Two new cases of interstitial 7q35q36.1 deletion including CNTNAP2 and KMT2C

Abstract Background Terminal deletions of the long arm of chromosome 7 are well known and frequently associated with syndromic holoprosencephaly due to the involvement of the SHH (aliases HHG1, SMMCI, TPT, TPTPS, and MCOPCB5) gene region. However, interstitial deletions including CNTNAP2 (aliases Ca...

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Autores principales: Lucie Tosca, Loïc Drévillon, Aurélie Mouka, Laure Lecerf, Audrey Briand, Valérie Ortonne, Virginie Benoit, Sophie Brisset, Lionel Van Maldergem, Quitterie Laudouar, Solveig Heide, Michel Goossens, Irina Giurgea, Gérard Tachdjian, Corinne Métay
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Publicado: Wiley 2021
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spelling oai:doaj.org-article:ce89b36c62a24af3a9382758b4baf3e72021-11-21T19:38:53ZTwo new cases of interstitial 7q35q36.1 deletion including CNTNAP2 and KMT2C2324-926910.1002/mgg3.1645https://doaj.org/article/ce89b36c62a24af3a9382758b4baf3e72021-11-01T00:00:00Zhttps://doi.org/10.1002/mgg3.1645https://doaj.org/toc/2324-9269Abstract Background Terminal deletions of the long arm of chromosome 7 are well known and frequently associated with syndromic holoprosencephaly due to the involvement of the SHH (aliases HHG1, SMMCI, TPT, TPTPS, and MCOPCB5) gene region. However, interstitial deletions including CNTNAP2 (aliases Caspr2, KIAA0868, and NRXN4) and excluding the SHH region are less common. Methods We report the clinical and molecular characterization associated with pure 7q35 and 7q35q36.1 deletion in two unrelated patients as detected by oligonucleotide‐based array‐CGH analysis. Results The common clinical features were abnormal maternal serum screening during first‐trimester pregnancy, low occipitofrontal circumference at birth, hypotonia, abnormal feet, developmental delay, impaired language development, generalized seizures, hyperactive behavior, friendly personality, and cranio‐facial dysmorphism. Both deletions occurred de novo and sequencing of CNTNAP2, a candidate gene for epilepsy and autism showed absence of mutation on the contralateral allele. Conclusion Combined haploinsufficiency of GALNTL5 (alias GalNAc‐T5L), CUL1, SSPO (aliases SCO‐spondin, KIAA0543, and FLJ36112), AOC1 (alias DAO), RHEB, and especially KMT2C (alias KIAA1506 and HALR) with monoallelic disruption of CNTNAP2 may explain neurologic abnormalities, hypotonia, and exostoses. Haploinsufficiency of PRKAG2 (aliases AAKG, AAKG2, H91620p, WPWS, and CMH6) and KCNH2 (aliases Kv11.1, HERG, and erg1) genes may be responsible of long QT syndrome observed for one patient.Lucie ToscaLoïc DrévillonAurélie MoukaLaure LecerfAudrey BriandValérie OrtonneVirginie BenoitSophie BrissetLionel Van MaldergemQuitterie LaudouarSolveig HeideMichel GoossensIrina GiurgeaGérard TachdjianCorinne MétayWileyarticle7q35q36.1array‐CGHCNTNAP2 disruptioninterstitial deletionKMT2C haploinsufficiencyGeneticsQH426-470ENMolecular Genetics & Genomic Medicine, Vol 9, Iss 11, Pp n/a-n/a (2021)
institution DOAJ
collection DOAJ
language EN
topic 7q35q36.1
array‐CGH
CNTNAP2 disruption
interstitial deletion
KMT2C haploinsufficiency
Genetics
QH426-470
spellingShingle 7q35q36.1
array‐CGH
CNTNAP2 disruption
interstitial deletion
KMT2C haploinsufficiency
Genetics
QH426-470
Lucie Tosca
Loïc Drévillon
Aurélie Mouka
Laure Lecerf
Audrey Briand
Valérie Ortonne
Virginie Benoit
Sophie Brisset
Lionel Van Maldergem
Quitterie Laudouar
Solveig Heide
Michel Goossens
Irina Giurgea
Gérard Tachdjian
Corinne Métay
Two new cases of interstitial 7q35q36.1 deletion including CNTNAP2 and KMT2C
description Abstract Background Terminal deletions of the long arm of chromosome 7 are well known and frequently associated with syndromic holoprosencephaly due to the involvement of the SHH (aliases HHG1, SMMCI, TPT, TPTPS, and MCOPCB5) gene region. However, interstitial deletions including CNTNAP2 (aliases Caspr2, KIAA0868, and NRXN4) and excluding the SHH region are less common. Methods We report the clinical and molecular characterization associated with pure 7q35 and 7q35q36.1 deletion in two unrelated patients as detected by oligonucleotide‐based array‐CGH analysis. Results The common clinical features were abnormal maternal serum screening during first‐trimester pregnancy, low occipitofrontal circumference at birth, hypotonia, abnormal feet, developmental delay, impaired language development, generalized seizures, hyperactive behavior, friendly personality, and cranio‐facial dysmorphism. Both deletions occurred de novo and sequencing of CNTNAP2, a candidate gene for epilepsy and autism showed absence of mutation on the contralateral allele. Conclusion Combined haploinsufficiency of GALNTL5 (alias GalNAc‐T5L), CUL1, SSPO (aliases SCO‐spondin, KIAA0543, and FLJ36112), AOC1 (alias DAO), RHEB, and especially KMT2C (alias KIAA1506 and HALR) with monoallelic disruption of CNTNAP2 may explain neurologic abnormalities, hypotonia, and exostoses. Haploinsufficiency of PRKAG2 (aliases AAKG, AAKG2, H91620p, WPWS, and CMH6) and KCNH2 (aliases Kv11.1, HERG, and erg1) genes may be responsible of long QT syndrome observed for one patient.
format article
author Lucie Tosca
Loïc Drévillon
Aurélie Mouka
Laure Lecerf
Audrey Briand
Valérie Ortonne
Virginie Benoit
Sophie Brisset
Lionel Van Maldergem
Quitterie Laudouar
Solveig Heide
Michel Goossens
Irina Giurgea
Gérard Tachdjian
Corinne Métay
author_facet Lucie Tosca
Loïc Drévillon
Aurélie Mouka
Laure Lecerf
Audrey Briand
Valérie Ortonne
Virginie Benoit
Sophie Brisset
Lionel Van Maldergem
Quitterie Laudouar
Solveig Heide
Michel Goossens
Irina Giurgea
Gérard Tachdjian
Corinne Métay
author_sort Lucie Tosca
title Two new cases of interstitial 7q35q36.1 deletion including CNTNAP2 and KMT2C
title_short Two new cases of interstitial 7q35q36.1 deletion including CNTNAP2 and KMT2C
title_full Two new cases of interstitial 7q35q36.1 deletion including CNTNAP2 and KMT2C
title_fullStr Two new cases of interstitial 7q35q36.1 deletion including CNTNAP2 and KMT2C
title_full_unstemmed Two new cases of interstitial 7q35q36.1 deletion including CNTNAP2 and KMT2C
title_sort two new cases of interstitial 7q35q36.1 deletion including cntnap2 and kmt2c
publisher Wiley
publishDate 2021
url https://doaj.org/article/ce89b36c62a24af3a9382758b4baf3e7
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