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. 2021 Jun 28;12(7):987. doi: 10.3390/genes12070987

Table 2.

Comparison of major phenotypes of different subtypes.

Major Aspects AS Due to Maternal del15q11–13 AS Due to Non-Deletion
Paternal Uniparental Disomy for
Chromosome15q11–q13 (UPD)
Imprinting Defect Pathogenic UBE3A Mutation
Development More delayed across all development domains
than other types
Cognitive skills lower than other types
Delayed gross and fine motor skills more severe
Reduced developmental age regarding visual perception, receptive language, and expressive language
Higher overall age equivalent scores and growth score equivalents than
deleion type but lower than UBE3A mutation subtype;
Better development and expressive language ability in patients with UPD and imprinting defect
Higher scores and greater rates of skill attainment in all development domains in patients UBE3A mutation
Seizures More common and severe in the deletion group Lower prevalence of epilepsy, and more with late-onset seizures.
UPD subtype has the lowest frequency of epilepsy and exhibits the least severe epilepsy phenotype
The severity of epilepsy in the UBE3A mutation subtype ranks second after the deletion subtype
Behavior Lower response rates to the social reinforcement
paradigm than other types
The imprinting defect a high rate of reinforcement by social stimuli. Patients with UBE3A mutations
Sleep Common in all subtypes but Sleep problems are more prevalent in children with UPD and UBE3A mutations
Others Higher rate of hypopigmentation UPD and imprinting defects have a higher risk of obesity than deletion type