Abstract
Interstitial deletions of 6q are rare. We report a detailed clinical and molecular characterization of four patients with interstitial deletion involving 6q25. All of our patients presented with microcephaly, developmental delay, dysmorphic features and hearing loss, whereas two of them had agenesis of the corpus callosum. We determined the size, extent and genomic content of the deletions using high-density array-comparative genomic hybridization (a-CGH), and found that a common segment spanning 3.52 Mb within the 6q25.2–q25.3 region was deleted in all four cases. We hypothesize that a subset of genes in the commonly deleted region are dosage sensitive and that haploinsufficieny of these genes impairs normal development of the brain and hearing.
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References
Milosevic J, Kalicanin P : Long arm deletion of chromosome no. 6 in a mentally retarded boy with multiple physical malformations. J Ment Defic Res 1975; 19: 139–144.
Hopkin RJ, Schorry E, Bofinger M et al: New insights into the phenotypes of 6q deletions. Am J Med Genet 1997; 70: 377–386.
Matkins SV, Meyer JE, Berry AC : A child with partial monosomy 6q secondary to a maternal direct insertional event. J Med Genet 1987; 24: 227–229.
McLeod DR, Fowlow SB, Robertson A, Samcoe D, Burgess I, Hoo JJ : Chromosome 6q deletions: a report of two additional cases and a review of the literature. Am J Med Genet 1990; 35: 79–84.
Meng J, Fujita H, Nagahara N, Kashiwai A, Yoshioka Y, Funato M : Two patients with chromosome 6q terminal deletions with breakpoints at q24.3 and q25.3. Am J Med Genet 1992; 43: 747–750.
Sukumar S, Wang S, Hoang K et al: Subtle overlapping deletions in the terminal region of chromosome 6q24.2–q26: three cases studied using FISH. Am J Med Genet 1999; 87: 17–22.
Titomanlio L, Giurgea I, Baumann C et al: A locus for sacral/anorectal malformations maps to 6q25.3 in a 0.3 Mb interval region. Eur J Hum Genet 2006; 14: 971–974.
Pandya A, Braverman N, Pyeritz RE, Ying KL, Kline AD, Falk RE : Interstitial deletion of the long arm of chromosome 6 associated with unusual limb anomalies: report of two new patients and review of the literature. Am J Med Genet 1995; 59: 38–43.
Schuster M, Lohscheller J, Kummer P, Eysholdt U, Rosanowski F : Severe sensory hearing loss in del(6q)-syndrome. Int J Pediatr Otorhinolaryngol 2003; 67: 1263–1266.
Cheung SW, Shaw CA, Yu W et al: Development and validation of a CGH microarray for clinical cytogenetic diagnosis. Genet Med 2005; 7: 422–432.
Lu X, Shaw CA, Patel A et al: Clinical implementation of chromosomal microarray analysis: summary of 2513 postnatal cases. PLoS ONE 2007; 2: e327.
Probst FJ, Roeder ER, Enciso VB et al: Chromosomal microarray analysis (CMA) detects a large X chromosome deletion including FMR1, FMR2, and IDS in a female patient with mental retardation. Am J Med Genet A 2007; 143: 1358–1365.
Ou Z, Kang SH, Shaw CA et al: Bacterial artificial chromosome-emulation oligonucleotide arrays for targeted clinical array-comparative genomic hybridization analyses. Genet Med 2008; 10: 278–289.
Narahara K, Tsuji K, Yokoyama Y et al: Specification of small distal 6q deletions in two patients by gene dosage and in situ hybridization study of plasminogen and alpha-L-fucosidase 2. Am J Med Genet 1991; 40: 348–353.
Rubtsov N, Senger G, Kuzcera H et al: Interstitial deletion of chromosome 6q: precise definition of the breakpoints by microdissection, DNA amplification, and reverse painting. Hum Genet 1996; 97: 705–709.
Pirola B, Bortotto L, Giglio S et al: Agenesis of the corpus callosum with Probst bundles owing to haploinsufficiency for a gene in an 8 cM region of 6q25. J Med Genet 1998; 35: 1031–1033.
Valtat C, Galliano D, Mettey R, Toutain A, Moraine C : Monosomy 6q: report on four new cases. Clin Genet 1992; 41: 159–166.
Oliveira-Duarte MH, Martelli-Soares LR, Sarquis-Cintra T, Machado ML, Lison MP : Distal monosomy of the long arm of chromosome 6 (6q25–6qter) inherited by maternal translocation t(6q;17q). Ann Genet 1990; 33: 56–59.
Rivas F, Ruiz C, Rivera H, Moller M, Serrano-Lucas JI, Cantu JM : De novo del(6)(q25) associated with macular degeneration. Ann Genet 1986; 29: 42–44.
Bartoshesky L, Lewis MB, Pashayan HM : Developmental abnormalities associated with long arm deletion of chromosome No. 6. Clin Genet 1978; 13: 68–71.
Stevens CA, Fineman RM, Breg WR, Silken AB : Report of two cases of distal deletion of the long arm of chromosome 6. Am J Med Genet 1988; 29: 807–814.
Shen-Schwarz S, Hill LM, Surti U, Marchese S : Deletion of terminal portion of 6q: report of a case with unusual malformations. Am J Med Genet 1989; 32: 81–86.
Ansar M, Ramzan M, Pham TL et al: Localization of a novel autosomal recessive non-syndromic hearing impairment locus (DFNB38) to 6q26–q27 in a consanguineous kindred from Pakistan. Hum Hered 2003; 55: 71–74.
Hildebrand MS, Coman D, Yang T et al: A novel splice site mutation in EYA4 causes DFNA10 hearing loss. Am J Med Genet A 2007; 143A: 1599–1604.
Yoshizawa M, Hoshino M, Sone M, Nabeshima Y : Expression of stef, an activator of Rac1, correlates with the stages of neuronal morphological development in the mouse brain. Mech Dev 2002; 113: 65–68.
Chuang YY, Tran NL, Rusk N, Nakada M, Berens ME, Symons M : Role of synaptojanin 2 in glioma cell migration and invasion. Cancer Res 2004; 64: 8271–8275.
Paffenholz R, Bergstrom RA, Pasutto F et al: Vestibular defects in head-tilt mice result from mutations in Nox3, encoding an NADPH oxidase. Genes Dev 2004; 18: 486–491.
Lupski JR, Stankiewicz P : Genomic disorders: molecular mechanisms for rearrangements and conveyed phenotypes. PLoS Genet 2005; 1: e49.
Lee JA, Carvalho CM, Lupski JR : A DNA replication mechanism for generating nonrecurrent rearrangements associated with genomic disorders. Cell 2007; 131: 1235–1247.
Acknowledgements
We thank the participating families for their kind cooperation. This work was supported in part by fellowship grants from the Osteogenesis Imperfecta Foundation (SNSC) and the National Urea Cycle Foundation and Children's National Medical Center (AE).
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Nagamani, S., Erez, A., Eng, C. et al. Interstitial deletion of 6q25.2–q25.3: a novel microdeletion syndrome associated with microcephaly, developmental delay, dysmorphic features and hearing loss. Eur J Hum Genet 17, 573–581 (2009). https://doi.org/10.1038/ejhg.2008.220
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DOI: https://doi.org/10.1038/ejhg.2008.220
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