Akihisa Okumura1, Toshiyuki Yamamoto2, Masakazu Miyajima3, Keiko Shimojima2, Satoshi Kondo3, Shinpei Abe4, Mitsuru Ikeno4, Toshiaki Shimizu4. 1. Department of Pediatrics, Faculty of Medicine, Juntendo University, Tokyo, Japan; Department of Pediatrics, Aichi Medical University, Aichi, Japan. Electronic address: okumura.akihisa.479@mail.aichi-med-u.ac.jp. 2. Tokyo Womens' Medical University Institute for Integrated Medical Sciences, Tokyo, Japan. 3. Department of Neurosurgery, Faculty of Medicine, Juntendo University, Tokyo, Japan. 4. Department of Pediatrics, Faculty of Medicine, Juntendo University, Tokyo, Japan.
Abstract
BACKGROUND: Microdeletion and microduplication syndromes without characteristic dysmorphic features are difficult to diagnose without chromosomal microarrays. PATIENTS: We describe the clinical course and genetic findings of monozygotic twins with intellectual disabilities and autistic features associated with mild facial dysmorphism and microdeletion of chromosome 3p14. RESULTS: The postnatal course of the second twin was complicated by intestinal malrotation, whereas that of the first twin was unremarkable. Both twins had several mild dysmorphic features including upswept frontal hair, low-set posterior rotated ears, arched down-slanting eyebrows, prominent forehead, epicanthic folds, micrognathia, hypertelorism, broad nasal bridge, short philtrum, and camptodactyly of the bilateral fifth fingers. They had autistic features such as poor eye contact and no social smile, stereotyped behaviors, and preference for solitary play. Array comparative genomic hybridization analysis revealed de novo 6.88-Mb deletions of 3p14 (chr3: 60,472,496-67,385,119) involving 17 genes in both twins. The deleted region contained 17 genes, five of which are known or presumed to be related to central nervous system disorders: FEZF2, SYNPR, ATXN7, PRICKLE2, and MAGI1. CONCLUSIONS: We consider that PRICKLE2 is the most likely causative gene for the autistic features exhibited by these individuals.
BACKGROUND: Microdeletion and microduplication syndromes without characteristic dysmorphic features are difficult to diagnose without chromosomal microarrays. PATIENTS: We describe the clinical course and genetic findings of monozygotic twins with intellectual disabilities and autistic features associated with mild facial dysmorphism and microdeletion of chromosome 3p14. RESULTS: The postnatal course of the second twin was complicated by intestinal malrotation, whereas that of the first twin was unremarkable. Both twins had several mild dysmorphic features including upswept frontal hair, low-set posterior rotated ears, arched down-slanting eyebrows, prominent forehead, epicanthic folds, micrognathia, hypertelorism, broad nasal bridge, short philtrum, and camptodactyly of the bilateral fifth fingers. They had autistic features such as poor eye contact and no social smile, stereotyped behaviors, and preference for solitary play. Array comparative genomic hybridization analysis revealed de novo 6.88-Mb deletions of 3p14 (chr3: 60,472,496-67,385,119) involving 17 genes in both twins. The deleted region contained 17 genes, five of which are known or presumed to be related to central nervous system disorders: FEZF2, SYNPR, ATXN7, PRICKLE2, and MAGI1. CONCLUSIONS: We consider that PRICKLE2 is the most likely causative gene for the autistic features exhibited by these individuals.
Authors: Ana Belén de la Hoz; Hiart Maortua; Ainhoa García-Rives; María Jesús Martínez-González; Maitane Ezquerra; María-Isabel Tejada Journal: Case Rep Genet Date: 2015-05-14