Clinical and Molecular Aspects of MBD5-Associated Neurodevelopmental Disorder (MAND)
Sureni V Mullegama1, Sarah H Elsea2
1Department of Pathology and Laboratory Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.
Abstract:
MBD5-associated neurodevelopmental disorder (MAND) is an umbrella term that describes a group of disorders, 2q23.1 deletion syndrome, 2q23.1 duplication syndrome, and MBD5 variants, that affect the function of methyl-binding domain 5 (MBD5) and share a common set of neurodevelopmental, cognitive, and behavioral impairments. This review provides a comprehensive clinical and molecular synopsis of 2q23.1 deletion syndrome. Approaches to diagnosis, genetic counseling, and up-to-date management are summarized, followed by a discussion of the molecular and functional role of MBD5. Finally, we also include a brief summary of MBD5 variants that affect function of MBD5 and 2q23.1 duplication syndrome.
Insights
MBD5-associated neurodevelopmental disorder (MAND) encompasses 2q23.1 deletion and duplication syndromes, and MBD5 variants. This review focuses on 2q23.1 deletion syndrome, detailing its clinical and molecular aspects.
Area of Science:
- Genetics
- Neuroscience
- Developmental Biology
Background:
- MBD5-associated neurodevelopmental disorder (MAND) is a spectrum of conditions impacting neurodevelopment, cognition, and behavior.
- These disorders include 2q23.1 deletion syndrome, 2q23.1 duplication syndrome, and mutations in the MBD5 gene.
- All MAND conditions involve impaired function of the methyl-binding domain 5 (MBD5) protein.
Purpose of the Study:
- To provide a comprehensive clinical and molecular review of 2q23.1 deletion syndrome.
- To summarize current diagnostic, genetic counseling, and management strategies for 2q23.1 deletion syndrome.
- To discuss the molecular and functional significance of MBD5 and related disorders.
Main Methods:
- Literature review and synthesis of existing clinical and molecular data.
- Analysis of diagnostic approaches and genetic counseling principles.
- Summary of current management guidelines and therapeutic interventions.
Main Results:
- 2q23.1 deletion syndrome presents with a consistent set of neurodevelopmental, cognitive, and behavioral challenges.
- The review details the genetic basis, clinical manifestations, and diagnostic criteria for this syndrome.
- The functional role of MBD5 in neurodevelopment is explored, alongside MBD5 variants and 2q23.1 duplication syndrome.
Conclusions:
- 2q23.1 deletion syndrome is a significant component of MAND, requiring tailored clinical and molecular understanding.
- Effective diagnosis, genetic counseling, and management are crucial for individuals with 2q23.1 deletion syndrome.
- Further research into MBD5 function and related syndromes will enhance therapeutic strategies for MAND.
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