Two patients with chromosome 6q terminal deletions with breakpoints at q24.3 and q25.3

J Meng1, H Fujita, N Nagahara

  • 1Department of Human Development and Welfare, Osaka City University, Japan.

Insights

Two patients with de novo terminal deletion of 6q (del(6q)) syndrome presented with intellectual disability, craniofacial and cerebral anomalies, and heart defects. Terminal deletion of 6q23 or 6q25 bands appears critical for del(6q) syndrome.

Area of Science:

  • Genetics
  • Medical Genetics
  • Human Genetics

Background:

  • De novo terminal deletions of chromosome 6 long arm (del(6q)) are rare chromosomal abnormalities.
  • These deletions can lead to a spectrum of developmental abnormalities, collectively known as del(6q) syndrome.

Observation:

  • This report details two pediatric cases with de novo terminal 6q deletions: a boy with 46,XY,del(6)(q24.3) and a girl with 46,XX,del(6)(q25.3).
  • Both patients exhibited significant developmental delays, minor craniofacial and cerebral anomalies, and cardiac defects.

Findings:

  • Characteristic manifestations included imperforate anus in the first patient and retinitis proliferans with a triatrial heart in the second.
  • Comparison with 18 previously reported cases suggests that terminal deletions specifically involving the 6q23 or 6q25 bands are crucial for the core features of del(6q) syndrome.

Implications:

  • Identifying critical deletion regions aids in understanding genotype-phenotype correlations in del(6q) syndrome.
  • These findings can improve genetic counseling and diagnostic approaches for families affected by this rare chromosomal disorder.