Entry - #614104 - INTELLECTUAL DEVELOPMENTAL DISORDER, AUTOSOMAL DOMINANT 7; MRD7 - OMIM
# 614104

INTELLECTUAL DEVELOPMENTAL DISORDER, AUTOSOMAL DOMINANT 7; MRD7


Alternative titles; symbols

MENTAL RETARDATION, AUTOSOMAL DOMINANT 7


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
21q22.13 Intellectual developmental disorder, autosomal dominant 7 614104 AD 3 DYRK1A 600855
Clinical Synopsis
 
Phenotypic Series
 

INHERITANCE
- Autosomal dominant
GROWTH
Height
- Decreased birth length
Weight
- Low birth weight
Other
- Intrauterine growth retardation (IUGR)
HEAD & NECK
Head
- Microcephaly
Face
- Micrognathia
Ears
- Large ears
- Simple ears
- Thick helix
Eyes
- Hypotelorism
- Deep-set eyes
Nose
- Bulbous nose
- Pointed nose
Teeth
- Prominent incisors
NEUROLOGIC
Central Nervous System
- Developmental delay, severe
- Mental retardation, severe
- Hypotonia
- Febrile seizures
- Delayed language development
- No language development
- Ataxia
- Abnormal gait
Behavioral Psychiatric Manifestations
- Autistic behavior
- Anxious behavior
- Hyperactivity
MISCELLANEOUS
- Variable features depending on age
MOLECULAR BASIS
- Caused by mutation in the dual specificity tyrosine-(Y)-phosphorylation regulated kinase-1A gene (DYRK1A, 600855.0001)
Intellectual developmental disorder, autosomal dominant - PS156200 - 67 Entries
Location Phenotype Inheritance Phenotype
mapping key
Phenotype
MIM number
Gene/Locus Gene/Locus
MIM number
1p36.11 Coffin-Siris syndrome 2 AD 3 614607 ARID1A 603024
1q21.3 White-Sutton syndrome AD 3 616364 POGZ 614787
1q21.3 GAND syndrome AD 3 615074 GATAD2B 614998
1q22 Intellectual developmental disorder, autosomal dominant 52 AD 3 617796 ASH1L 607999
1q25.3 Intellectual developmental disorder, autosomal dominant 75 AD 3 620988 DHX9 603115
1q44 Intellectual developmental disorder, autosomal dominant 22 AD 3 612337 ZBTB18 608433
2p25.3 Intellectual developmental disorder, autosomal dominant 39 AD 3 616521 MYT1L 613084
2q11.2 ?Intellectual developmental disorder, autosomal dominant 69 AD 3 617863 LMAN2L 609552
2q23.1 Intellectual developmental disorder, autosomal dominant 1 AD 3 156200 MBD5 611472
3p25.3 Intellectual developmental disorder, autosomal dominant 23 AD 3 615761 SETD5 615743
3p21.31 Intellectual developmental disorder, autosomal dominant 70 AD 3 620157 SETD2 612778
3q22.3 Intellectual developmental disorder, autosomal dominant 47 AD 3 617635 STAG1 604358
3q26.32 Intellectual developmental disorder, autosomal dominant 41 AD 3 616944 TBL1XR1 608628
3q27.1 Intellectual developmental disorder 60 with seizures AD 3 618587 AP2M1 601024
4q31.1 Intellectual developmental disorder, autosomal dominant 50, with behavioral abnormalities AD 3 617787 NAA15 608000
5p15.2 Intellectual developmental disorder, autosomal dominant 63, with macrocephaly AD 3 618825 TRIO 601893
5p15.2 Intellectual developmental disorder, autosomal dominant 44, with microcephaly AD 3 617061 TRIO 601893
5q13.3 Neurodevelopmental disorder with hypotonia, speech delay, and dysmorphic facies AD 3 616351 CERT1 604677
5q32 Intellectual developmental disorder, autosomal dominant 53 AD 3 617798 CAMK2A 114078
5q33.2 Intellectual developmental disorder, autosomal dominant 67 AD 3 619927 GRIA1 138248
6p21.32 Intellectual developmental disorder, autosomal dominant 5 AD 3 612621 SYNGAP1 603384
6q13 Intellectual developmental disorder, autosomal dominant 46 AD 3 617601 KCNQ5 607357
6q14.3 Intellectual developmental disorder, autosomal dominant 64 AD 3 619188 ZNF292 616213
6q22.1 Intellectual developmental disorder, autosomal dominant 55, with seizures AD 3 617831 NUS1 610463
6q24.2 Intellectual developmental disorder, autosomal dominant 43 AD 3 616977 HIVEP2 143054
6q25.3 Coffin-Siris syndrome 1 AD 3 135900 ARID1B 614556
7p22.1 Intellectual developmental disorder, autosomal dominant 48 AD 3 617751 RAC1 602048
7p13 Intellectual developmental disorder, autosomal dominant 54 AD 3 617799 CAMK2B 607707
7q11.22 Intellectual developmental disorder, autosomal dominant 26 AD 3 615834 AUTS2 607270
7q36.2 Intellectual developmental disorder, autosomal dominant 33 AD 3 616311 DPP6 126141
9p24 Intellectual developmental disorder, autosomal dominant 2 AD 4 614113 MRD2 614113
9q34.11 Intellectual developmental disorder, autosomal dominant 58 AD 3 618106 SET 600960
9q34.3 Kleefstra syndrome 1 AD 3 610253 EHMT1 607001
10p15.3 Intellectual developmental disorder, autosomal dominant 30 AD 3 616083 ZMYND11 608668
10q22.2 Intellectual developmental disorder, autosomal dominant 59 AD 3 618522 CAMK2G 602123
11p15.5 Vulto-van Silfout-de Vries syndrome AD 3 615828 DEAF1 602635
11q13.1 Coffin-Siris syndrome 7 AD 3 618027 DPF2 601671
11q13.1-q13.2 Schuurs-Hoeijmakers syndrome AD 3 615009 PACS1 607492
11q13.2 Intellectual developmental disorder, autosomal dominant 51 AD 3 617788 KMT5B 610881
11q24.2 Intellectual developmental disorder, autosomal dominant 4 AD 2 612581 MRD4 612581
12p13.1 Intellectual developmental disorder, autosomal dominant 6, with or without seizures AD 3 613970 GRIN2B 138252
12q12 Coffin-Siris syndrome 6 AD 3 617808 ARID2 609539
12q13.12 Intellectual developmental disorder, autosomal dominant, FRA12A type AD 3 136630 DIP2B 611379
12q13.2 Coffin-Siris syndrome 8 AD 3 618362 SMARCC2 601734
12q21.33 Intellectual developmental disorder, autosomal dominant 66 AD 3 619910 ATP2B1 108731
14q11.2 Intellectual developmental disorder, autosomal dominant 74 AD 3 620688 HNRNPC 164020
15q21.3 Intellectual developmental disorder, autosomal dominant 71, with behavioral abnormalities AD 3 620330 RFX7 612660
16p13.3 Intellectual developmental disorder, autosomal dominant 72 AD 3 620439 SRRM2 606032
16q22.1 Intellectual developmental disorder, autosomal dominant 21 AD 3 615502 CTCF 604167
16q24.3 Intellectual developmental disorder, autosomal dominant 3 AD 3 612580 CDH15 114019
17p13.1 Intellectual developmental disorder, autosomal dominant 62 AD 3 618793 DLG4 602887
17q21.2 Coffin-Siris syndrome 5 AD 3 616938 SMARCE1 603111
17q21.31 Koolen-De Vries syndrome AD 3 610443 KANSL1 612452
17q23.1 Intellectual developmental disorder, autosomal dominant 56 AD 3 617854 CLTC 118955
17q23.2 Intellectual developmental disorder, autosomal dominant 61 AD 3 618009 MED13 603808
17q23.2 Intellectual developmental disorder, autosomal dominant 57 AD 3 618050 TLK2 608439
18q12.3 Intellectual developmental disorder, autosomal dominant 29 AD 3 616078 SETBP1 611060
19p13.3 Intellectual developmental disorder, autosomal dominant 65 AD 3 619320 KDM4B 609765
19p13.2 Coffin-Siris syndrome 4 AD 3 614609 SMARCA4 603254
19q13.12 Intellectual developmental disorder, autosomal dominant 68 AD 3 619934 KMT2B 606834
19q13.2 Intellectual developmental disorder, autosomal dominant 45 AD 3 617600 CIC 612082
20q11.23 ?Intellectual developmental disorder, autosomal dominant 11 AD 3 614257 EPB41L1 602879
20q13.33 Intellectual developmental disorder, autosomal dominant 73 AD 3 620450 TAF4 601796
20q13.33 Intellectual developmental disorder, autosomal dominant 38 AD 3 616393 EEF1A2 602959
21q22.13 Intellectual developmental disorder, autosomal dominant 7 AD 3 614104 DYRK1A 600855
22q11.23 Coffin-Siris syndrome 3 AD 3 614608 SMARCB1 601607
22q12.3 ?Intellectual developmental disorder, autosomal dominant 10 AD 3 614256 CACNG2 602911

TEXT

A number sign (#) is used with this entry because of evidence that autosomal dominant intellectual developmental disorder-7 (MRD7) is caused by heterozygous disruption of the DYRK1A gene (600855) on chromosome 21q22.


Clinical Features

Van Bon et al. (2011) reported a woman with primary microcephaly (-3 SD), severe mental retardation without speech, anxious autistic behavior, and dysmorphic features, including bitemporal narrowing, deep-set eyes, large simple ears, and a pointed nasal tip. As an infant, she had failure to thrive, abnormal movements, hypoactivity, and febrile seizures. Brain MRI at age 25 showed a mildly atrophic brain without structural abnormalities. Other features included eczema, hypoplasia of breasts, hallux valgus of feet, and an irregular implant of the toes. Van Bon et al. (2011) noted that their patient clearly resembled the 2 patients reported by Moller et al. (2008).

Courcet et al. (2012) reported a 14-year-old girl with severe mental retardation, primary microcephaly (-6 SD), and facial dysmorphic features, including thick lower lip, mild hypotelorism, and hypoplastic earlobes. She had a history of intrauterine growth retardation and feeding difficulties, and developed seizures of multiple types at age 18 months. Other features included severe speech delay, diffuse cortical atrophy on MRI, and hand stereotypies.


Cytogenetics

Moller et al. (2008) reported 2 unrelated patients with microcephaly, intrauterine growth retardation, postnatal feeding difficulties, and dysmorphic facial features who each had a de novo balanced translocation disrupting the DYRK1A gene: t(9;21)(p12;q22) and t(2;21)(q22;q22), respectively. In the second patient, the 2q22 breakpoint was within intron 39 of the LRP1B (608766) gene. The first child, 24 months old at the time of the report, had large low-set ears, long philtrum, micrognathia, hypogenesis of the corpus callosum, mild developmental delay, and febrile seizures. The second child, age 10 years, had large ears, flat philtrum, asymmetric head, febrile seizures, severe mental retardation, no speech development, and a small ventricular septal defect. Moller et al. (2008) noted the phenotypic similarities to patients with partial monosomy 21 (Matsumoto et al., 1997) and suggested that haploinsufficiency of the DYRK1A gene results in microcephaly as well as other neurodevelopmental anomalies.


Molecular Genetics

In a woman with mental retardation, microcephaly, and dysmorphic features, van Bon et al. (2011) identified a de novo heterozygous deletion in the DYRK1A gene (600855.0001). This patient was identified among a larger group of 3,009 mentally retarded individuals studied for copy number variations in the DYRK1A gene. The report supported a role for DYRK1A in human brain development and showed that haploinsufficiency of DYRK1A can cause a distinctive clinical syndrome with mental retardation, primary microcephaly, intrauterine growth retardation, facial dysmorphism, impaired motor functioning, and behavioral problems.

O'Roak et al. (2012) identified 3 de novo mutations in DYRK1A, 2 frameshift mutations and 1 splice site mutation (600855.0002-600855.0004), among 44 candidate gene sequences in 2,446 autism spectrum disorder probands. The 3 patients with DYRK1A mutations had microcephaly relative to individuals screened without DYRK1A mutations (2-sample permutation test, 2-sided p = 0.0005), and the head sizes of these patients was smaller than those of their parents.

In a 14-year-old girl with severe mental retardation, growth retardation, microcephaly, speech delay, and seizures, Courcet et al. (2012) identified a de novo heterozygous truncating mutation in the DYRK1A gene (600855.0005). This patient was ascertained from a larger cohort of 150 patients with a similar phenotype; she was the only one who had a mutation in the DYRK1A gene.


REFERENCES

  1. Courcet, J.-B., Faivre, L., Malzac, P., Masurel-Paulet, A., Lopez, E., Callier, P., Lambert, L., Lemesle, M., Thevenon, J., Gigot, N., Duplomb, L., Ragon, C., Marle, N., Mosca-Boidron, A. L., Huet, F., Philippe, C., Moncla, A., Thauvin-Robinet, C. The DYRK1A gene is a cause of syndromic intellectual disability with severe microcephaly and epilepsy. J. Med. Genet. 49: 731-736, 2012. [PubMed: 23099646, related citations] [Full Text]

  2. Matsumoto, N., Ohashi, H., Tsukahara, M., Kim, K. C., Soeda, E., Niikawa, N. Possible narrowed assignment of the loci of monosomy 21-associated microcephaly and intrauterine growth retardation to a 1.2-Mb segment at 21q22.2. (Letter) Am. J. Hum. Genet. 60: 997-999, 1997. [PubMed: 9106547, related citations]

  3. Moller, R. S., Kubart, S., Hoeltzenbein, M., Heye, B., Vogel, I., Hansen, C. P., Menzel, C., Ullmann, R., Tommerup, N., Ropers, H.-H., Tumer, Z., Kalscheuer, V. M. Truncation of the Down syndrome candidate gene DYRK1A in two unrelated patients with microcephaly. Am. J. Hum. Genet. 82: 1165-1170, 2008. [PubMed: 18405873, images, related citations] [Full Text]

  4. O'Roak, B. J., Vives, L., Fu, W., Egertson, J. D., Stanaway, I. B., Phelps, I. G., Carvill, G., Kumar, A., Lee, C., Ankenman, K., Munson, J., Hiatt, J. B., and 14 others. Multiplex targeted sequencing identifies recurrently mutated genes in autism spectrum disorders. Science 338: 1619-1622, 2012. [PubMed: 23160955, images, related citations] [Full Text]

  5. van Bon, B. W. M., Hoischen, A., Hehir-Kwa, J., de Brouwer, A. P. M., Ruivenkamp, C., Gijsbers, A. C. J., Marcelis, C. L., de Leeuw, N., Veltman, J. A., Brunner, H. G., de Vries, B. B. A. Intragenic deletion in DYRK1A leads to mental retardation and primary microcephaly. Clin. Genet. 79: 296-299, 2011. [PubMed: 21294719, related citations] [Full Text]


Cassandra L. Kniffin - updated : 1/30/2013
Ada Hamosh - updated : 1/23/2013
Creation Date:
Cassandra L. Kniffin : 7/20/2011
alopez : 04/01/2022
alopez : 04/01/2022
carol : 02/06/2013
ckniffin : 1/30/2013
alopez : 1/24/2013
terry : 1/23/2013
terry : 1/23/2013
wwang : 7/27/2011
ckniffin : 7/20/2011

# 614104

INTELLECTUAL DEVELOPMENTAL DISORDER, AUTOSOMAL DOMINANT 7; MRD7


Alternative titles; symbols

MENTAL RETARDATION, AUTOSOMAL DOMINANT 7


SNOMEDCT: 1179301003;   ORPHA: 268261, 464306, 464311;   DO: 0070037;  


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
21q22.13 Intellectual developmental disorder, autosomal dominant 7 614104 Autosomal dominant 3 DYRK1A 600855

TEXT

A number sign (#) is used with this entry because of evidence that autosomal dominant intellectual developmental disorder-7 (MRD7) is caused by heterozygous disruption of the DYRK1A gene (600855) on chromosome 21q22.


Clinical Features

Van Bon et al. (2011) reported a woman with primary microcephaly (-3 SD), severe mental retardation without speech, anxious autistic behavior, and dysmorphic features, including bitemporal narrowing, deep-set eyes, large simple ears, and a pointed nasal tip. As an infant, she had failure to thrive, abnormal movements, hypoactivity, and febrile seizures. Brain MRI at age 25 showed a mildly atrophic brain without structural abnormalities. Other features included eczema, hypoplasia of breasts, hallux valgus of feet, and an irregular implant of the toes. Van Bon et al. (2011) noted that their patient clearly resembled the 2 patients reported by Moller et al. (2008).

Courcet et al. (2012) reported a 14-year-old girl with severe mental retardation, primary microcephaly (-6 SD), and facial dysmorphic features, including thick lower lip, mild hypotelorism, and hypoplastic earlobes. She had a history of intrauterine growth retardation and feeding difficulties, and developed seizures of multiple types at age 18 months. Other features included severe speech delay, diffuse cortical atrophy on MRI, and hand stereotypies.


Cytogenetics

Moller et al. (2008) reported 2 unrelated patients with microcephaly, intrauterine growth retardation, postnatal feeding difficulties, and dysmorphic facial features who each had a de novo balanced translocation disrupting the DYRK1A gene: t(9;21)(p12;q22) and t(2;21)(q22;q22), respectively. In the second patient, the 2q22 breakpoint was within intron 39 of the LRP1B (608766) gene. The first child, 24 months old at the time of the report, had large low-set ears, long philtrum, micrognathia, hypogenesis of the corpus callosum, mild developmental delay, and febrile seizures. The second child, age 10 years, had large ears, flat philtrum, asymmetric head, febrile seizures, severe mental retardation, no speech development, and a small ventricular septal defect. Moller et al. (2008) noted the phenotypic similarities to patients with partial monosomy 21 (Matsumoto et al., 1997) and suggested that haploinsufficiency of the DYRK1A gene results in microcephaly as well as other neurodevelopmental anomalies.


Molecular Genetics

In a woman with mental retardation, microcephaly, and dysmorphic features, van Bon et al. (2011) identified a de novo heterozygous deletion in the DYRK1A gene (600855.0001). This patient was identified among a larger group of 3,009 mentally retarded individuals studied for copy number variations in the DYRK1A gene. The report supported a role for DYRK1A in human brain development and showed that haploinsufficiency of DYRK1A can cause a distinctive clinical syndrome with mental retardation, primary microcephaly, intrauterine growth retardation, facial dysmorphism, impaired motor functioning, and behavioral problems.

O'Roak et al. (2012) identified 3 de novo mutations in DYRK1A, 2 frameshift mutations and 1 splice site mutation (600855.0002-600855.0004), among 44 candidate gene sequences in 2,446 autism spectrum disorder probands. The 3 patients with DYRK1A mutations had microcephaly relative to individuals screened without DYRK1A mutations (2-sample permutation test, 2-sided p = 0.0005), and the head sizes of these patients was smaller than those of their parents.

In a 14-year-old girl with severe mental retardation, growth retardation, microcephaly, speech delay, and seizures, Courcet et al. (2012) identified a de novo heterozygous truncating mutation in the DYRK1A gene (600855.0005). This patient was ascertained from a larger cohort of 150 patients with a similar phenotype; she was the only one who had a mutation in the DYRK1A gene.


REFERENCES

  1. Courcet, J.-B., Faivre, L., Malzac, P., Masurel-Paulet, A., Lopez, E., Callier, P., Lambert, L., Lemesle, M., Thevenon, J., Gigot, N., Duplomb, L., Ragon, C., Marle, N., Mosca-Boidron, A. L., Huet, F., Philippe, C., Moncla, A., Thauvin-Robinet, C. The DYRK1A gene is a cause of syndromic intellectual disability with severe microcephaly and epilepsy. J. Med. Genet. 49: 731-736, 2012. [PubMed: 23099646] [Full Text: https://doi.org/10.1136/jmedgenet-2012-101251]

  2. Matsumoto, N., Ohashi, H., Tsukahara, M., Kim, K. C., Soeda, E., Niikawa, N. Possible narrowed assignment of the loci of monosomy 21-associated microcephaly and intrauterine growth retardation to a 1.2-Mb segment at 21q22.2. (Letter) Am. J. Hum. Genet. 60: 997-999, 1997. [PubMed: 9106547]

  3. Moller, R. S., Kubart, S., Hoeltzenbein, M., Heye, B., Vogel, I., Hansen, C. P., Menzel, C., Ullmann, R., Tommerup, N., Ropers, H.-H., Tumer, Z., Kalscheuer, V. M. Truncation of the Down syndrome candidate gene DYRK1A in two unrelated patients with microcephaly. Am. J. Hum. Genet. 82: 1165-1170, 2008. [PubMed: 18405873] [Full Text: https://doi.org/10.1016/j.ajhg.2008.03.001]

  4. O'Roak, B. J., Vives, L., Fu, W., Egertson, J. D., Stanaway, I. B., Phelps, I. G., Carvill, G., Kumar, A., Lee, C., Ankenman, K., Munson, J., Hiatt, J. B., and 14 others. Multiplex targeted sequencing identifies recurrently mutated genes in autism spectrum disorders. Science 338: 1619-1622, 2012. [PubMed: 23160955] [Full Text: https://doi.org/10.1126/science.1227764]

  5. van Bon, B. W. M., Hoischen, A., Hehir-Kwa, J., de Brouwer, A. P. M., Ruivenkamp, C., Gijsbers, A. C. J., Marcelis, C. L., de Leeuw, N., Veltman, J. A., Brunner, H. G., de Vries, B. B. A. Intragenic deletion in DYRK1A leads to mental retardation and primary microcephaly. Clin. Genet. 79: 296-299, 2011. [PubMed: 21294719] [Full Text: https://doi.org/10.1111/j.1399-0004.2010.01544.x]


Contributors:
Cassandra L. Kniffin - updated : 1/30/2013
Ada Hamosh - updated : 1/23/2013

Creation Date:
Cassandra L. Kniffin : 7/20/2011

Edit History:
alopez : 04/01/2022
alopez : 04/01/2022
carol : 02/06/2013
ckniffin : 1/30/2013
alopez : 1/24/2013
terry : 1/23/2013
terry : 1/23/2013
wwang : 7/27/2011
ckniffin : 7/20/2011