140:(UCLA) of 13 children with Dup15q syndrome and 13 children with nonsyndromic ASD (i.e., autism not caused by a known genetic disorder) found that, compared to children with nonsyndromic autism, children with Dup15q had significantly lower autism severity as measured by the Autism Diagnostic Observation Schedule (ADOS) (all children in the study met diagnostic criteria for ASD). However, children with Dup15q syndrome had significantly greater motor impairment and impairment of daily living skills than children in the nonsyndromic ASD group. Within the Dup15q syndrome cohort, children with epilepsy had greater cognitive impairment.
152:(CNV) in which extra copies of certain genes are present in the genome. Two duplication types are commonly described in Dup15q syndrome, interstitial and isodicentric. Interstitial duplications are typically partial trisomies (i.e., one extra copy of each gene) and features these extra gene copies on the Chromosome 15 alongside the "original" copies. Isodicentric duplications are typically partial tetrasomies (i.e., two extra copies of each gene) and feature an extranumerary chromosome that contains the extra genes.
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With the increase in genetic testing availability, more often duplications outside of the 15q11.2-13.1 region are being diagnosed. The global chromosome 15q11.2-13.1 duplication syndrome specific groups only provide medical information and research for chromosome 15q11.2-13.1 duplication syndrome and
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Individuals with Dup15q syndrome are at high risk for epilepsy, autism, and intellectual disability. Motor impairments are very common in individuals with the disorder. Rates of epilepsy in children with isodicentric duplications are higher than in children with interstitial duplications. A majority
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frequency (12–30 Hz) oscillations. This EEG signature was first noted as a qualitative pattern in clinical EEG readings and was later described quantitatively by researchers at the UCLA and their collaborators within the network of national Dup15q clinics. This group of researchers found that
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is an advocacy organization in the United States for families affected by the disorder. The organization holds biannual family conferences to bring together families, as well as annual science conferences to bring together Dup15q syndrome researchers from around the world.
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Smith, Stephen EP, et al. "Increased gene dosage of Ube3a results in autism traits and decreased glutamate synaptic transmission in mice." Science translational medicine 3.103 (2011): 103ra97-103ra97.
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beta activity in children with Dup15q syndrome is significantly greater than that observed in (1) healthy, typically developing children of the same age and (2) children of the same age and
42:. It is the most common genetic cause of autism, accounting for approximately 1-3% of cases. Dup15q syndrome includes both interstitial duplications and isodicentric duplications (i.e.,
289:; Saravanapandian, Vidya; Golshani, Peyman; Reiter, Lawrence; Sankar, Raman; Thibert, Ronald; DiStefano, Charlotte; Huberty, Scott; Cook, Edwin; Jeste, Shafali (December 2016).
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Coghlan, Suzanne, et al. "GABAe system dysfunction in autism and related disorders: from synapse to symptoms." Neuroscience & Biobehavioral
Reviews 36.9 (2012): 2044-2055.
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Cook Jr, Edwin H., et al. "Autism or atypical autism in maternally but not paternally derived proximal 15q duplication." American journal of human genetics 60.4 (1997): 928.
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Spontaneous EEG recordings (right) from a 28-month-old child with Dup15q syndrome show diffuse beta frequency oscillations that represent an EEG signature of Dup15q.
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syndrome is the common name for maternally inherited chromosome 15q11.2-q13.1 duplication syndrome. This is a genomic copy number variant that leads to a type of
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and has been associated with autism. It is involved in protein degradation via the ubiquitin pathway and also plays an important role in synaptic functioning.
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with autism not caused by a known genetic disorder (i.e., nonsyndromic ASD). The EEG signature appears almost identical to beta oscillations induced by
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receptors, respectively. Because GABA is the principal inhibitory neurotransmitter of the human brain, it is likely that duplications of these GABA
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DiStefano, Charlotte, Amanda
Gulsrud, Scott Huberty, Connie Kasari, Edwin Cook, Lawrence T. Reiter, Ronald Thibert, and Shafali Spurling Jeste.
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Greer, Paul L., et al. "The
Angelman Syndrome protein Ube3A regulates synapse development by ubiquitinating arc." Cell 140.5 (2010): 704-716.
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Shaaya, Elias A., et al. "Gastrointestinal problems in 15q duplication syndrome." European journal of medical genetics 58.3 (2015): 191-193.
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Conant, Kerry D., et al. "A survey of seizures and current treatments in 15q duplication syndrome." Epilepsia 55.3 (2014): 396-402.
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Fritschy, Jean-Marc. "Epilepsy, E/I balance and GABAA receptor plasticity." Frontiers in molecular neuroscience 1 (2008): 5.
431:"Measuring Electroencephalography: The Ups and Downs of Delta and Beta Bands as Biomarkers for 15q11-q13–Related Disorders"
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of patients with either duplication type (isodicentric or interstitial) have a history of gastrointestinal problems.
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is a ubiquitin-protein ligase that is involved in targeting proteins for degradation and plays an important role in
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252:. Treatment monitoring and identification of molecular disease mechanisms may be facilitated by this biomarker.
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Many important genes in the 15q11.2-13.1 region likely play crucial roles in the etiology of Dup15q syndrome.
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receptors, suggesting that the signature is driven by overexpression of duplicated GABA
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receptor genes affect or disrupt inhibitory neural transmission in Dup15q syndrome.
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Important genes likely involved in the etiology of Dup15q syndrome include
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Journal of neurodevelopmental disorders 8, no. 1 (2016): 1
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Patients with Dup15q syndrome feature a distinctive
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