Review of disrupted sleep patterns in Smith–Magenis syndrome and normal melatonin secretion in a patient with an atypical interstitial 17p11.2 deletion
Open accessAbstract
Smith–Magenis syndrome (SMS) is a disorder characterized by multiple congenital anomalies and behavior problems, including abnormal sleep patterns. It is most commonly due to a 3.5 Mb interstitial deletion of chromosome 17 band p11.2. Secretion of melatonin, a hormone produced by the pineal gland, is the body's signal for nighttime darkness. Published reports of 24‐hr melatonin secretion patterns in two independent SMS cohorts (US and France) document an inverted endogenous melatonin pattern in virtually all cases (96%), suggesting that this finding is pathognomic for the syndrome. We report on a woman with SMS due to an atypical large proximal deletion (∼6Mb; cen<‐>TNFRSFproteinB) of chromosome band (17)(p11.2p11.2) who presents with typical sleep disturbances but a normal pattern of melatonin secretion. We further describe a melatonin light suppression test in this patient. This is the second reported patient with a normal endogenous melatonin rhythm in SMS associated with an atypical large deletion. These two patients are significant because they suggest that the sleep disturbances in SMS cannot be solely attributed to the abnormal diurnal melatonin secretion versus the normal nocturnal pattern. © 2009 Wiley‐Liss, Inc.
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Symptoms of SMS include sleep and circadian abnormalities, with the most extreme being a complete reversal of sleep-wake patterns.
“Symptoms of SMS also include sleep and circadian abnormalities, with the most extreme being a complete reversal of sleep–wake patterns (that is, daytime sleep and night-time wake)128–131.”
From Rhythms of life: circadian disruption and brain disorders across the lifespan (2019) · cites this paper as [128]
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Gardner, R. J. M., Sutherland, G. R., & Shaffer, L. G. (2011) · Oxford University Press eBooks · doi:10.1093/med/9780195375336.003.0019 · Cited by 1 · see citing works
Preimplantation Genetic Diagnosis
Gardner, R. J. M., Sutherland, G. R., & Shaffer, L. G. (2011) · Oxford University Press eBooks · doi:10.1093/med/9780195375336.003.0026 · Cited by 1 · see citing works
Sintomatología ansioso depresiva y su relación con la temporalidad
Gutiérrez, D. J. G. (2010) · doi:10.14201/gredos.76492
Análise molecular de pacientes com síndrome de Smith-Magenis
Vieira, G. H. A. (2011) · Aleph UCLA Undergraduate Research Journal for the Humanities and Social Sciences
Lamônica, D. A. C., da Silva, G. K., Furlan, R. H., Abramides, D. V. M., Vieira, G. H. A., Moretti‐Ferreira, D., & Giacheti, C. M. (2012) · DOAJ (DOAJ: Directory of Open Access Journals)
Gardner, R. J. M., Sutherland, G. R., & Shaffer, L. G. (2011) · Oxford University Press eBooks · doi:10.1093/med/9780195375336.003.0017
Gardner, R. J., Sutherland, G. R., & Shaffer, L. G. (2011) · Oxford University Press eBooks · doi:10.1093/med/9780195375336.003.0014
Gardner, R. J. M., Sutherland, G. R., & Shaffer, L. G. (2011) · Oxford University Press eBooks · doi:10.1093/med/9780195375336.003.0015
Gardner, R. J. M., Sutherland, G. R., & Shaffer, L. G. (2011) · Oxford University Press eBooks · doi:10.1093/med/9780195375336.003.0008
A 4-year-old female with early morning awakenings
Beck, S. E. (2016) · Elsevier eBooks · doi:10.1016/b978-0-323-39277-8.00062-2
Nadir ve Atipik Bulgularla Seyreden Bir Smith-Magenis Sendromu Vakası
Yiğin, A. K., Alay, M. T., & Seven, M. (2020) · Phoenix Medical Journal · doi:10.38175/phnx.686763
Garay, P. M. (2021) · Deep Blue (University of Michigan) · doi:10.7302/1431
(2012) · Wiley eBooks · doi:10.1002/9781119977452.refs
Gardner, R. J. M., Sutherland, G. R., & Shaffer, L. G. (2011) · Oxford University Press eBooks · doi:10.1093/med/9780195375336.003.0010
Uniparental Disomy and Disorders of Imprinting
Gardner, R. J., Sutherland, G. R., & Shaffer, L. G. (2011) · Oxford University Press eBooks · doi:10.1093/med/9780195375336.003.0022
Gonadal Cytogenetic Damage from Exposure to Extrinsic Agents
Gardner, R. J. M., Sutherland, G. R., & Shaffer, L. G. (2011) · Oxford University Press eBooks · doi:10.1093/med/9780195375336.003.0028
Gardner, R. J. M., Sutherland, G. R., & Shaffer, L. G. (2011) · Oxford University Press eBooks · doi:10.1093/med/9780195375336.003.0012
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chromosome abnormalities detected at prenatal diagnosis
Gardner, R. J. M., Sutherland, G. R., & Shaffer, L. G. (2011) · Oxford University Press eBooks · doi:10.1093/med/9780195375336.003.0027
Chromosomal Disorders of Sex Development
Gardner, R. J. M., Sutherland, G. R., & Shaffer, L. G. (2011) · Oxford University Press eBooks · doi:10.1093/med/9780195375336.003.0020
Autosomal Reciprocal Translocations
Gardner, R. J. M., Sutherland, G. R., & Shaffer, L. G. (2011) · Oxford University Press eBooks · doi:10.1093/med/9780195375336.003.0005
Chromosomal Abnormalities Associated with Congenital Heart Disease
Maeda, J. (2024) · Japanese Society of Pediatric Cardiology and Cardiac Surgery · doi:10.9794/jspccs.40.41
(2011) · Oxford University Press eBooks · doi:10.1093/med/9780195375336.002.0007
(2011) · Oxford University Press eBooks · doi:10.1093/med/9780195375336.002.0004
(2011) · Oxford University Press eBooks · doi:10.1093/med/9780195375336.002.0005
(2011) · Oxford University Press eBooks · doi:10.1093/med/9780195375336.002.0008
Cytogenetic Abbreviations and Nomenclature
Gardner, R. J. M., Sutherland, G. R., & Shaffer, L. G. (2011) · Oxford University Press eBooks · doi:10.1093/med/9780195375336.005.0272
Ideograms of Human Chromosomes, and Haploid Autosomal Lengths
Gardner, R. J. M., Sutherland, G. R., & Shaffer, L. G. (2011) · Oxford University Press eBooks · doi:10.1093/med/9780195375336.005.0271
Determining 95 Percent Confidence Limits, and the Standard Error
Gardner, R. J. M., Sutherland, G. R., & Shaffer, L. G. (2011) · Oxford University Press eBooks · doi:10.1093/med/9780195375336.005.0273
(2011) · Oxford University Press eBooks · doi:10.1093/med/9780195375336.002.0006
Wiater, A., Smith, A. C. M., Braam, W., & Diederichs, A. (2026) · Sleep & breathing = Schlaf & Atmung · doi:10.1007/s11325-026-03640-z
Self-citationMelatonin prescription in children: a study of the POMMEs cohorts
Gaye, A., Caillet, A., Revet, A., & Bénevent, J. (2026) · Drugs & Therapy Perspectives · doi:10.1007/s40267-026-01225-0
Melatonin Levels in 89 Individuals With Smith Magenis Syndrome
Braam, W., & Smith, A. C. M. (2026) · American Journal of Medical Genetics Part A · doi:10.1002/ajmg.a.70167
Self-citationEstudo Citogenético da região 17p11.2 A síndrome de Smith-Magenis
Gamba, B. F. (2010) · Americanae (AECID Library)
- Authors
- Boudreau, E. A., Johnson, K. P., Jackman, A. R., Blancato, J., Huizing, M., Bendavid, C., Jones, M., Chandrasekharappa, S. C., Lewy, A. J., Smith, A. C. M., & Magenis, R. E.
- Affiliations
- Oregon Health & Science University (US)
- Georgetown University Medical Center (US)
- National Institutes of Health (US)
- Centre National de la Recherche Scientifique (FR)
- Corresponding author
- Boudreau, Eilis A.
- ORCID
- Venue
- American Journal of Medical Genetics Part A
- Publisher
- Wiley
- Published
- 2009-06-15
- Volume
- 149A
- Issue
- 7
- Pages
- 1382-1391
- ISSN
- 1552-4825 (ISSN-L)
- 1552-4833
- PMC
- PMC2760428
- OpenAlex
- W2013359752
- Cited by
- 92
- References
- 37
- Citations by year
- 2026: 4 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 2 · 2019: 3 · 2018: 3 · 2017: 2 · 2016: 5 · 2015: 3 · 2014: 4 · 2013: 5 · 2012: 4
- FWCI
- 7.78
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Medical Genetics Part A (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- HAL (submittedVersion)
- Funders
- National Institutes of Health
- National Human Genome Research Institute
- National Institute of Child Health and Human Development
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD042125)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomic variations and chromosomal abnormalities
- Keywords
- Smith-Magenis syndrome, melatonin secretion, 17p11.2 deletion, atypical deletion, pineal gland, sleep disorders
- MeSH terms
- Abnormalities, Multiple, Chromosome Deletion, Chromosomes, Human, Pair 17, Female, Humans, Sleep Initiation and Maintenance Disorders, Medical History Taking, Melatonin, Intellectual Disability, Retrospective Studies, Syndrome, Young Adult
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