De novo 11q13.3q13.4 deletion in a patient with Fanconi renotubular syndrome and intellectual disability: Case report and review of literature

ObjectiveTo explore the genetic etiology of a child with facial dysmorphia, developmental delay, intellectual disability, Fanconi renotubular syndrome, and Chiari malformations.Materials and methodsWhole exome sequencing (WES), Copy number variation sequencing (CNV-seq), and mitochondrial gene detec...

Full description

Bibliographic Details
Main Authors: Yingxiao Shen, Xiaoqin Xu, Jiansong Chen, Jingjing Wang, Guanping Dong, Ke Huang, Junfen Fu, Dingwen Wu, Wei Wu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2023.1097062/full
_version_ 1797843242880860160
author Yingxiao Shen
Xiaoqin Xu
Jiansong Chen
Jingjing Wang
Guanping Dong
Ke Huang
Junfen Fu
Dingwen Wu
Wei Wu
author_facet Yingxiao Shen
Xiaoqin Xu
Jiansong Chen
Jingjing Wang
Guanping Dong
Ke Huang
Junfen Fu
Dingwen Wu
Wei Wu
author_sort Yingxiao Shen
collection DOAJ
description ObjectiveTo explore the genetic etiology of a child with facial dysmorphia, developmental delay, intellectual disability, Fanconi renotubular syndrome, and Chiari malformations.Materials and methodsWhole exome sequencing (WES), Copy number variation sequencing (CNV-seq), and mitochondrial gene detection (Long-PCR + NGS) were applied to detect possible pathogenic mutations and chromosomal copy number variations (CNVs), together with databases and literature reviews to clarify the pathological significance of the candidate mutations.ResultsThe WES revealed a 2.10 Mb interstitial deletion from 11q13.3 to 11q13.4, which was later confirmed by CNV-seq involving 11 OMIM genes, among which SHANK2, DHCR7, NADSYN1, FADD, NUMA1, IL18BP, ANO1, and FGF3 are disease-causing. The mitochondrial gene shows no variations.ConclusionThe child has carried a de novo 11q13.3q13.4 microdeletion, in which SHANK2 genes may be the key gene responsible for the phenotype of intellectual disability. The renal manifestation of the child, which can be diagnosed as Fanconi renotubular syndrome, has an unknown cause but may result from the effect of the ANO1 gene. This case adds a new phenotype to the deletion of this region.
first_indexed 2024-04-09T17:01:54Z
format Article
id doaj.art-5eccbb6416e04a408cb6a78f519c23d5
institution Directory Open Access Journal
issn 2296-2360
language English
last_indexed 2024-04-09T17:01:54Z
publishDate 2023-04-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Pediatrics
spelling doaj.art-5eccbb6416e04a408cb6a78f519c23d52023-04-21T04:39:25ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-04-011110.3389/fped.2023.10970621097062De novo 11q13.3q13.4 deletion in a patient with Fanconi renotubular syndrome and intellectual disability: Case report and review of literatureYingxiao Shen0Xiaoqin Xu1Jiansong Chen2Jingjing Wang3Guanping Dong4Ke Huang5Junfen Fu6Dingwen Wu7Wei Wu8Department of Endocrinology, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, ChinaDepartment of Endocrinology, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, ChinaDepartment of Orthopedics, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, ChinaDepartment of Nephrology, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, ChinaDepartment of Endocrinology, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, ChinaDepartment of Endocrinology, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, ChinaDepartment of Endocrinology, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, ChinaDepartment of Genetics and Metabolism, Genetics and Metabolism, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, ChinaDepartment of Endocrinology, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, ChinaObjectiveTo explore the genetic etiology of a child with facial dysmorphia, developmental delay, intellectual disability, Fanconi renotubular syndrome, and Chiari malformations.Materials and methodsWhole exome sequencing (WES), Copy number variation sequencing (CNV-seq), and mitochondrial gene detection (Long-PCR + NGS) were applied to detect possible pathogenic mutations and chromosomal copy number variations (CNVs), together with databases and literature reviews to clarify the pathological significance of the candidate mutations.ResultsThe WES revealed a 2.10 Mb interstitial deletion from 11q13.3 to 11q13.4, which was later confirmed by CNV-seq involving 11 OMIM genes, among which SHANK2, DHCR7, NADSYN1, FADD, NUMA1, IL18BP, ANO1, and FGF3 are disease-causing. The mitochondrial gene shows no variations.ConclusionThe child has carried a de novo 11q13.3q13.4 microdeletion, in which SHANK2 genes may be the key gene responsible for the phenotype of intellectual disability. The renal manifestation of the child, which can be diagnosed as Fanconi renotubular syndrome, has an unknown cause but may result from the effect of the ANO1 gene. This case adds a new phenotype to the deletion of this region.https://www.frontiersin.org/articles/10.3389/fped.2023.1097062/fulldeletion 11q13copy number variationfanconi renotubular syndromeSHANK2ANO1mental retardation
spellingShingle Yingxiao Shen
Xiaoqin Xu
Jiansong Chen
Jingjing Wang
Guanping Dong
Ke Huang
Junfen Fu
Dingwen Wu
Wei Wu
De novo 11q13.3q13.4 deletion in a patient with Fanconi renotubular syndrome and intellectual disability: Case report and review of literature
Frontiers in Pediatrics
deletion 11q13
copy number variation
fanconi renotubular syndrome
SHANK2
ANO1
mental retardation
title De novo 11q13.3q13.4 deletion in a patient with Fanconi renotubular syndrome and intellectual disability: Case report and review of literature
title_full De novo 11q13.3q13.4 deletion in a patient with Fanconi renotubular syndrome and intellectual disability: Case report and review of literature
title_fullStr De novo 11q13.3q13.4 deletion in a patient with Fanconi renotubular syndrome and intellectual disability: Case report and review of literature
title_full_unstemmed De novo 11q13.3q13.4 deletion in a patient with Fanconi renotubular syndrome and intellectual disability: Case report and review of literature
title_short De novo 11q13.3q13.4 deletion in a patient with Fanconi renotubular syndrome and intellectual disability: Case report and review of literature
title_sort de novo 11q13 3q13 4 deletion in a patient with fanconi renotubular syndrome and intellectual disability case report and review of literature
topic deletion 11q13
copy number variation
fanconi renotubular syndrome
SHANK2
ANO1
mental retardation
url https://www.frontiersin.org/articles/10.3389/fped.2023.1097062/full
work_keys_str_mv AT yingxiaoshen denovo11q133q134deletioninapatientwithfanconirenotubularsyndromeandintellectualdisabilitycasereportandreviewofliterature
AT xiaoqinxu denovo11q133q134deletioninapatientwithfanconirenotubularsyndromeandintellectualdisabilitycasereportandreviewofliterature
AT jiansongchen denovo11q133q134deletioninapatientwithfanconirenotubularsyndromeandintellectualdisabilitycasereportandreviewofliterature
AT jingjingwang denovo11q133q134deletioninapatientwithfanconirenotubularsyndromeandintellectualdisabilitycasereportandreviewofliterature
AT guanpingdong denovo11q133q134deletioninapatientwithfanconirenotubularsyndromeandintellectualdisabilitycasereportandreviewofliterature
AT kehuang denovo11q133q134deletioninapatientwithfanconirenotubularsyndromeandintellectualdisabilitycasereportandreviewofliterature
AT junfenfu denovo11q133q134deletioninapatientwithfanconirenotubularsyndromeandintellectualdisabilitycasereportandreviewofliterature
AT dingwenwu denovo11q133q134deletioninapatientwithfanconirenotubularsyndromeandintellectualdisabilitycasereportandreviewofliterature
AT weiwu denovo11q133q134deletioninapatientwithfanconirenotubularsyndromeandintellectualdisabilitycasereportandreviewofliterature