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Genetic and phenotypic dissection of 1q43q44 microdeletion syndrome and neurodevelopmental phenotypes associated with mutations in ZBTB18 and HNRNPU.


ABSTRACT: Subtelomeric 1q43q44 microdeletions cause a syndrome associating intellectual disability, microcephaly, seizures and anomalies of the corpus callosum. Despite several previous studies assessing genotype-phenotype correlations, the contribution of genes located in this region to the specific features of this syndrome remains uncertain. Among those, three genes, AKT3, HNRNPU and ZBTB18 are highly expressed in the brain and point mutations in these genes have been recently identified in children with neurodevelopmental phenotypes. In this study, we report the clinical and molecular data from 17 patients with 1q43q44 microdeletions, four with ZBTB18 mutations and seven with HNRNPU mutations, and review additional data from 37 previously published patients with 1q43q44 microdeletions. We compare clinical data of patients with 1q43q44 microdeletions with those of patients with point mutations in HNRNPU and ZBTB18 to assess the contribution of each gene as well as the possibility of epistasis between genes. Our study demonstrates that AKT3 haploinsufficiency is the main driver for microcephaly, whereas HNRNPU alteration mostly drives epilepsy and determines the degree of intellectual disability. ZBTB18 deletions or mutations are associated with variable corpus callosum anomalies with an incomplete penetrance. ZBTB18 may also contribute to microcephaly and HNRNPU to thin corpus callosum, but with a lower penetrance. Co-deletion of contiguous genes has additive effects. Our results confirm and refine the complex genotype-phenotype correlations existing in the 1qter microdeletion syndrome and define more precisely the neurodevelopmental phenotypes associated with genetic alterations of AKT3, ZBTB18 and HNRNPU in humans.

SUBMITTER: Depienne C 

PROVIDER: S-EPMC5360844 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature

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Genetic and phenotypic dissection of 1q43q44 microdeletion syndrome and neurodevelopmental phenotypes associated with mutations in ZBTB18 and HNRNPU.

Depienne Christel C   Nava Caroline C   Keren Boris B   Heide Solveig S   Rastetter Agnès A   Passemard Sandrine S   Chantot-Bastaraud Sandra S   Moutard Marie-Laure ML   Agrawal Pankaj B PB   VanNoy Grace G   Stoler Joan M JM   Amor David J DJ   Billette de Villemeur Thierry T   Doummar Diane D   Alby Caroline C   Cormier-Daire Valérie V   Garel Catherine C   Marzin Pauline P   Scheidecker Sophie S   de Saint-Martin Anne A   Hirsch Edouard E   Korff Christian C   Bottani Armand A   Faivre Laurence L   Verloes Alain A   Orzechowski Christine C   Burglen Lydie L   Leheup Bruno B   Roume Joelle J   Andrieux Joris J   Sheth Frenny F   Datar Chaitanya C   Parker Michael J MJ   Pasquier Laurent L   Odent Sylvie S   Naudion Sophie S   Delrue Marie-Ange MA   Le Caignec Cédric C   Vincent Marie M   Isidor Bertrand B   Renaldo Florence F   Stewart Fiona F   Toutain Annick A   Koehler Udo U   Häckl Birgit B   von Stülpnagel Celina C   Kluger Gerhard G   Møller Rikke S RS   Pal Deb D   Jonson Tord T   Soller Maria M   Verbeek Nienke E NE   van Haelst Mieke M MM   de Kovel Carolien C   Koeleman Bobby B   Monroe Glen G   van Haaften Gijs G   Attié-Bitach Tania T   Boutaud Lucile L   Héron Delphine D   Mignot Cyril C  

Human genetics 20170310 4


Subtelomeric 1q43q44 microdeletions cause a syndrome associating intellectual disability, microcephaly, seizures and anomalies of the corpus callosum. Despite several previous studies assessing genotype-phenotype correlations, the contribution of genes located in this region to the specific features of this syndrome remains uncertain. Among those, three genes, AKT3, HNRNPU and ZBTB18 are highly expressed in the brain and point mutations in these genes have been recently identified in children wi  ...[more]

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