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.

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.