Ann Rehabil Med.  2017 Oct;41(5):881-886. 10.5535/arm.2017.41.5.881.

Patient With Delayed Development Resulting From De Novo Duplication of 7q36.1-q36.3 and Deletion of 9p24.3

Affiliations
  • 1Department of Rehabilitation Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea. dhjangmd@naver.com
  • 2Department of Laboratory Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
  • 3Catholic Genetic Laboratory Center, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Abstract

Patients with a duplication from 7q36 to the terminus or a deletion of 9p24 have been reported, whereas those harboring both mutations have not. Here, we report a patient with simultaneous de novo 7q36.1-q36.3 duplication and 9p24.3 deletion. A 6-year-old boy presented with speech developmental delay, microcephaly, and dysmorphic features, including a long face and small nose. Chromosome and array comparative genomic hybridization analyses revealed 46,XY,dup(7)(q36.1-q36.3) and del(9)(p24.3). The sizes of the duplication and deletion were 9.9 Mb and 1.9 Mb, respectively. The duplication of chromosome 7 contained 68 known genes, of which 3 are related with entries in the Developmental Disorders Genotype-to-Phenotype (DDG2P) database. The deletion of chromosome 9 contained 6 known genes, of which 2 are in the DDG2P database. We investigated the genotype and phenotype in this patient, and reviewed the relevant literatures for possible clinical presentation in these variations.

Keyword

Developmental disabilities; Chromosome disorders

MeSH Terms

Child
Chromosome Disorders
Chromosomes, Human, Pair 7
Chromosomes, Human, Pair 9
Comparative Genomic Hybridization
Developmental Disabilities
Genotype
Humans
Male
Microcephaly
Nose
Phenotype

Figure

  • Fig. 1 Antero-posterior view (A) and lateral view (B) of the patient showed microcephaly and mild facial dysmorphic features, such as a long face with high forehead, small nose and ears.

  • Fig. 2 Comparative genomic hybridization analysis showed 46, XY,duplication of 7q36.1-q36.3 (A), and deletion of 9p24.3 (B).


Reference

1. Online Mendelian Inheritance in Man (OMIM) [Internet]. Bethesda, MD: National Center for Biotechnology Information, US National Library of Medicine;c2017. cited 2017 Sep 1. Available from: https://www.ncbi.nlm.nih.gov/omim.
2. DECIPHER (DatabasE of genomiC varIation and Phenotype in Humans using Ensembl Resources). GRCh37, mapping the clinical genome [Internet]. Cambridge: Wellcome Trust Sanger Institute;c2017. cited 2017 Sep 1. Available from: https://decipher.sanger.ac.uk/.
3. Miclea D, Peca L, Cuzmici Z, Pop IV. Genetic testing in patients with global developmental delay / intellectual disabilities: a review. Clujul Med. 2015; 88:288–292. PMID: 26609258.
4. Miller DT, Adam MP, Aradhya S, Biesecker LG, Brothman AR, Carter NP, et al. Consensus statement: chromosomal microarray is a first-tier clinical diagnostic test for individuals with developmental disabilities or congenital anomalies. Am J Hum Genet. 2010; 86:749–764. PMID: 20466091.
Article
5. Spazzapan P, Arnaud E, Baujat G, Nizon M, Malan V, Brunelle F, et al. Clinical and neuroradiological features of the 9p deletion syndrome. Childs Nerv Syst. 2016; 32:327–335. PMID: 26597681.
Article
6. Barbaro M, Balsamo A, Anderlid BM, Myhre AG, Gennari M, Nicoletti A, et al. Characterization of deletions at 9p affecting the candidate regions for sex reversal and deletion 9p syndrome by MLPA. Eur J Hum Genet. 2009; 17:1439–1447. PMID: 19417767.
Article
7. Del Rey G, Venara M, Papendieck P, Gruneiro L, Tangari A, Boywitt A, et al. Association of distal deletion of the short arm of chromosome 9 with 46,XY disorder of sex development and gonadoblastoma. Biol Syst Open Access. 2015; 4:129.
Article
8. Engelhardt KR, Gertz ME, Keles S, Schaffer AA, Sigmund EC, Glocker C, et al. The extended clinical phenotype of 64 patients with dedicator of cytokinesis 8 deficiency. J Allergy Clin Immunol. 2015; 136:402–412. PMID: 25724123.
Article
9. Boccone L, Gasperini D, Pilloni G, Cao A, Nucaro A. Duplication of the terminal band of the long arm of chromosome 7: a new case. Genet Couns. 2004; 15:87–90. PMID: 15083705.
10. Verma RS, Conte RA, Pitter JH. Tandem duplication of the terminal band of the long arm of chromosome 7 (dir dup (7)(q36-qter)). J Med Genet. 1992; 29:344–345. PMID: 1583663.
Article
Full Text Links
  • ARM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr