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Clinical findings in individuals with duplication of genes associated with X-linked intellectual disability
Authors:Nikhil Sahajpal  Catherine Ziats  Alka Chaubey  Barbara R. DuPont  Fatima Abidi  Charles E. Schwartz  Roger E. Stevenson
Affiliation:1. Diagnostic Laboratories, Greenwood Genetic Center, Greenwood, South Carolina, USA;2. Genetics Department, Shodair Children's Hospital, Helena, Montana, USA;3. Clinical and Scientific Affairs, Bionano Genomics, San Diego, California, USA;4. Department of Pediatrics and Human Development, Michigan State University, Grand Rapids, Michigan, USA;5. Equanimitas, Greenwood, South Carolina, USA
Abstract:Duplication of all genes associated with X-linked intellectual disability (XLID) have been reported but the majority of the duplications include more than one XLID gene. It is exceptional for whole XLID gene duplications to cause the same phenotype as sequence variants or deletions of the same gene. Duplication of PLP1, the gene associated with Pelizaeus-Merzbacher syndrome, is the most notable duplication of this type. More commonly, duplication of XLID genes results in very different phenotypes than sequence alterations or deletions. Duplication of MECP2 is widely recognized as a duplication of this type, but a number of others exist. The phenotypes associated with gene duplications are often milder than those caused by deletions and sequence variants. Among some duplications that are clinically significant, marked skewing of X-inactivation in female carriers has been observed. This report describes the phenotypic consequences of duplication of 22 individual XLID genes, of which 10 are described for the first time.
Keywords:copy number variants  gene duplication  syndromes  X chromosome  X-linked intellectual disability
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