PMID- 23341071 OWN - NLM STAT- MEDLINE DCOM- 20130805 LR - 20201209 IS - 1552-4833 (Electronic) IS - 1552-4825 (Linking) VI - 161A IP - 3 DP - 2013 Mar TI - A novel mosaic NSD1 intragenic deletion in a patient with an atypical phenotype. PG - 611-8 LID - 10.1002/ajmg.a.35814 [doi] AB - Sotos syndrome, which is characterized by overgrowth, macrocephaly, distinctive facial features, and developmental delay, arises from mutations and deletions of the NSD1 gene at 5q35.3. Sixteen NSD1 intragenic deletions (including one in a mosaic condition) and one partial duplication have been reported in patients with Sotos syndrome. Here, we describe a boy aged 4 years and 10 months that showed facial dysmorphism (including frontal bossing, widely spaced eyes, deeply set eyes, a wide nasal bridge, anteverted nares, and a wide mouth), normal growth, and a psychomotor delay. High-resolution array comparative genomic hybridization (CGH) analysis identified a mosaic heterozygous intragenic NSD1 deletion of 38 kb, which included part of intron 2 and the entire exon 3, and led to NSD1 haploinsufficiency. The deletion somatic mosaicism was subsequently confirmed by fluorescence in situ hybridization (FISH) analysis using fosmid clones. This patient presents the most atypical phenotype thus far associated with NSD1 haploinsufficiency. It is possible that this atypical phenotype may have resulted from the somatic mosaicism of the NSD1 defect. Our study confirms the usefulness of array CGH for increasing the detection rate of NSD1 abnormalities and for diagnosing syndromic patients that do not present an easily recognized phenotype. CI - Copyright (c) 2013 Wiley Periodicals, Inc. FAU - Castronovo, Chiara AU - Castronovo C AD - Laboratory of Medical Cytogenetics and Molecular Genetics, IRCCS Istituto Auxologico Italiano, Milano, Italy. c.castronovo@auxologico.it FAU - Rusconi, Daniela AU - Rusconi D FAU - Crippa, Milena AU - Crippa M FAU - Giardino, Daniela AU - Giardino D FAU - Gervasini, Cristina AU - Gervasini C FAU - Milani, Donatella AU - Milani D FAU - Cereda, Anna AU - Cereda A FAU - Larizza, Lidia AU - Larizza L FAU - Selicorni, Angelo AU - Selicorni A FAU - Finelli, Palma AU - Finelli P LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130122 PL - United States TA - Am J Med Genet A JT - American journal of medical genetics. Part A JID - 101235741 RN - 0 (Intracellular Signaling Peptides and Proteins) RN - 0 (Nuclear Proteins) RN - EC 2.1.1.- (Histone Methyltransferases) RN - EC 2.1.1.43 (Histone-Lysine N-Methyltransferase) RN - EC 2.1.1.43 (NSD1 protein, human) SB - IM MH - Abnormalities, Multiple/*diagnosis/genetics MH - Child, Preschool MH - Comparative Genomic Hybridization MH - Developmental Disabilities/*diagnosis/genetics MH - Heterozygote MH - Histone Methyltransferases MH - Histone-Lysine N-Methyltransferase MH - Humans MH - Intracellular Signaling Peptides and Proteins/*genetics MH - Male MH - Molecular Diagnostic Techniques MH - Mosaicism MH - Nuclear Proteins/*genetics MH - Phenotype MH - Sequence Deletion EDAT- 2013/01/24 06:00 MHDA- 2013/08/06 06:00 CRDT- 2013/01/24 06:00 PHST- 2011/09/07 00:00 [received] PHST- 2012/11/14 00:00 [accepted] PHST- 2013/01/24 06:00 [entrez] PHST- 2013/01/24 06:00 [pubmed] PHST- 2013/08/06 06:00 [medline] AID - 10.1002/ajmg.a.35814 [doi] PST - ppublish SO - Am J Med Genet A. 2013 Mar;161A(3):611-8. doi: 10.1002/ajmg.a.35814. Epub 2013 Jan 22.