The <i>int22h1/int22h2</i>-Mediated Xq28 Duplication Syndrome: An Intersection between Neurodevelopment, Immunology, and Cancer

The <i>int22h1/int22h2</i>-mediated Xq28 duplication syndrome is a rare X-linked intellectual disability syndrome (XLIDS) arising from a duplication of the segment between intron 22 homologous regions 1 and 2, on the q28 subregion of the X chromosome. The main clinical features of the sy...

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Main Authors: Rami A. Ballout, Ayman W. El-Hattab
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Genes
Subjects:
Online Access:https://www.mdpi.com/2073-4425/12/6/860
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author Rami A. Ballout
Ayman W. El-Hattab
author_facet Rami A. Ballout
Ayman W. El-Hattab
author_sort Rami A. Ballout
collection DOAJ
description The <i>int22h1/int22h2</i>-mediated Xq28 duplication syndrome is a rare X-linked intellectual disability syndrome (XLIDS) arising from a duplication of the segment between intron 22 homologous regions 1 and 2, on the q28 subregion of the X chromosome. The main clinical features of the syndrome include intellectual disability, neurobehavioral abnormalities, and dysmorphic facial features. Due to the X-linked nature of the syndrome, affected males exhibit more severe phenotypes compared with heterozygous females. A unique distinguishing feature of the syndrome across the sexes, however, is a peculiar combination of recurrent sinopulmonary infections and atopy exclusively seen in a subset of affected males. In addition to the ‘typical’ 0.5 Mb duplication detected in most cases reported to date with the syndrome, a shortened centromeric version, and another 0.2 Mb telomerically shifted one, have been recently identified, with most detected duplications being maternally inherited, except for three recent cases found to have de novo duplications. Interestingly, a recently reported case of an affected male suggests a possible association of the syndrome with multiple malignancies, an observation that has been recently replicated in two pediatric patients. As a result, a better understanding of the pathogenesis of <i>int22h1/int22h2</i>-mediated Xq28 duplication syndrome may grant us a better understanding of the sex-specific differences in immunological responses, as well as the potential role of the genes involved by the duplication, in oncogenesis.
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spelling doaj.art-3a1ba45b735e477aa30947b404b63d352023-11-21T22:45:22ZengMDPI AGGenes2073-44252021-06-0112686010.3390/genes12060860The <i>int22h1/int22h2</i>-Mediated Xq28 Duplication Syndrome: An Intersection between Neurodevelopment, Immunology, and CancerRami A. Ballout0Ayman W. El-Hattab1Lipoprotein Metabolism Section, Translational Vascular Medicine Branch, National Heart, Lung and Blood Institute (NHLBI), National Institutes of Health (NIH), Bethesda, MD 20814, USADepartment of Clinical Sciences, College of Medicine, University of Sharjah, Sharjah P. O. Box 27272, United Arab EmiratesThe <i>int22h1/int22h2</i>-mediated Xq28 duplication syndrome is a rare X-linked intellectual disability syndrome (XLIDS) arising from a duplication of the segment between intron 22 homologous regions 1 and 2, on the q28 subregion of the X chromosome. The main clinical features of the syndrome include intellectual disability, neurobehavioral abnormalities, and dysmorphic facial features. Due to the X-linked nature of the syndrome, affected males exhibit more severe phenotypes compared with heterozygous females. A unique distinguishing feature of the syndrome across the sexes, however, is a peculiar combination of recurrent sinopulmonary infections and atopy exclusively seen in a subset of affected males. In addition to the ‘typical’ 0.5 Mb duplication detected in most cases reported to date with the syndrome, a shortened centromeric version, and another 0.2 Mb telomerically shifted one, have been recently identified, with most detected duplications being maternally inherited, except for three recent cases found to have de novo duplications. Interestingly, a recently reported case of an affected male suggests a possible association of the syndrome with multiple malignancies, an observation that has been recently replicated in two pediatric patients. As a result, a better understanding of the pathogenesis of <i>int22h1/int22h2</i>-mediated Xq28 duplication syndrome may grant us a better understanding of the sex-specific differences in immunological responses, as well as the potential role of the genes involved by the duplication, in oncogenesis.https://www.mdpi.com/2073-4425/12/6/860XLIDgene dosageRAB39BCLIC2BRCC3VBP1
spellingShingle Rami A. Ballout
Ayman W. El-Hattab
The <i>int22h1/int22h2</i>-Mediated Xq28 Duplication Syndrome: An Intersection between Neurodevelopment, Immunology, and Cancer
Genes
XLID
gene dosage
RAB39B
CLIC2
BRCC3
VBP1
title The <i>int22h1/int22h2</i>-Mediated Xq28 Duplication Syndrome: An Intersection between Neurodevelopment, Immunology, and Cancer
title_full The <i>int22h1/int22h2</i>-Mediated Xq28 Duplication Syndrome: An Intersection between Neurodevelopment, Immunology, and Cancer
title_fullStr The <i>int22h1/int22h2</i>-Mediated Xq28 Duplication Syndrome: An Intersection between Neurodevelopment, Immunology, and Cancer
title_full_unstemmed The <i>int22h1/int22h2</i>-Mediated Xq28 Duplication Syndrome: An Intersection between Neurodevelopment, Immunology, and Cancer
title_short The <i>int22h1/int22h2</i>-Mediated Xq28 Duplication Syndrome: An Intersection between Neurodevelopment, Immunology, and Cancer
title_sort i int22h1 int22h2 i mediated xq28 duplication syndrome an intersection between neurodevelopment immunology and cancer
topic XLID
gene dosage
RAB39B
CLIC2
BRCC3
VBP1
url https://www.mdpi.com/2073-4425/12/6/860
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