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Martin-de Saro M, Compean Z, Aguilar K, González-Huerta LM, Plaza-Benhumea L, Messina-Baas O, Cuevas-Covarrubiass SA. Partial Trisomy 13q/Monosomy 3p Resulting from a Paternal Reciprocal 3p;13q Translocation in a Boy with Facial Dysmorphism and Hypertrophic Cardiomyopathy. Mol Syndromol 2021; 12:305-311. [PMID: 34602958 DOI: 10.1159/000516058] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Accepted: 03/23/2021] [Indexed: 11/19/2022] Open
Abstract
Individuals with 3p deletion show a great clinical variability. Apparently, a 1.5-Mb terminal deletion, including the CRBN and CNTN4 genes, is sufficient to cause this syndrome. Partial trisomy 13q is a rare chromosomal abnormality with a variable phenotypic expression, but in most cases, patients have a phenotype resembling complete trisomy 13. The aim of the present study is to describe a 9-month-old Mexican male patient with 3p deletion/13q duplication and a novel clinical finding. He presented with facial dysmorphism and multiple congenital alterations. Echocardiogram revealed cardiac insufficiency with hypertrophic cardiomyopathy and pulmonary hypertension, not previously reported. Karyotype from the patient and his father were 46,XY,add(3)(p26) and 46,XY,t(3;13), respectively. Microarray assay of the proband exhibited an approximately 2.6-Mb loss at terminal 3p26.3 and a 27.7-Mb gain of the long arm in terminal chromosome 13 at q31.1q34. A chromosomal imbalance with a partial trisomy 13q31.1q34 and monosomy 3p26.3 of paternal origin were detected. Microarray assay of both parents were normal. The proband has a cardiomyopathy not previously reported. These data enrich the spectrum of clinical manifestations in 3p deletion/3q duplication chromosomopathy.
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Affiliation(s)
| | - Zyndia Compean
- Department of Pediatrics, Hospital Materno Infantil ISSEMyM, Toluca, Mexico
| | - Karina Aguilar
- Department of Pediatrics, Hospital Materno Infantil ISSEMyM, Toluca, Mexico
| | | | | | - Olga Messina-Baas
- Hospital General de Mexico, National Autonomous University of Mexico, Mexico City, Mexico
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Gómez-Laguna L, Martínez-Herrera A, Reyes-de la Rosa ADP, García-Delgado C, Nieto-Martínez K, Fernández-Ramírez F, Valderrama-Atayupanqui TY, Morales-Jiménez AB, Villa-Morales J, Kofman S, Cervantes A, Morán-Barroso VF. Nance-Horan syndrome in females due to a balanced X;1 translocation that disrupts the NHS gene: Familial case report and review of the literature. Ophthalmic Genet 2017; 39:56-62. [PMID: 28922055 DOI: 10.1080/13816810.2017.1363245] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
The Nance-Horan syndrome is an X-linked disorder characterized by congenital cataract, facial features, microcornea, microphthalmia, and dental anomalies; most of the cases are due to NHS gene mutations on Xp22.13. Heterozygous carrier females generally present less severe features, and up to 30% of the affected males have intellectual disability. We describe two patients, mother and daughter, manifesting Nance-Horan syndrome. The cytogenetic and molecular analyses demonstrated a 46,X,t(X;1)(p22.13;q22) karyotype in each of them. No copy-number genomic imbalances were detected by high-density microarray analysis. The mother had a preferential inactivation of the normal X chromosome; expression analysis did not detect any mRNA isoform of NHS. This is the first report of Nance-Horan syndrome due to a skewed X chromosome inactivation resulting from a balanced translocation t(X;1) that disrupts the NHS gene expression, with important implications for clinical presentation and genetic counseling.
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Affiliation(s)
- Laura Gómez-Laguna
- a Service of Genetics , Hospital General de México Dr. Eduardo Liceaga , Mexico City , Mexico
| | | | | | | | - Karem Nieto-Martínez
- b Faculty of Medicine , Universidad Nacional Autónoma de México (UNAM) , Mexico City , Mexico
| | | | | | | | - Judith Villa-Morales
- c Department of Genetics , Hospital Infantil de México Federico Gómez , Mexico City , Mexico
| | - Susana Kofman
- a Service of Genetics , Hospital General de México Dr. Eduardo Liceaga , Mexico City , Mexico
| | - Alicia Cervantes
- a Service of Genetics , Hospital General de México Dr. Eduardo Liceaga , Mexico City , Mexico.,b Faculty of Medicine , Universidad Nacional Autónoma de México (UNAM) , Mexico City , Mexico
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