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Mol Syndromol. 2015 Oct;6(4):204-6. doi: 10.1159/000440660. Epub 2015 Sep 18.

Mitochondrial Dysfunction in a Patient with 8q21.11 Deletion and Charcot-Marie-Tooth Disease Type 2K due to GDAP1 Haploinsufficiency.

Molecular syndromology

Dmitriy Niyazov, Diane Africk

Affiliations

  1. Department of Pediatrics, Ochsner Clinic Foundation, New Orleans, La., USA.

PMID: 26648837 PMCID: PMC4662286 DOI: 10.1159/000440660

Abstract

Unbalanced chromosomal rearrangements typically cause multiple organ system involvement including neurodevelopmental deficits. It is atypical, however, to experience developmental and neurological regression. We describe a female with intellectual disability, failure to thrive, short stature, multiple congenital anomalies, and dysmorphic features and a previously diagnosed de novo 8q21.11 deletion at the age of 7. However, at the age of 11, she experienced neurological and developmental regression. The GDAP1 gene encoding ganglioside-induced differentiation-associated protein 1 was deleted in the patient as a part of the contiguous gene syndrome. We argue that haploinsufficiency of GDAP1 could have contributed to the proband's regression based on its involvement in mitochondrial function and a signal transduction pathway in neuronal development.

Keywords: 8q21.11 deletion; Charcot-Marie-Tooth disease type 2; GDAP1; Mitochondrial dysfunction

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