Table 1. Comparison of clinical features of the patients carrying a microdeletion,10, 17 microduplication26 or de novo nonsense mutation18 only affecting the SATB2 gene.
Rosenfeld patient 1 | Rosenfeld patient 2 | Rosenfeld patient 3 | Balasubramanian patient 5 | Kaiser patient | Leoyklang patient | Patient in this report | |
---|---|---|---|---|---|---|---|
Age at time of description | 9y 8m | 21y | 6y | 3y | 11y | 36y | 3y |
Sex | F | M | F | M | F | M | F |
ID | Severe (IQ <50) | Severe | Severe (IQ 32) | Severe | Severe | Severe | Severe |
Speech development | 20 Words, 5 signs, 1 two-word phrase | Single words | No speech, but some signs | Absent | Nearly absent | 1 Word | Absent |
Behavior and sleep | Behavior problems | History of aggression | Sleep problems | NR | Challenging behavior | Jovial personality | Behavior and sleep problems |
Brain MRI | Normal | NR | NR | NR | NR | No intracranial abnormality | Normal |
Dysmorphic features | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Philtrum | Smooth | NR | NR | Short philtrum, high nasal bridge | NR | NR | Smooth |
Cleft palate | NRa | Yes | Noa | Yes | Yes | Yes | Yes |
Micrognathia | Yes | Yes | NR | Yes | Yes | Yes | Yes |
Teeth abnormalities | Delayed dentition | Crowded teeth | Fused central incisors | NR | Oligodontia | Anterior-pointing incisors, oligodontia | Crowded, irregularly shaped |
Additional findings | Gestational diabetes; good eye contact; ste-reotypic hand movements | High pain tolerance; not toilet trained | Gestational diabetes; 1 café-au-lait spot | Seizures, generalized osteoporosis | Astigmatism | ||
Del/dup/mut | Del | Del | Del | Del | Dup | p.R239* | p.R239* |
Abbreviations: del, microdeletion; dup, microduplication; ID, intellectual disability; m, months; mut, de novo point mutation (position as noted); NR, not reported; y, years.
See Figure 1 for the extents of the deletions.
All of these patients that clearly show the SATB2-associated phenotype have severe ID including delayed to non-existent speech development, cleft palate or *assumably high-arched palate (unfortunately, not reported sufficiently), micrognathia and tooth abnormalities.
The SATB2 missense mutation reported by Rauch et al.28 have not been included into this table because detailed clinical information was not available.