Evidence map›Paper›PMID 42003802›Full record

ReviewMolecular genetics & genomic medicine2026

A Complex Neurodevelopmental Phenotype Resembling a Chromatinopathy With Concurrent 7p Duplication and 10p Deletion Involving ZMYND11: A Case Report and Literature Review.

Elia Marco Paolo Minale, Stefania Martone, Chiara Criscuolo, Roberta Marra, Vito Alessandro Lasorsa, Raffaella Ruggiero, Teresa Suero, Mario Capasso, Immacolata Andolfo, Achille Iolascon and 2 more

Abstract readCase ReportsReview
In one paragraph

Review in Molecular genetics & genomic medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Elia Marco Paolo MinaleDepartment of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.ORCID https://orcid.org/0009-0007-5933-3183
Stefania MartoneU.O.C. Medical Genetics, A.O.U. Federico II, Naples, Italy.
Chiara CriscuoloDepartment of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples Federico II, Naples, Italy.
Roberta MarraDepartment of Molecular Medicine and Medical Biotechnology, University of Naples Federico II, Naples, Italy.
Vito Alessandro LasorsaDepartment of Molecular Medicine and Medical Biotechnology, University of Naples Federico II, Naples, Italy.
Raffaella RuggieroAMES, Centro Polidiagnostico Strumentale s.r.l., Naples, Italy.
Teresa SueroAMES, Centro Polidiagnostico Strumentale s.r.l., Naples, Italy.
Mario CapassoDepartment of Molecular Medicine and Medical Biotechnology, University of Naples Federico II, Naples, Italy.
Immacolata AndolfoDepartment of Molecular Medicine and Medical Biotechnology, University of Naples Federico II, Naples, Italy.
Achille IolasconDepartment of Molecular Medicine and Medical Biotechnology, University of Naples Federico II, Naples, Italy.
Roberta RussoDepartment of Molecular Medicine and Medical Biotechnology, University of Naples Federico II, Naples, Italy.
Michele PinelliU.O.C. Medical Genetics, A.O.U. Federico II, Naples, Italy.ORCID https://orcid.org/0000-0002-5927-1185

Funding

Rafforzamento e potenziamento della ricerca biomedica del SSN PNRR-MR1-2022-12376067 - C63C22001390007
6 · The paper itself

Abstract

backgroundThe complex pathogenetic mechanisms of rare genetic diseases make the diagnostic process highly challenging. Advances in molecular genomic techniques, such as exome sequencing, have improved the identification of copy number variants (CNVs), increasing diagnostic yield.

methodsWe report the case of a female patient with global developmental delay, growth alterations, and dysmorphic features. Clinical exome sequencing did not reveal point mutations. CNV analysis from exome data identified a 6 Mb microdeletion in 10p15.3p14, involving the ZMYND11 gene, and a 7.6 Mb microduplication in 7p22.3p21.3; both rearrangements were subsequently confirmed by chromosomal microarray analysis. Conventional karyotyping revealed a derivative chromosome 10 [46,XX,der (10)], a finding consistent with the possibility of an unbalanced translocation involving chromosomes 7 and 10. The combined cytogenetic and molecular findings are consistent with the possibility that the duplicated 7p segment is inserted into the short arm of chromosome 10.

resultsZMYND11, a dosage-sensitive gene, has been associated with Cornelia de Lange Syndrome (CdLS)-like phenotypes, and its haploinsufficiency is linked to 10p15.3 microdeletion syndrome. Our patient presented a complex phenotype due to the concurrent 7p duplication and 10p deletion, highlighting the importance of ZMYND11 in chromatinopathies. A review of similar cases supports considering ZMYND11 in evaluating chromatinopathy-related features. Notably, she also exhibited unique characteristics that have not been previously described in association with either CNV.

conclusionNext-generation sequencing, capable of detecting both single nucleotide variants and CNVs, is a critical tool for diagnosing neurodevelopmental disorders and uncovering diverse causative variants. This case emphasizes how NGS facilitates the identification of co-occurring CNVs and expands the phenotypic spectrum associated with chromatinopathies. Detailed characterization of such complex phenotypes using NGS is essential for advancing our understanding of rare genetic conditions and improving diagnostic accuracy.

Indexed as

Developmental DisabilitiesNeurodevelopmental DisordersPhenotypeCell Cycle ProteinsChromosome DeletionChromosome DuplicationChromosomes, Human, Pair 7Co-Repressor ProteinsDNA-Binding ProteinsFemaleHumansCell Cycle ProteinsCo-Repressor ProteinsDNA-Binding ProteinsZMYND11 protein, human10p15.3 microdeletion7p22.1 duplicationchromatinopathyZMYND11

Identifiers

PMID42003802
PMCPMC13093532

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