Cited by 243Genomic variations and chromosomal abnormalitiesGenetics and Neurodevelopmental DisordersGenome Rearrangement Algorithms

The DOI matches its Crossref record; 47 of the 48 references it cites were found in a registry or an index; 34 of the 60 sources its claims cite were checked for support.

The 15q11.2 BP1–BP2 Microdeletion Syndrome: A Review

Open access
Cox, Devin, Butler, Merlin·2015·International Journal of Molecular Sciences

Abstract

Patients with the 15q11.2 BP1–BP2 microdeletion can present with developmental and language delay, neurobehavioral disturbances and psychiatric problems. Autism, seizures, schizophrenia and mild dysmorphic features are less commonly seen. The 15q11.2 BP1–BP2 microdeletion involving four genes (i.e., TUBGCP5, CYFIP1, NIPA1, NIPA2) is emerging as a recognized syndrome with a prevalence ranging from 0.57%–1.27% of patients presenting for microarray analysis which is a two to four fold increase compared with controls. Review of clinical features from about 200 individuals were grouped into five categories and included developmental (73%) and speech (67%) delays; dysmorphic ears (46%) and palatal anomalies (46%); writing (60%) and reading (57%) difficulties, memory problems (60%) and verbal IQ scores ≤75 (50%); general behavioral problems, unspecified (55%) and abnormal brain imaging (43%). Other clinical features noted but not considered as common were seizures/epilepsy (26%), autism spectrum disorder (27%), attention deficit disorder (ADD)/attention deficit hyperactivity disorder (ADHD) (35%), schizophrenia/paranoid psychosis (20%) and motor delay (42%). Not all individuals with the deletion are clinically affected, yet the collection of findings appear to share biological pathways and presumed genetic mechanisms. Neuropsychiatric and behavior disturbances and mild dysmorphic features are associated with genomic imbalances of the 15q11.2 BP1–BP2 region, including microdeletions, but with an apparent incomplete penetrance and variable expressivity.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

The 15q11.2 BP1–BP2 microdeletion (Burnside-Butler syndrome) is a recognized susceptibility locus involving four non-imprinted genes and associated with developmental, speech, behavioral, psychiatric, and mild dysmorphic features with incomplete penetrance and variable expressivity. This review summarizes clinical features from about 200 reported individuals and estimates prevalence at 0.57%–1.27% among patients presenting for microarray analysis.

Key findings

  • The microdeletion involves four genes—TUBGCP5, CYFIP1, NIPA1, and NIPA2—and prevalence ranges from 0.57%–1.27% of patients presenting for microarray analysis, a two- to four-fold increase compared with controls; about 0.25% of control cohorts (n = 66,462) carried the deletion.
  • Common features from about 200 individuals included developmental delay (73%), speech delay (67%), dysmorphic ears (46%), palatal anomalies (46%), writing difficulties (60%), reading difficulties (57%), memory problems (60%), verbal IQ ≤75 (50%), general behavioral problems unspecified (55%), and abnormal brain imaging (43%).
  • Less common features included seizures/epilepsy (26%), autism spectrum disorder (27%), ADD/ADHD (35%), schizophrenia/paranoid psychosis (20%), and motor delay (42%).
  • Penetrance was estimated at 10.4%, with incomplete penetrance and variable expressivity; among individuals with parental data, 22/43 (51%) inherited the deletion from an apparently healthy parent and 10/29 (35%) from an abnormal parent, while reported de novo frequency ranged from 5%–22%.

Methods

  • Literature review of published reports on individuals with the 15q11.2 BP1–BP2 microdeletion, summarizing clinical features from about 200 individuals.
  • Features were grouped into five categories: growth and development, dysmorphic features, intelligence and academic achievement, behavioral and psychiatric problems, and other related medical concerns.
  • Main analysis was descriptive aggregation of frequencies and percentages across studies, presented in Tables 1–5; no new primary data were generated.

Limitations

  • The paper states that not all individuals with the deletion are clinically affected, and the region shows incomplete penetrance and variable expressivity; penetrance estimates may be limited by paucity of inheritance data.
  • The paper states that phenotypic information was unavailable or incomplete for all parents found to carry the deletion, and that further DNA sequencing of the non-deleted allele, studies of modifying genes, and neuropsychiatric testing of family members are needed.
  • The paper notes that very few individuals were reported for some intelligence/academic findings, so further studies are needed; evident from the tables, several features have very small denominators (e.g., verbal IQ ≤75, 2/4; performance IQ ≤75, 1/3; reading difficulties, 4/7; writing difficulties, 3/5; memory problems, 3/5), and the review relies on heterogeneous published cohorts without standardized phenotyping.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.3390/ijms16024068

Cites

47 of 47 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

34 of 60 cited sources checked · 18 supported · 0 flagged · accuracy not yet measured

Show all 60 claims

  • It may state two separate claims as one. 17
  • Probably not a substantial claim. 17
31 of 31
  • The paper relies on this without support.

    The clinical features reported in the literature for individuals with the 15q11.2 BP1–BP2 microdeletion are attributable to the deletion rather than to other genetic or environmental factors.

    “Not all individuals with the deletion are clinically affected, yet the collection of findings appear to share biological pathways and presumed genetic mechanisms.”
  • The paper relies on this without support.

    The individuals in the reviewed studies are representative of the broader population with the 15q11.2 BP1–BP2 microdeletion.

    “Review of clinical features from about 200 individuals were grouped into five categories”
  • The paper relies on this without support.

    The control cohorts used to estimate prevalence are comparable to the patient cohorts.

    “which is a two to four fold increase compared with controls.”
  • The authors state this as an assumption.

    The four genes in the BP1–BP2 region are the relevant genes for the neurobehavioral phenotype.

    “the collection of findings appear to share biological pathways and presumed genetic mechanisms.”
  • The paper relies on this without support.

    The literature review captures all relevant published cases.

    “A review of the literature on growth and development in individuals with 15q11.2 BP1–BP2 microdeletions”
  • The paper relies on this without support.

    The individuals reported in the reviewed literature are representative of the broader population with the 15q11.2 BP1–BP2 microdeletion.

    “From reported patient cohorts presenting for genetic services and microarray analysis, this microdeletion syndrome can now be recognized as the most common cytogenetic abnormality found in autism spectrum disorder.”
6 of 6

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

  • Palatal-abnormality percentage is doubled

    Major

    The reported 9 cases among 39 individuals correspond to about 23%, not 46%. The 46% figure is also repeated in the abstract and discussion.

    Reported 46 · recomputed 23.076923

  • Patient prevalence is stated as 21% instead of 1.27%

    Major

    The stated 21 patients among 1,654 correspond to 1.27%, not 21%. The sentence gives both incompatible percentages.

    Reported 21 · recomputed 1.269649

  • Seizure counts sum to 50, not 57

    Major

    The study numerators in the seizures/epilepsy row total 50, not the reported 57. With the reported denominator of 216, that would also change the stated 26% incidence to about 23%.

    Reported 57 · recomputed 50

  • Dysmorphic-ear percentage does not match its count

    Major

    The reported 9/39 is about 23%, not 46%. Moreover, the study counts in the row add to 10 rather than 9.

    Reported 46 · recomputed 23.076923

  • Tracheoesophageal-fistula denominator does not add up

    Minor

    The non-N/A study denominators total 46, not the reported 49.

    Reported 49 · recomputed 46

  • Genital-abnormality denominator does not add up

    Minor

    The non-N/A study denominators total 43, not the reported 46.

    Reported 46 · recomputed 43

  • Recurrent-infection denominator does not add up

    Minor

    The non-N/A study denominators total 27, not the reported 30.

    Reported 30 · recomputed 27

  • Hearing-loss denominator does not add up

    Minor

    The non-N/A study denominators total 46, not the reported 49.

    Reported 49 · recomputed 46

  • Omphalocele denominator does not add up

    Minor

    The non-N/A study denominators total 46, not the reported 49.

    Reported 49 · recomputed 46

9 of 9

Citations

Cites

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Metadata

Authors
Cox, D., & Butler, M.
Affiliations
University of Kansas Medical Center (US)
Venue
International Journal of Molecular Sciences
Publisher
MDPI AG
Published
2015-02-13
Volume
16
Issue
2
Pages
4068-4082
ISSN
1422-0067 (ISSN-L)
OpenAlex
W2036796020
Cited by
243
References
48
Citations by year
2026: 15 · 2025: 17 · 2024: 25 · 2023: 18 · 2022: 18 · 2021: 21 · 2020: 21 · 2019: 18 · 2018: 46 · 2017: 21 · 2016: 13 · 2015: 10
FWCI
18.49
Type
journal article
Language
en
Open access
Locations
  • International Journal of Molecular Sciences (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (submittedVersion, cc-by)
  • PubMed Central (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • KU ScholarWorks (The University of Kansas) (submittedVersion, cc-by)
Funders
NICHD (HD02528)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomic variations and chromosomal abnormalities
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genome Rearrangement Algorithms
Keywords
CYFIP1, NIPA1, developmental delay, language delay, dysmorphic features, neuropsychiatric disorders, autism spectrum disorder, schizophrenia, attention deficit hyperactivity disorder, seizures, incomplete penetrance, variable expressivity, genomic imbalances
MeSH terms
Autism Spectrum Disorder, Attention Deficit Disorder with Hyperactivity, Chromosome Aberrations, Chromosomes, Human, Pair 15, Epilepsy, Humans, Intellectual Disability, Schizophrenia

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