1q21.1 Duplication Syndrome and Anorectal Malformations: A Literature Review and a New Case

Background: Anorectal malformations (ARMs) are a common pediatric surgical problem with an incidence of 1:1500 to 1:5000 live births. The phenotypical spectrum extends from anal stenosis to imperforate anus with or without anal fistula to persistent cloaca. They can manifest as either non-syndromic...

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Main Authors: Maria Minelli, Chiara Palka Bayard de Volo, Melissa Alfonsi, Serena Capanna, Elisena Morizio, Maria Enrica Miscia, Gabriele Lisi, Liborio Stuppia, Valentina Gatta
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Current Issues in Molecular Biology
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Online Access:https://www.mdpi.com/1467-3045/47/1/26
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author Maria Minelli
Chiara Palka Bayard de Volo
Melissa Alfonsi
Serena Capanna
Elisena Morizio
Maria Enrica Miscia
Gabriele Lisi
Liborio Stuppia
Valentina Gatta
author_facet Maria Minelli
Chiara Palka Bayard de Volo
Melissa Alfonsi
Serena Capanna
Elisena Morizio
Maria Enrica Miscia
Gabriele Lisi
Liborio Stuppia
Valentina Gatta
author_sort Maria Minelli
collection DOAJ
description Background: Anorectal malformations (ARMs) are a common pediatric surgical problem with an incidence of 1:1500 to 1:5000 live births. The phenotypical spectrum extends from anal stenosis to imperforate anus with or without anal fistula to persistent cloaca. They can manifest as either non-syndromic or syndromic conditions. Various environmental and genetic risk factors have been elucidated. The widespread use of genetic screening tests for the investigation of developmental disorders increased the recognition of copy number variants (CNVs) of the 1q21.1 region. Duplications have also been associated with a multitude of congenital anomalies, such as heart disease, short stature, scoliosis, urogenital, and ARMs, and they have also been found in healthy individuals. The aim of this manuscript is to contribute to the definition of the phenotype associated with 1q21.1 duplications. Case presentation: The present case describes a male, referred to us for an ARM, in whom array—comparative genomic hybridization (array-CGH) identified 1q21.1 duplication inherited from his healthy mother. No other genetic test was performed on the patient. Conclusions: We propose considering genetic evaluation and analysis in patients with only one congenital malformation in order to eventually make an early diagnosis and a better quality of treatments.
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spelling doaj-art-5888e58d448041e7b398fb53b784128c2025-01-24T13:27:26ZengMDPI AGCurrent Issues in Molecular Biology1467-30371467-30452025-01-014712610.3390/cimb470100261q21.1 Duplication Syndrome and Anorectal Malformations: A Literature Review and a New CaseMaria Minelli0Chiara Palka Bayard de Volo1Melissa Alfonsi2Serena Capanna3Elisena Morizio4Maria Enrica Miscia5Gabriele Lisi6Liborio Stuppia7Valentina Gatta8Unit of Molecular Genetics, Center for Advanced Studies and Technology (CAST), University “Gabriele d’Annunzio” of Chieti-Pescara, 66100 Chieti, ItalyUnit of Clinical Pediatrics, “SS. Annunziata” Hospital, 66100 Chieti, ItalyUnit of Assisted Reproductive Technologies, “Gaetano Bernabeo” Hospital, 66026 Ortona, ItalyUnit of Pathological Anatomy and Histology, “San Pio da Pietrelcina” Hospital, 66054 Vasto, ItalyUnit of Molecular Genetics, Center for Advanced Studies and Technology (CAST), University “Gabriele d’Annunzio” of Chieti-Pescara, 66100 Chieti, ItalyPediatric Surgery Unit, Department of Medicine and Aging Science, University “Gabriele d’Annunzio” of Chieti-Pescara-“Santo Spirito” Hospital, 65122 Pescara, ItalyPediatric Surgery Unit, Department of Medicine and Aging Science, University “Gabriele d’Annunzio” of Chieti-Pescara-“Santo Spirito” Hospital, 65122 Pescara, ItalyUnit of Molecular Genetics, Center for Advanced Studies and Technology (CAST), University “Gabriele d’Annunzio” of Chieti-Pescara, 66100 Chieti, ItalyUnit of Molecular Genetics, Center for Advanced Studies and Technology (CAST), University “Gabriele d’Annunzio” of Chieti-Pescara, 66100 Chieti, ItalyBackground: Anorectal malformations (ARMs) are a common pediatric surgical problem with an incidence of 1:1500 to 1:5000 live births. The phenotypical spectrum extends from anal stenosis to imperforate anus with or without anal fistula to persistent cloaca. They can manifest as either non-syndromic or syndromic conditions. Various environmental and genetic risk factors have been elucidated. The widespread use of genetic screening tests for the investigation of developmental disorders increased the recognition of copy number variants (CNVs) of the 1q21.1 region. Duplications have also been associated with a multitude of congenital anomalies, such as heart disease, short stature, scoliosis, urogenital, and ARMs, and they have also been found in healthy individuals. The aim of this manuscript is to contribute to the definition of the phenotype associated with 1q21.1 duplications. Case presentation: The present case describes a male, referred to us for an ARM, in whom array—comparative genomic hybridization (array-CGH) identified 1q21.1 duplication inherited from his healthy mother. No other genetic test was performed on the patient. Conclusions: We propose considering genetic evaluation and analysis in patients with only one congenital malformation in order to eventually make an early diagnosis and a better quality of treatments.https://www.mdpi.com/1467-3045/47/1/26ARMsCMA1q21.1 duplication
spellingShingle Maria Minelli
Chiara Palka Bayard de Volo
Melissa Alfonsi
Serena Capanna
Elisena Morizio
Maria Enrica Miscia
Gabriele Lisi
Liborio Stuppia
Valentina Gatta
1q21.1 Duplication Syndrome and Anorectal Malformations: A Literature Review and a New Case
Current Issues in Molecular Biology
ARMs
CMA
1q21.1 duplication
title 1q21.1 Duplication Syndrome and Anorectal Malformations: A Literature Review and a New Case
title_full 1q21.1 Duplication Syndrome and Anorectal Malformations: A Literature Review and a New Case
title_fullStr 1q21.1 Duplication Syndrome and Anorectal Malformations: A Literature Review and a New Case
title_full_unstemmed 1q21.1 Duplication Syndrome and Anorectal Malformations: A Literature Review and a New Case
title_short 1q21.1 Duplication Syndrome and Anorectal Malformations: A Literature Review and a New Case
title_sort 1q21 1 duplication syndrome and anorectal malformations a literature review and a new case
topic ARMs
CMA
1q21.1 duplication
url https://www.mdpi.com/1467-3045/47/1/26
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