Deletion of the short arm of chromosome 20 in a girl with neurodevelopmental disorders

Authors

DOI:

https://doi.org/10.56294/neuro2025174

Keywords:

chromosome, deletion, partial monosomy, chrosomose aberrations, neurodelelopmental delay

Abstract

Introduction: Deletions of the short arm of chromosome 20 are a relatively rare chromosomal abnormality, with few reported cases in the literature and a wide range of clinical manifestations.
Objective: To describe the phenotypic features of a patient with an unusual deletion in the distal region of the short arm of chromosome 20.
Results: The patient exhibited severe neurodevelopmental delay, cardiac, gastrointestinal, and cerebral malformations, as well as multiple dysmorphic features. A high-resolution karyotype, analyzing 20 metaphases with GTG banding, detected a terminal deletion in the short arm of chromosome 20, with the karyotype 46,XX,del(20)(p12.2). Cytogenetic analysis of the mother revealed a  karyotype (46,XX). Paternal karyotype analysis was not possible, so it could not be determined whether the deletion was inherited or occurred de novo. Several protein-coding genes mapped to the deleted region were identified.
Conclusion: Most of the clinical manifestations observed in the patient are likely due to haploinsufficiency of the genes affected by the deletion on the short arm of chromosome 20. However, some malformations cannot be directly attributed to this phenomenon. 

References

1. Méndez Rosado L et al. Citogenética humana [Internet]. Editorial Ciencias Médicas. La Habana; 2024 [citado 5 de agosto de 2025]. Disponible en: http://www.bvscuba.sld.cu/libro/citogenetica-humana/

2. García-Cruz D, Rivera H, Barajas LO, Jiménez-Sáinz M, Nazará Z, Sánchez-Corona J, et al. Monosomy 20p due to a de novo del(20)(p12.2). Clinical and radiological delineation of the syndrome. Ann Genet. 1985;28(4):231–4.

3. Garcia-Heras J, Kilani RA, Martin RA, Lamp S. A deletion of proximal 20p inherited from a normal mosaic carrier mother in a newborn with panhypopituitarism and craniofacial dysmorphism. Clin Dysmorphol. julio de 2005;14(3):137–40.

4. Dutta S, Bharucha BA, Vaidya PV, Khurandal SA, Kher AS, Kumta NB. Deletion of short-arm of chromosome 20:46 XX, del (20) (p 11) with unusual skeletal features. Indian J Pediatr [Internet]. octubre de 1991 [citado 5 de agosto de 2025];58(5):701–8. Disponible en: https://doi.org/10.1007/BF02820196

5. Kiss P, Osztovics M. Deletion of the short arm of chromosome 20. Clin Genet [Internet]. febrero de 1988 [citado 5 de agosto de 2025];33(2):140–1. Disponible en: https://doi.org/10.1111/j.1399-0004.1988.tb03425.x

6. Rovet J, Krekewich K, Perlman K, Weksberg R, Holland J, Feigenbaum A. Savant characteristics in a child with developmental delay and deletion in the short arm of chromosome 20. Dev Med Child Neurol [Internet]. julio de 1995 [citado 5 de agosto de 2025];37(7):637–44. Disponible en: https://doi.org/10.1111/j.1469-8749.1995.tb12052.x

7. Sauter S, von Beust G, Burfeind P, Weise A, Starke H, Liehr T, et al. Autistic disorder and chromosomal mosaicism 46,XY[123]/46,XY,del(20)(pter --> p12.2)[10]. Am J Med Genet A [Internet]. 1 de agosto de 2003 [citado 5 de agosto de 2025];120A(4):533–6. Disponible en: https://doi.org/10.1002/ajmg.a.20089

8. Schnittger S, Höfers C, Heidemann P, Beermann F, Hansmann I. Molecular and cytogenetic analysis of an interstitial 20p deletion associated with syndromic intrahepatic ductular hypoplasia (Alagille syndrome). Hum Genet [Internet]. octubre de 1989 [citado 5 de agosto de 2025];83(3):239–44. Disponible en: https://doi.org/10.1007/BF00285164

9. Iourov I, Liehr T, Vorsanova S, Méndez-Rosado L, Yurov Y. The applicability of interphase chromosome-specific multicolor banding (ICS-MCB) for studying neurodevelopmental and neurodegenerative disorders. Res Results Biomed [Internet]. 2019 [citado 5 de agosto de 2025];5(3):4–9. Disponible en: https://doi.org/10.18413/2658-6533-2019-5-3-0

10. Kamath BM, Thiel BD, Gai X, Conlin LK, Munoz PS, Glessner J, et al. SNP array mapping of chromosome 20p deletions: genotypes, phenotypes, and copy number variation. Hum Mutat [Internet]. marzo de 2009 [citado 5 de agosto de 2025];30(3):371–8. Disponible en: https://doi.org/10.1002/humu.20863

11. Robert MLP, Lopez T, Crolla J, Huang S, Owen C, Burvill-Holmes L, et al. Alagille syndrome with deletion 20p12.2-p12.3 and hypoplastic left heart. Clin Dysmorphol [Internet]. octubre de 2007 [citado 5 de agosto de 2025];16(4):241–6. Disponible en: https://doi.org/10.1097/MCD.0b013e3282358d21

12. World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Participants. JAMA [Internet]. 7 de enero de 2025 [citado 30 de mayo de 2025];333(1):71–4. Disponible en: https://doi.org/10.1001/jama.2024.21972

13. National Center for Biotechnology Information [Internet]. [citado 5 de agosto de 2025]. Disponible en: https://www.ncbi.nlm.nih.gov/

14. Pilia G, Uda M, Macis D, Frau F, Crisponi L, Balli F, et al. Jagged-1 mutation analysis in Italian Alagille syndrome patients. Hum Mutat [Internet]. 1999 [citado 5 de agosto de 2025];14(5):394–400. Disponible en: https://doi.org/10.1002/(SICI)1098-1004(199911)14:5<394::AID-HUMU5>3.0.CO;2-1

15. Jurkiewicz D, Popowska E, Gläser C, Hansmann I, Krajewska-Walasek M. Twelve novel JAG1 gene mutations in Polish Alagille syndrome patients. Hum Mutat [Internet]. marzo de 2005 [citado 5 de agosto de 2025];25(3):321. Disponible en: https://doi.org/10.1002/humu.9313

16. An Y, Amr SS, Torres A, Weissman L, Raffalli P, Cox G, et al. SOX12 and NRSN2 are candidate genes for 20p13 subtelomeric deletions associated with developmental delay. Am J Med Genet B Neuropsychiatr Genet [Internet]. diciembre de 2013 [citado 5 de agosto de 2025];162B(8):832–40. Disponible en: https://doi.org/10.1002/ajmg.b.32187

17. Blasi V, Bolognesi E, Ricci C, Baglio G, Zanzottera M, Canevini MP, et al. SNAP-25 Single Nucleotide Polymorphisms, Brain Morphology and Intelligence in Children With Borderline Intellectual Functioning: A Mediation Analysis. Front Neurosci [Internet]. 2021 [citado 5 de agosto de 2025];15:715048. Disponible en: https://doi.org/10.3389/fnins.2021.715048

18. Gosso MF, de Geus EJC, van Belzen MJ, Polderman TJC, Heutink P, Boomsma DI, et al. The SNAP-25 gene is associated with cognitive ability: evidence from a family-based study in two independent Dutch cohorts. Mol Psychiatry [Internet]. septiembre de 2006 [citado 5 de agosto de 2025];11(9):878–86. Disponible en: https://doi.org/10.1038/sj.mp.4001868

19. Musolf AM, Justice CM, Erdogan-Yildirim Z, Goovaerts S, Cuellar A, Shaffer JR, et al. Whole genome sequencing identifies associations for nonsyndromic sagittal craniosynostosis with the intergenic region of BMP2 and noncoding RNA gene LINC01428. Sci Rep [Internet]. 12 de abril de 2024 [citado 5 de agosto de 2025];14(1):8533. Disponible en: https://doi.org/10.1038/s41598-024-58343-w

20. Justice CM, Kim J, Kim SD, Kim K, Yagnik G, Cuellar A, et al. A variant associated with sagittal nonsyndromic craniosynostosis alters the regulatory function of a non-coding element. Am J Med Genet A [Internet]. noviembre de 2017 [citado 5 de agosto de 2025];173(11):2893–7. Disponible en: https://doi.org/10.1002/ajmg.a.38392

21. Nawaz H, Mujahid, Khan SA, Bibi F, Waqas A, Bari A, et al. Biallelic Variants in Seven Different Genes Associated with Clinically Suspected Bardet-Biedl Syndrome. Genes (Basel) [Internet]. 19 de mayo de 2023 [citado 5 de agosto de 2025];14(5). Disponible en: https://doi.org/10.3390/genes14051113

22. Ullah A, Umair M, Yousaf M, Khan SA, Nazim-Ud-Din M, Shah K, et al. Sequence variants in four genes underlying Bardet-Biedl syndrome in consanguineous families. Mol Vis. 2017;23:482–94.

23. Méndez-Rosado L, Sotillo-Bent L, Sotillo-Lindo J, Barrios-Martínez A, Hechavarria-Estenoz D, Mayeta M, et al. Reciprocal Translocations in Prenatal Diagnosis: Latin America Data. OBM Genetics [Internet]. 2025 [citado 5 de agosto de 2025];9(2):296. Disponible en: https://doi.org/10.21926/obm.genet.2502296

Published

2025-09-05

Issue

Section

Original

How to Cite

1.
García García A, Galarza Brito JE, Maceiras Rosales L, Morales Peralta E, Méndez Rosado LA. Deletion of the short arm of chromosome 20 in a girl with neurodevelopmental disorders. Neurodivergences [Internet]. 2025 Sep. 5 [cited 2025 Sep. 10];4:174. Available from: https://neuro.ageditor.ar/index.php/neuro/article/view/174