véronique V   Huet Frédéric F   Plessis Ghislaine G   Andrieux Joris J   Jouk Pierre-Simon PS   Billy-Lopez Gipsy G   Coutton Charles C   Morice-Picard Fanny F   Delrue Marie-Ange MA   Heron Delphine D   Rooryck Caroline C   Goldenberg Alice A   Saugier-Veber Pascale P   Joly-Hélas Géraldine G   Calenda Patricia P   Kuentz Paul P   Manouvrier-Hanu Sylvie S   Dupuis-Girod Sophie S   Callier Patrick P   Faivre Laurence L  

European journal of human genetics : EJHG 20150923 6


The increasing use of array-CGH in malformation syndromes with intellectual disability could lead to the description of new contiguous gene syndrome by the analysis of the gene content of the microdeletion and reverse phenotyping. Thanks to a national and international call for collaboration by Achropuce and Decipher, we recruited four patients carrying de novo overlapping deletions of chromosome 9q33.3q34.11, including the STXBP1, the LMX1B and the ENG genes. We restrained the selection to thes  ...[more]

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