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. 2023 Aug 14;19(1):115–124. doi: 10.4183/aeb.2023.115

Table 2.

Duplications of upstream and downstream SHOX CNEs and their phenotypes - literature data (IUGR-intrauterine growth retardation, NA – not available)

Author, year SHOX and SHOX-area duplication size and localization Methodology Clinical phenotype X Ray
Type Localization Size
Iughetti, 2010 (39) dup exon 1 SHOX gene to enhancer 500 kb MLPA ISS Normal
Benito-Sanz, 2011 (20) dup SHOX gene 5’ region MLPA ISS Normal
Caliebe, 2012 (32) dup 647,566–915,079 bp 267.5 kb MLPA IUGR; microcephaly, SS   NA
dup Xp22.33 (779,805–915,079 bp); 239.4 kb proximal of SHOX 135.3 kb MLPA ISS   NA
Hirschfeldova, 2012 (40) dup CNE9 MLPA, SHOX sequencing LWD – proportional short stature, (-2.5 SD), short forearm, cubitus valgus, and muscular hypertrophy   NA
Sandoval, 2014 (34) dup CNE9 MLPA, aCGH ISS, disproportionate   NA
Fukami, 2015 (16) dup CNE-2 (upstream). Exons 1-6b, CNE4, CNE5 (downstream) MLPA ISS Normal
dup Exons 1-6b, CNE4, CNE5, ECR1 and CNE9/ECS4 (downstream) MLPA ISS Normal
dup CNE-2, CNE-3, CNE-5 (upstream), Exons 1-3 MLPA ISS Normal
dup CNE9 MLPA ISS Normal
Bunyan, 2016 (36) dup CNE2, CNE3, CNE4, CNE5, CNE6, ECR1,CNE8, ECS4(CNE9) and possibly X:970,000 MLPA, aCGH Short stature, LWD, Disproportionate limbs bilateral Madelung deformity
dup CNE8, ECS4 (CNE9) and X:970,000 Short stature, LWD – Disproportionate limbs bilateral Madelung deformity
dup CNE8, ECS4 (CNE9) and X:970,000 Short stature, LWD Disproportionate limbs, bowing of forearms bilateral Madelung deformity
dup ECS4 (CNE9) X:821,993-961,522 (hg19) 113-140 kb ISS; short stature Normal
dup X:970,000 (and possibly affects ECS4) Short stature, LWD Mesomelia bilateral Madelung deformity
dup CNE-3, CNE-2 Short stature, LWD Bilateral Madelung deformity
Shima, 2016 (37) dup SHOX Exons 1–3 and upstream CNE-5, CNE-3, and CNE-2 ISS Normal
dup Entire SHOX gene and upstream CNE-2, downstream CNE4 and CNE5 ISS Normal
dup Entire SHOX gene and downstream CNE4, CNE5, ECR1 and CNE9/ECS4 ISS Normal
dup CNE9 ISS Normal
dup Downstream region ISS Normal
Hirschfeldova, 2017 (35) dup Large dup SHOX gene and downstream regulatory elements MLPA ISS Normal
dup CNE9 (different sizes) MLPA ISS Normal
dup Large dup Intron 6 SHOX gene, CNE3, 4, 5, 7, 8, 9 MLPA ISS Normal
dup Large dup CNE4, 5, 7, 8, 9 MLPA ISS Normal
dup CNE-2, CNE-5 (upstream) MLPA ISS Normal
Capkova, 2020 (41) dup Downstream regulatory elements, not detailed MLPA, FISH, Sanger Sequencing ISS Normal
Fanelli A, 2022 (38) dup chrX:917,600 - 1,030,000 aCGH and breakpoint PCR LWD Normal