PMID- 38203422 OWN - NLM STAT- MEDLINE DCOM- 20240112 LR - 20240113 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 25 IP - 1 DP - 2023 Dec 23 TI - Diversity of Clinical and Molecular Characteristics in Korean Patients with 16p11.2 Microdeletion Syndrome. LID - 10.3390/ijms25010253 [doi] LID - 253 AB - 16p11.2 copy number variations (CNVs) are increasingly recognized as one of the most frequent genomic disorders, and the 16p11.2 microdeletion exhibits broad phenotypic variability and a diverse clinical phenotype. We describe the neurodevelopmental course and discordant clinical phenotypes observed within and between individuals with identical 16p11.2 microdeletions. An analysis with the CytoScan Dx Assay was conducted on a GeneChip System 3000Dx, and the sample signals were then compared to a reference set using the Chromosome Analysis Suite software version 3.1. Ten patients from six separate families were identified with 16p11.2 microdeletions. Nine breakpoints (BPs) 4-5 and one BP2-5 of the 16p11.2 microdeletion were identified. All patients with 16p11.2 microdeletions exhibited developmental delay and/or intellectual disability. Sixty percent of patients presented with neonatal hypotonia, but muscle weakness improved with age. Benign infantile epilepsy manifested between the ages of 7-10 months (a median of 8 months) in six patients (60%). Vertebral dysplasia was observed in two patients (20%), and mild scoliosis was noted in three patients. Sixty percent of patients were overweight. We present six unrelated Korean families, among which identical 16p11.2 microdeletions resulted in diverse developmental trajectories and discordant phenotypes. The clinical variability and incomplete penetrance observed in individuals with 16p11.2 microdeletions remain unclear, posing challenges to accurate clinical interpretation and diagnosis. FAU - Han, Ji Yoon AU - Han JY AUID- ORCID: 0000-0002-4174-5266 AD - Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea. FAU - Cho, Yong Gon AU - Cho YG AUID- ORCID: 0000-0003-3011-6875 AD - Department of Laboratory Medicine, Jeonbuk National University Medical School and Hospital, Jeonju 54907, Republic of Korea. AD - Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju 54907, Republic of Korea. FAU - Jo, Dae Sun AU - Jo DS AD - Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju 54907, Republic of Korea. AD - Department of Pediatrics, Jeonbuk National University Medical School and Hospital, Jeonju 54907, Republic of Korea. FAU - Park, Joonhong AU - Park J AUID- ORCID: 0000-0001-7354-4234 AD - Department of Laboratory Medicine, Jeonbuk National University Medical School and Hospital, Jeonju 54907, Republic of Korea. AD - Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju 54907, Republic of Korea. LA - eng GR - 2021RIF1A063568/This work was supported by a grant of the National Research Foundation of Korea (NRF) funded by the Korean government (Ministry of Science and ICT (MSIT): 2021RIF1A063568)/ PT - Journal Article DEP - 20231223 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 SB - IM MH - Humans MH - Infant MH - Infant, Newborn MH - *DNA Copy Number Variations MH - Republic of Korea MH - *Chromosome Deletion MH - *Chromosomes, Human, Pair 16/genetics MH - Phenotype MH - *Genetic Diseases, Inborn MH - Developmental Disabilities/genetics MH - Intellectual Disability/genetics MH - East Asian People PMC - PMC10779371 OTO - NOTNLM OT - 16p11.2 microdeletion OT - CytoScan Dx Assay OT - benign infantile epilepsy OT - developmental delay OT - intellectual disability OT - neonatal hypotonia OT - phenotypic heterogeneity OT - vertebral abnormalities COIS- The authors declare no conflicts of interest. EDAT- 2024/01/11 07:43 MHDA- 2024/01/12 06:43 PMCR- 2023/12/23 CRDT- 2024/01/11 01:18 PHST- 2023/11/15 00:00 [received] PHST- 2023/12/12 00:00 [revised] PHST- 2023/12/20 00:00 [accepted] PHST- 2024/01/12 06:43 [medline] PHST- 2024/01/11 07:43 [pubmed] PHST- 2024/01/11 01:18 [entrez] PHST- 2023/12/23 00:00 [pmc-release] AID - ijms25010253 [pii] AID - ijms-25-00253 [pii] AID - 10.3390/ijms25010253 [doi] PST - epublish SO - Int J Mol Sci. 2023 Dec 23;25(1):253. doi: 10.3390/ijms25010253.