Maternally inherited autosomal dominant intellectual disability caused by 16p13.3 microduplication
Cha Gon Lee1, Eunhae Cho2, Young Min Ahn1
1Department of Pediatrics, Eulji General Hospital, College of Medicine, Eulji University, Seoul, Republic of Korea.
Abstract:
A 16p13.3 duplication syndrome has been recently suggested to be a novel recognizable syndrome as a reciprocal microduplication disease of Rubinstein-Taybi syndrome. The CREBBP gene is believed to be the dosage-sensitive critical gene responsible for the reciprocal duplication and deletion syndrome. Descriptions so far have been de novo. Here, we report a very rare case of a maternally inherited a -1 Mb sized duplication on 16p13.3 identified by SNP array testing. The patient showed moderate intellectual disability, normal growth, and characteristic facial features. The patient's mother also had mild intellectual disability, normal growth, camptodactyly, proximally implanted small thumbs, and distinctive facial features. The study provides additional information that furthers the understanding and delineation of 16p13.3 duplication syndrome.
Insights
This study details a rare maternally inherited 16p13.3 microduplication, distinct from typical de novo cases. It expands understanding of this syndrome, linking it to intellectual disability and specific facial features.
Area of Science:
- Genetics
- Human Genetics
- Medical Genetics
Background:
- 16p13.3 duplication syndrome is recognized as a reciprocal microduplication of Rubinstein-Taybi syndrome.
- The CREBBP gene is considered the dosage-sensitive critical gene for this reciprocal duplication and deletion syndrome.
- Previously reported cases have been de novo.
Observation:
- A rare case of a 1-megabase duplication on 16p13.3 was identified via SNP array testing.
- The duplication was maternally inherited.
- The patient presented with moderate intellectual disability, normal growth, and characteristic facial features.
Findings:
- The patient's mother exhibited mild intellectual disability, normal growth, camptodactyly, proximally implanted thumbs, and distinctive facial features.
- This case demonstrates maternal inheritance of the 16p13.3 duplication syndrome.
- Phenotypic variability is observed, with affected mother and child showing overlapping yet distinct features.
Implications:
- This report expands the understanding of 16p13.3 duplication syndrome.
- It highlights the possibility of non-de novo inheritance patterns.
- Further delineation of the syndrome's clinical spectrum and genetic basis is provided.
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