Multiple congenital anomalies and developmental delay in a boy associated with a de novo 16p13.3 deletion

Marc Nelson1, Shane Quinonez, Todd Ackley

  • 1Department of Otolaryngology, University of Michigan, Ann Arbor, USA.

Insights

A patient presented with multiple congenital anomalies, including developmental delay. Genetic analysis revealed a novel deletion on chromosome 16p13.3, potentially explaining the patient's complex condition.

Area of Science:

  • Genetics
  • Developmental Biology
  • Medical Genetics

Background:

  • Multiple congenital anomalies (MCA) represent a significant challenge in clinical genetics.
  • Understanding the genetic underpinnings of MCA is crucial for diagnosis and counseling.

Observation:

  • A patient exhibited a spectrum of congenital anomalies: tracheobronchomalacia, metopic craniosynostosis, hypospadias with chordee, torticollis, strabismus, clinodactyly, hallux valgus, and global developmental delay.
  • High-resolution chromosomal microarray analysis detected a de novo 555 kb deletion on chromosome 16p13.3.

Findings:

  • The identified deletion is located telomeric to the CREBBP gene and centromeric to the PKD1 gene.
  • Literature review indicated limited overlap with previously reported deletions in this specific 16p13.3 region.
  • Haploinsufficiency of candidate genes within the deleted region is hypothesized to cause the observed clinical features, with 18 genes remaining as likely contributors after CNV analysis.

Implications:

  • This case expands the understanding of genotype-phenotype correlations for deletions in the 16p13.3 region.
  • Identifies a specific deletion interval that may be associated with a distinct MCA syndrome.
  • Highlights the utility of chromosomal microarray analysis in diagnosing complex congenital anomalies.

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