PMID- 30848064 OWN - NLM STAT- MEDLINE DCOM- 20200421 LR - 20200930 IS - 1552-4833 (Electronic) IS - 1552-4825 (Linking) VI - 179 IP - 5 DP - 2019 May TI - Genotype and phenotype correlation in 103 individuals with 2q37 deletion syndrome reveals incomplete penetrance and supports HDAC4 as the primary genetic contributor. PG - 782-791 LID - 10.1002/ajmg.a.61089 [doi] AB - The 2q37 deletion syndrome, also described in the literature as brachydactyly-mental retardation syndrome (MIM 600430), is caused by deletion or haploinsufficiency of the HDAC4 gene, which encodes the histone deacetylase 4 protein. Although the most commonly described hallmark features of the 2q37 deletion syndrome include brachydactyly type E, developmental delay, obesity, autistic features, and craniofacial or skeletal dysmorphism, a literature review of 101 published cases plus two newly reported individuals indicates that there is a high degree of variability in the presence of some of the features that are considered the most characteristic of the syndrome: overweight and obesity (34%), cognitive-behavioral issues (79%), dysmorphic craniofacial features (86%), and type E brachydactyly (48%). These features overlap with other neurodevelopmental conditions, including Smith-Magenis syndrome (SMS), and may be incompletely penetrant or demonstrate variable expressivity, depending on the specific chromosomal anomaly. With the advent of fluorescence in situ hybridization (FISH), array-based comparative genomic hybridization, and next-generation DNA sequencing, more detailed molecular diagnoses are possible than in years past, enabling refined characterization of the genotype-phenotype correlation for subjects with 2q37 deletions. In addition, investigations into molecular and gene expression networks are expanding in neurodevelopmental conditions, and we surveyed HDAC4 downstream gene expression by quantitative real-time polymerase chain reaction, further implicating HDAC4 in its role in the regulation of RAI1. Correlation of clinical data defining the impact on downstream gene expression and the potential clinical associations across neurodevelopment will improve our understanding of these complex conditions and potentially lead to common therapeutic approaches. CI - (c) 2019 Wiley Periodicals, Inc. FAU - Le, Trang N AU - Le TN AD - Department of Pediatrics, Virginia Commonwealth University School of Medicine, Richmond, Virginia. AD - Department of Internal Medicine, Division of Endocrinology, Virginia Commonwealth University School of Medicine, Richmond, Virginia. FAU - Williams, Stephen R AU - Williams SR AD - Department of Neurology, University of Virginia, Charlottesville, Virginia. FAU - Alaimo, Joseph T AU - Alaimo JT AD - Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas. FAU - Elsea, Sarah H AU - Elsea SH AUID- ORCID: 0000-0002-1400-8519 AD - Department of Pediatrics, Virginia Commonwealth University School of Medicine, Richmond, Virginia. AD - Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas. AD - Department of Human and Molecular Genetics, Virginia Commonwealth University School of Medicine, Richmond, Virginia. LA - eng GR - Fondation Jerome Lejeune/International GR - Virginia Commonwealth University/International GR - Baylor College of Medicine/International PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20190307 PL - United States TA - Am J Med Genet A JT - American journal of medical genetics. Part A JID - 101235741 RN - 0 (Repressor Proteins) RN - EC 3.5.1.98 (HDAC4 protein, human) RN - EC 3.5.1.98 (Histone Deacetylases) RN - Chromosome 2q37 deletion syndrome SB - IM CIN - Am J Med Genet A. 2020 Aug;182(8):1861-1864. PMID: 32432407 MH - Chromosome Deletion MH - Chromosomes, Human, Pair 2/genetics MH - Developmental Disabilities/genetics MH - Female MH - Gene Expression MH - *Genetic Association Studies MH - *Genetic Predisposition to Disease MH - *Genotype MH - Histone Deacetylases/*genetics MH - Humans MH - Infant MH - Intellectual Disability/genetics MH - Male MH - Mutation MH - *Penetrance MH - *Phenotype MH - Repressor Proteins/*genetics OTO - NOTNLM OT - HDAC4 OT - autism spectrum disorder OT - behavioral disturbances OT - brachydactyly type E OT - developmental delay OT - obesity EDAT- 2019/03/09 06:00 MHDA- 2020/04/22 06:00 CRDT- 2019/03/09 06:00 PHST- 2018/04/20 00:00 [received] PHST- 2019/01/02 00:00 [revised] PHST- 2019/02/05 00:00 [accepted] PHST- 2019/03/09 06:00 [pubmed] PHST- 2020/04/22 06:00 [medline] PHST- 2019/03/09 06:00 [entrez] AID - 10.1002/ajmg.a.61089 [doi] PST - ppublish SO - Am J Med Genet A. 2019 May;179(5):782-791. doi: 10.1002/ajmg.a.61089. Epub 2019 Mar 7.