Clinical and cytogenetic features of a Potocki-Lupski syndrome with the shortest 0.25 Mb microduplication in 17q11.2 including RAI1

Clinical and cytogenetic features of a Potocki-Lupski syndrome with the shortest 0.25 Mb microduplication in 17q11.2 including RAI1

Clinical and cytogenetic features of a Potocki-Lupski syndrome with the shortest 0.25 Mb microduplication in 17q11.2 including RAI1

(포스터):
Release Date : 2013. 10. 18(금)
Cha Gon Lee¹, Sang-Jin Park², Young Bae Sohn³
Department of Pediatrics, Eulji General hospital, Seoul, Korea¹, MG MED, Inc., Seoul, Korea², Department of Medical Genetics, Ajou University School of Medicine, Suwon, Korea³
이차곤¹, 박상진², 손영배³
을지병원소아과¹, 엠지메드², 아주대유전학교실³

Abstract

Potocki-Lupski syndrome ( PTLS [MIM 610883]) is a recently recognized microduplication syndrome associated with 17p11.2. It is characterized by mild facial dysmorphic features, hypermetropia, infantile hypotonia, failure to thrive, mental retardation, autistic spectrum disorders, behavioral abnormalities, sleep apnea, and cardiovascular anomalies. In several studies, the critical PTLS region was deduced to be 1.3 Mb in length, and included RAI1 and 17 other genes. We report a 3-year-old Korean boy with the smallest duplication in 17p11.2 and a milder phenotype. He had no family history of neurologic disease or developmental delay and no history of seizure, autistic features, or behavior problems. He showed subtle facial dysmorphic features (dolichocephaly and a mildly asymmetric smile) and flat feet. All laboratory tests were normal and he had no evidence of internal organ anomalies. He was found to have mild intellectual disabilities (full scale IQ 65 on K-WPPSI) and language developmental delay (age of 2.2 year-old on PRESS). Array comparative genomic hybridization (CGH) showed about a 0.25 Mb microduplication on chromosome 17p11.2 containing 4 Refseq (NCBI reference sequence) genes, including RAI1 [arr 17p11.2(17,575,978–17,824,623)×3]. When compared with previously reported cases, the milder phenotype of our patient may be associated with the smallest duplication in 17p11.2, 0.25 Mb in length.

Keywords: Array-CGH, Potocki-Lupski syndrome (PTLS), RAI1