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Table 2.

Patients with paternally-derived interstitial duplications or triplications of chromosome 15q11-q13 with an abnormal phenotype reported in the literature

Study Rearrangement Sex Age Clinical characteristics
Mohandas et al., 1999 (39) duplication (at least BP2-BP3) M 2 y, 4 mo developmental delay, absent speech, partial agenesis of the corpus callosum and heterotopic gray matter in the right hemisphere; no dysmorphic features
Engelen et al., 1999 (38) duplication (at least BP2-BP3) M 12 y features similar to Prader-Willi syndrome, including developmental delay, obesity starting during the first year of life, mild mental retardation, excessive eating, skin picking, minor dysmorphic features (high forehead, upslanting palpebral fissures), myopia, and small hands
Mao et al., 2000 (40) duplication (at least BP2-BP3) M 16 y developmental and speech delay, behavioral problems (mood liability, social immaturity), uncontrolled appetite, food stealing, self-injurious behavior, depression and anxiety, low average IQ, short stature, obesity, no dysmorphic features
Roberts et al., 2002, Bolton et al., 2004, Veltman et al., 2005 (37, 53, 54) duplication BP1-BP3 F 5 y proband: motor and speech delay delay, PDD-NOS, borderline mental retardation, clumsy and uncoordinated, stiff gait, mild hypotonia, joint laxity, slight down-slanting palpebral fissures
duplication BP1-BP3 F 8 y older sister: language and speech delay, developmental motor coordination disorder, oppositional defiant behavior, encopresis, autistic behavior when younger but no ASD at 8 y, low average IQ; clumsy, mild hypotonia, joint laxity*
Smith et al., 2004 (41) duplication BP2-BP3 F 17 y hypotonia, development and speech delay, autism, dyscalculia, short stature, minimal dysmorphism and motor coordination problems; normal IQ
Cassidy et al., 1996 (42) triplication BP2-BP3 (BP1-2 not studied) (BP3-4 normal) F 6 y neonatal hypotonia, difficulty feeding, motor and speech delay (words 2.5 y, phrases 6 y), violent and repetitive behavior, high pain tolerance, short stature, wide mouth, normal neurological exam
Ungaro et al., 2001 (43) triplication BP1-BP4 F 12 y features similar to Prader-Willi syndrome, including mild mental retardation, cleft palate, obesity, compulsive eating, small hands and feet, and short stature

All rearrangements included the Prader-Willi syndrome/Angelman syndrome critical region. All duplications/triplications were characterized molecularly and parental transmission was assessed with methylation studies, except Engelen et al. (38) who determined parental origin based on cytogenetic polymorphisms, and Smith et al. (41), who used microsatellite analysis. In addition, Engelen et al. (38) observed the duplication with FISH but microsatellite analysis showed no duplication and the methylation pattern was normal, thus making this case questionable.

* Another sibling, who did not carry the duplication, also had mild hypotonia and a history of marked speech delay and articulatory dyspraxia, while the mother had delayed speech and troubles with reading and writing in school.

Abbreviations: ASD, autism spectrum disorder; BP, breakpoint, PDD-NOS, pervasive developmental disorder not otherwise specified

Biol Psychiatry. 2009 August; 66(4): 349–59.
Published online 2009 March 17. doi: 10.1016/j.biopsych.2009.01.025.