Table I.
IDa | Main clinical features | NRXN1 deletion | Cytoband | CNV | Start (hg 19) | Size (kb) | # of genes | Inheritance | Protein-coding candidate genesb | Clinical laboratory classification |
---|---|---|---|---|---|---|---|---|---|---|
P44 | ID, ASD, ADHD, ODD, anxiety, TS | Exon 20 | X chr (47, XXX) | Gain | - | - | - | de novo | Various, including FMR1, MECP2, SYN1 | Pathogenic |
P43 | DD | β promoter | Yp11.32-p11.2 | Gain | 10,863 | 4,459 | - | de novo | Various, including | Pathogenic |
Yq11.21-q12 | Loss | 14,630,081 | 44,700 | - | NLGN4Y | |||||
P41 | DD | Exons 10–17 | 1q43 | Gain | 236,929,252 | 613 | 3 | Unknown | MTR, RYR2 | VUS |
15q13.1-q13.2c | Loss | 28,940,069 | 184 | 9 | APBA2, CHRFAM7A, TJP1 | VUS | ||||
P40 | DD | Exons 5-8 | 11p11.2-p11.12 | Gain | 48,088,592 | 831 | 8 | Paternal | None | VUS |
P39 | DD, ASD | Exons 5-8 | 1q23.3 | Gain | 160,927,546 | 428 | 23 | Unknown | USF1, PVRL4, PFDN2, PPOX, B4GALT3, ADAMTS4, NDUFS2, NR1I3, PCP4L1, MPZ, SDHC | VUS |
P38 | DD/ID, motor and speech delay, PDD, anxiety, failure to thrive | Exons 5-8 | 4q35.2 | Loss | 188,355,766 | 383 | 1 | Unknown | None | VUS |
P36 | DD, motor and speech delay | Exons 5-10 | 19q13.43 | Loss | 57,656,482 | 794 | 3 | Unknown | None | VUS |
P13 | DD, behaviour problems | exons 1-2 | 16p13.3 | Gain | 6,679,225 | 38 | 1 | Unknown | RBFOX1 | VUS |
P10 | DD, speech delay | αP and exons 1-4 | 8p23.3 | Gain | 843,413 | 750 | 4 | Paternal | DLGAP2 | VUS |
P6 | DD, behavioural problems, hypotonia, bilateral sensorineural loss | αP and exons 1-2 | 1p22.1 | Gain | 92,179,826 | 526 | 6 | Unknown | TGFBR3 | VUS |
3q29d | Loss | 192,404,455 | 164 | 2 | Unknown | FGF12 | VUS | |||
7q31.2-q31.31 | Gain | 117,382,934 | 1,700 | 3 | Unknown | CTTNBP2 | VUS | |||
Xp22.23 | Gain | 1,588,945 | 777 | 4 | Unknown | P2RY8, ASMT | VUS |
CNV, copy number variation. #, number; VUS, variant of unknown significance; DD, developmental delay; ASD, autism spectrum disorder; PDD, pervasive developmental disorder; ID, intellectual disability; ADHD, attention deficit hyperactivity disorder; ODD, oppositional defiant disorder; TS, Tourette’s syndrome; MCA, multiple congenital anomalies.
The subject ID’s match those found in Figure 1.
Protein coding genes known to be expressed and/or implicated in nervous system function or cardiac function based on literature search.
This deletion is distal to the Prader-Willi/Angelman syndrome region but proximal to the 15q13.3 deletion syndrome region (OMIM 612001).
Does not overlap the 3q29 microdeletion syndrome region associated with schizophrenia (OMIM 609425).