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Phenotype Heterogeneity in 3q29 Microduplication Syndrome
Ioana Streata1,2, Anca-Lelia Riza1,2, Simona Sosoi1,2
1Human Genomics Laboratory, University of Medicine and Pharmacy of Craiova, Romania.
Abstract:
3q29 microduplication syndrome is characterized by widely variable clinical presentation, but generally mild features. Developmental delay, particularly speech, and intellectual disability, eye abnormalities and heart defects are more frequently seen in affected individuals, although it is difficult to delineate a recognisable pattern. We describe a clinical case with a 1.65Mb duplication at 3q29 (chr3:195,979,518-197,638,922, GRCh37) identified by aCGH. The uncharacteristically late onset of the 34 years-old woman is marked by mild intellectual disability, progressive cortical atrophy and recurrent mucosal infections with Candida albicans. The gene content of the duplicated region-29 genes, including PAK2, DLG1, BDH1, FBXO45 and TFRC-seems closely linked to neuronal development and synaptic function, explaining brain and eye development related findings. We speculate on the possible involvement of genes like RNF168 in the aetiology of immunodeficiency. In-depth studies are needed to understand the pathophysiological mechanisms leading to the traits seen in this very rare syndrome.
Insights
This study details a rare 3q29 microduplication syndrome case in a 34-year-old woman, presenting with mild intellectual disability and recurrent infections. The findings highlight the syndrome
Area of Science:
- Genetics
- Neuroscience
- Immunology
Background:
- 3q29 microduplication syndrome typically presents with variable, often mild, clinical features.
- Commonly observed features include developmental delay, intellectual disability, and congenital abnormalities, but a distinct pattern is elusive.
Purpose of the Study:
- To report a unique case of 3q29 microduplication syndrome with late onset.
- To investigate the genetic underpinnings of the observed clinical manifestations.
Main Methods:
- Array comparative genomic hybridization (aCGH) was used to identify a 1.65Mb duplication at 3q29.
- Clinical data from a 34-year-old female patient was analyzed.
Main Results:
- A 1.65Mb duplication at 3q29 was identified in a 34-year-old woman with mild intellectual disability, progressive cortical atrophy, and recurrent mucosal candidiasis.
- The duplicated region contains 29 genes, including PAK2, DLG1, BDH1, FBXO45, and TFRC, implicated in neuronal development and synaptic function.
- The gene RNF168 is a potential candidate for the observed immunodeficiency.
Conclusions:
- This case expands the phenotypic spectrum of 3q29 microduplication syndrome, particularly regarding late onset and immunodeficiency.
- Further research is necessary to elucidate the complex pathophysiological mechanisms underlying this rare genetic disorder.
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