De Novo 5q14.3 Translocation 121.5-kb Upstream of MEF2C in a Patient With Severe Intellectual Disability and Early-Onset Epileptic Encephalopathy

被引:26
作者
Saitsu, Hirotomo [1 ]
Igarashi, Noboru [2 ]
Kato, Mitsuhiro [3 ]
Okada, Ippei
Kosho, Tomoki [4 ]
Shimokawa, Osamu [5 ]
Sasaki, Yuki [5 ]
Nishiyama, Kiyomi
Tsurusaki, Yoshinori
Doi, Hiroshi
Miyake, Noriko
Harada, Naoki [5 ]
Hayasaka, Kiyoshi [3 ]
Matasumoto, Naomichi
机构
[1] Yokohama City Univ, Grad Sch Med, Dept Human Genet, Kanazawa Ku, Yokohama, Kanagawa 2360004, Japan
[2] Toyama Prefectural Cent Hosp, Dept Pediat, Toyama, Japan
[3] Yamagata Univ, Fac Med, Dept Pediat, Yamagata 990, Japan
[4] Shinshu Univ, Sch Med, Dept Med Genet, Matsumoto, Nagano 390, Japan
[5] Mitsubishi Chem Medience Corp, Cytogenet Testing Grp B, Adv Med Sci Res Ctr, Nagasaki, Japan
基金
日本学术振兴会;
关键词
MEF2C; early-onset epileptic encephalopathy; chromosomal translocation; regulatory region; SEVERE MENTAL-RETARDATION; TRANSCRIPTION FACTOR; MYOCLONIC EPILEPSY; GENE; MUTATIONS; MICRODELETION; HAPLOINSUFFICIENCY; EXPRESSION; MATURATION; INFANCY;
D O I
10.1002/ajmg.a.34289
中图分类号
Q3 [遗传学];
学科分类号
071007 [遗传学];
摘要
Recent studies have shown that haploinsufficiency of MEF2C causes severe intellectual disability, epilepsy, hypotonia, and cerebral malformations. We report on a female patient with severe intellectual disability, early-onset epileptic encephalopathy, and hypoplastic corpus callosum, possessing a de novo balanced translocation, t(5; 15)(q13.3;q26.1). The patient showed upward gazing and tonic seizure of lower extremities followed by generalized clonic seizures at 4 months of age. Electroencephalogram showed hypsarrhythmia when asleep. By using fluorescent in situ hybridization (FISH), southern hybridization and inverse PCR, the translocation breakpoints were determined at the nucleotide level. The 5q14.3 breakpoint was localized 121.5-kb upstream of MEF2C. The 15q26.2 breakpoint was mapped 119-kb downstream of LOC91948 non-coding RNA. We speculate that the translocation may disrupt the proper regulation of MEF2C expression in the developing brain, resulting in severe intellectual disability and early-onset epileptic encephalopathy. (C) 2011 Wiley Periodicals, Inc.
引用
收藏
页码:2879 / 2884
页数:6
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