Abstract

BackgroundVan der Woude syndrome is the most common among syndromes which include cleft lip and/or cleft palate as one of the presentations. It is usually caused by mutations in the interferon regulatory factor 6 (IRF6) gene.Case presentationWe previously reported on a patient with suspected deletion of the IRF6 gene. Using the Affymetrix Human SNP 6.0 Array, the interstitial deletion has been confirmed and found to be approximately 2.327–2.334 Mb within the 1q32.2 region. Although several known genes were deleted, the patient has no other phenotype apart from the orofacial presentations typical of VWS. The same deletion was not present in either parent and his two siblings were also phenotypically normal.ConclusionsOther than IRF6, the genes which are deleted in this patient appear to be insensitive to copy number and haploinsufficiency. We compared the deletion in this patient with another case which was also mapped by high resolution array but had additional phenotypic features.

Highlights

  • Van der Woude syndrome is the most common among syndromes which include cleft lip and/or cleft palate as one of the presentations

  • Other than interferon regulatory factor 6 (IRF6), the genes which are deleted in this patient appear to be insensitive to copy number and haploinsufficiency

  • We compared the deletion in this patient with another case which was mapped by high resolution array but had additional phenotypic features

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Summary

Conclusions

The deletion in our patient appeared to be a very rare event with only two other de novo cases reported. Our data suggest that other than IRF6, the genes that were deleted were not affected by haploinsufficiency. Consent Approval to conduct the study was granted by the SingHealth Institutional Review Board. Written informed consent was obtained from the patients’ parents. Authors’ contributions ECT planned the study, obtained the funding, did the analysis and drafted the manuscript. STL did the clinical characterization and helped to draft the manuscript. All authors read and approved the final manuscript. Authors’ information 1Principal Scientist (ECT) and Senior Medical Technologist (ECPL), KK Research Centre, KK Women’s and Children’s Hospital, 100 Bukit Timah Road, Singapore 229899.

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