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Haploinsufficiency of is Likely to Contribute to Developmental Delay Involving 14q13 Microdeletions

Abstract

Nucleotide variations or deletions in the NK2 homeobox 1 gene (), located at 14q13.3, lead to symptoms associated with the brain, lungs, and thyroid, and the combination of these phenotypes is clinically recognized as the brain-lung-thyroid syndrome. Many types of nucleotide variants of have been identified, and phenotypic variability has been reported. Chromosomal deletions involving have also been reported; however, phenotypic differences between patients with nucleotide variants of and patients with chromosomal deletions involving have not been well established. Recently, we identified seven patients with 14q13 microdeletions involving the . Most patients exhibited developmental delay. This inquiry arises regarding the potential existence of haploinsufficiency effects beyond those attributed to within the 14q13 microdeletion. However, a literature review has shown that developmental delay is not rare in patients with nucleotide alterations in . Rather, motor function impairment may have affected the total developmental assessment, and the haploinsufficiency of genes contiguous to is unlikely to contribute to developmental delay.

References
1.
Wagner M, Skorobogatko Y, Pode-Shakked B, Powell C, Alhaddad B, Seibt A . Bi-allelic Variants in RALGAPA1 Cause Profound Neurodevelopmental Disability, Muscular Hypotonia, Infantile Spasms, and Feeding Abnormalities. Am J Hum Genet. 2020; 106(2):246-255. PMC: 7010976. DOI: 10.1016/j.ajhg.2020.01.002. View

2.
Hamvas A, Deterding R, Wert S, White F, Dishop M, Alfano D . Heterogeneous pulmonary phenotypes associated with mutations in the thyroid transcription factor gene NKX2-1. Chest. 2013; 144(3):794-804. PMC: 3760742. DOI: 10.1378/chest.12-2502. View

3.
Kimura S, Hara Y, Pineau T, Fox C, Ward J, Gonzalez F . The T/ebp null mouse: thyroid-specific enhancer-binding protein is essential for the organogenesis of the thyroid, lung, ventral forebrain, and pituitary. Genes Dev. 1996; 10(1):60-9. DOI: 10.1101/gad.10.1.60. View

4.
Carre A, Szinnai G, Castanet M, Sura-Trueba S, Tron E, Broutin-LHermite I . Five new TTF1/NKX2.1 mutations in brain-lung-thyroid syndrome: rescue by PAX8 synergism in one case. Hum Mol Genet. 2009; 18(12):2266-76. DOI: 10.1093/hmg/ddp162. View

5.
Hu X, Liu J, Guo R, Guo J, Zhao Z, Li W . A novel 14q13.1-21.1 deletion identified by CNV-Seq in a patient with brain-lung-thyroid syndrome, tooth agenesis and immunodeficiency. Mol Cytogenet. 2020; 12:51. PMC: 6924084. DOI: 10.1186/s13039-019-0463-z. View