13q13.3 microdeletion associated with apparently balanced translocation of 46,XX,t(7;13) suggests NBEA involvement

Deletion of 13q13.3 is an extremely rare event. We report on a 25-month-old girl with neurodevelopmental disorder and intellectual disability. She had dysmorphic facies characterized by synophrys, long and narrow palpebral fissures; and a large, round face with small organs such as the eyes and mout...

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Veröffentlicht in:Brain & development (Tokyo. 1979) 2020-09, Vol.42 (8), p.581-586
Hauptverfasser: Miura, Masaki, Ishiyama, Akihiko, Nakagawa, Eiji, Sasaki, Masayuki, Kurosawa, Kenji, Inoue, Ken, Goto, Yu-ichi
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container_end_page 586
container_issue 8
container_start_page 581
container_title Brain & development (Tokyo. 1979)
container_volume 42
creator Miura, Masaki
Ishiyama, Akihiko
Nakagawa, Eiji
Sasaki, Masayuki
Kurosawa, Kenji
Inoue, Ken
Goto, Yu-ichi
description Deletion of 13q13.3 is an extremely rare event. We report on a 25-month-old girl with neurodevelopmental disorder and intellectual disability. She had dysmorphic facies characterized by synophrys, long and narrow palpebral fissures; and a large, round face with small organs such as the eyes and mouth positioned near the center. She was hypotonic and had autism-like behaviors. Blood tests and brain MRI revealed no specific findings. However, G-banding chromosome analysis showed an apparently balanced translocation: 46,XX,t(7,13)(q11.23;q12.3). Both parents had normal karyotypes. Furthermore, her abnormal phenotype and chromosomal breakpoint lesion were suspected to be associated. Hence, we conducted array comparative genomic hybridization, which revealed a 3.2 Mb novel pathological microdeletion at 13q13.3 involving 17 genes including neurobeachin (NBEA), a neurodevelopment disorder gene. Furthermore, fluorescence in situ hybridization using probes adjacent to the microdeletion suggested a concomitant occurrence of the deletion and translocation as the structural basis of this rare genomic variant. NBEA may have roles in her neurodevelopmental phenotypes, whereas other genes within the 13q13.3 microdeletion may contribute to her dysmorphic features.
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We report on a 25-month-old girl with neurodevelopmental disorder and intellectual disability. She had dysmorphic facies characterized by synophrys, long and narrow palpebral fissures; and a large, round face with small organs such as the eyes and mouth positioned near the center. She was hypotonic and had autism-like behaviors. Blood tests and brain MRI revealed no specific findings. However, G-banding chromosome analysis showed an apparently balanced translocation: 46,XX,t(7,13)(q11.23;q12.3). Both parents had normal karyotypes. Furthermore, her abnormal phenotype and chromosomal breakpoint lesion were suspected to be associated. Hence, we conducted array comparative genomic hybridization, which revealed a 3.2 Mb novel pathological microdeletion at 13q13.3 involving 17 genes including neurobeachin (NBEA), a neurodevelopment disorder gene. Furthermore, fluorescence in situ hybridization using probes adjacent to the microdeletion suggested a concomitant occurrence of the deletion and translocation as the structural basis of this rare genomic variant. 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subjects 13q13.3 microdeletion
Apparently balanced chromosomal translocation
array-Comparative Genomic Hybridization (a-CGH)
Carrier Proteins - metabolism
Child, Preschool
Chromosome Deletion
Chromosome Disorders - genetics
Chromosomes, Human, Pair 13 - genetics
Craniofacial Abnormalities - genetics
Female
Humans
In Situ Hybridization, Fluorescence - methods
Intellectual disability
Intellectual Disability - genetics
Nerve Tissue Proteins - metabolism
Neurodevelopmental disorder
Neurodevelopmental Disorders - genetics
Psychomotor Disorders
Translocation, Genetic
title 13q13.3 microdeletion associated with apparently balanced translocation of 46,XX,t(7;13) suggests NBEA involvement
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