Abstract

BackgroundSince the introduction of the array-CGH technique in the diagnostic workup of mental retardation, new recurrent copy number variations and novel microdeletion/microduplication syndromes were identified. These findings suggest that some genomic disorders have high penetrance but a wide range of phenotypic severity.ResultsWe present the clinical and molecular description of four unrelated patients affected by neurodevelopmental disorders and overlapping 7q31.1 microdeletion/microduplication, identified by array-CGH and involving only part of the IMMP2L gene.ConclusionIMMP2L encodes an inner mitochondrial membrane protease-like protein, which is required for processing of cytochromes inside mitochondria. Numerous studies reported that this gene is implicated in behavioural disorders such as autistic spectrum disorders, attention-deficit hyperactivity disorders, and Gilles de la Tourette syndrome. We discuss the functions of the gene suggesting that IMMP2L may act as risk factor for neurological disease.

Highlights

  • Since the introduction of the array-CGH technique in the diagnostic workup of mental retardation, new recurrent copy number variations and novel microdeletion/microduplication syndromes were identified

  • Genome-wide linkage studies have identified genomic imbalances involving IMMP2L gene in 7q31.1 that are associated with autistim spectrum disorders (AUTS9) (MIM 611015) [2], attention deficit/hyperactivity disorder (ADHD) (MIM 143465) [3] and Gilles de la Tourette syndrome (GTS) (MIM 137580) [4,5,6,7]

  • Autism spectrum disorders (ASD) are a subset of complex neurodevelopmental disorders characterized by reduced reciprocal social interaction, impaired ability to communicate, and a narrow range of interests and repetitive behaviours

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Summary

Introduction

Since the introduction of the array-CGH technique in the diagnostic workup of mental retardation, new recurrent copy number variations and novel microdeletion/microduplication syndromes were identified. These findings suggest that some genomic disorders have high penetrance but a wide range of phenotypic severity. Genome-wide linkage studies have identified genomic imbalances involving IMMP2L gene in 7q31.1 that are associated with autistim spectrum disorders (AUTS9) (MIM 611015) [2], attention deficit/hyperactivity disorder (ADHD) (MIM 143465) [3] and Gilles de la Tourette syndrome (GTS) (MIM 137580) [4,5,6,7]. GTS is a neurobehavioral disorder characterized by motor and vocal tics and behavioural abnormalities usually appearing between 3 and 8 years of age

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