Severe Expressive-Language Delay Related to Duplication of the WilliamsBeuren Locus
Martin J. Somerville, Ph.D., Carolyn B. Mervis, Ph.D., Edwin J. Young, B.Sc., Eul-Ju Seo, M.D., Miguel del Campo, B.Sc., Stephen Bamforth, M.D., Ella Peregrine, B.Sc., Wayne Loo, M.Sc., Margaret Lilley, M.Sc., Luis A. Pérez-Jurado, M.D., Ph.D., Colleen A. Morris, M.D., Stephen W. Scherer, Ph.D., and Lucy R. Osborne, Ph.D.
The WilliamsBeuren syndrome (WBS) locus, at 7q11.23,is prone to recurrent chromosomal rearrangements, includingthe microdeletion that causes WBS, a multisystem condition withcharacteristic cardiovascular, cognitive, and behavioral features.It is hypothesized that reciprocal duplications of the WBS intervalshould also occur, and here we present such a case description.The most striking phenotype was a severe delay in expressivespeech, in contrast to the normal articulation and fluent expressivelanguage observed in persons with WBS. Our results suggest thatspecific genes at 7q11.23 are exquisitely sensitive to dosagealterations that can influence human language and visuospatialcapabilities.
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From the Department of Medical Genetics, University of Alberta, Edmonton, Alta., Canada (M.J.S., S.B., M.L.); the Department of Psychological and Brain Sciences, University of Louisville, Louisville, Ky. (C.B.M., E.P.); the Institute of Medical Science (E.J.Y., L.R.O.) and the Departments of Molecular and Medical Genetics (W.L., S.W.S., L.R.O.) and Medicine (L.R.O.), University of Toronto, and the Program in Genetics and Genomic Biology, Hospital for Sick Children (E.-J.S., S.W.S.) both in Toronto; the Unitat de Genètica, Departament Ciències Experimentals i de la Salut, Universitat Pompeu Fabra, Barcelona (M.C., L.A.P.-J.); and the Department of Pediatrics, University of Nevada School of Medicine, Las Vegas (C.A.M.). Drs. Somerville and Mervis contributed equally to this article.
Address reprint requests to Dr. Osborne at the Department of Medicine, University of Toronto, 7238 Medical Sciences Bldg., 1 King's College Circle, Toronto, ON M5S 1A8, Canada, or at lucy.osborne{at}utoronto.ca.
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