Table 1

ATR-16 syndrome phenotypic severity

Case*SexDeletion coordinates (hg18)MethodsOriginMechanismMRATSDDDFDSAReference(s)
JTF34,113 bp to 301,556 bp†F,SB,SMatDe novo+Horsley, 20019
OY‡F0 bp to 308,540 bpF,SB,SPatDe novo+This study
CS‡(+1)§F~36,766 bp to 328,247 bpAPatInherited+This study
BF (+5)§M166,680 bp to 342,681 bpWGSnaDe novo+Heireman etal24
CVF~1 22 000 bp to 2 99 000–3 75 000 bpMnana+Coelho etal41
ABna0–45,799 bp to 3 50 916–4 00 279 bpMnana+Harteveld etal42
LA‡M~94,214bp to 502,227 bpAPatInherited+++/-This study
TY(MI)‡M0 bp to 596,289 bpF,SB,Snana+This study
TY(Mi)‡F0 bp to 596,289 bpF,SB,SPatInherited+This study
YA‡F0 bp to 747,840 bpF,Ananana++++This study
BA‡F0 bp to 762,370 bpF,SB,SPatDe novo++Daniels etal43
GZM0–45,799 bp to 8 69 698–9 00 907 bpMMatInherited+Harteveld etal18
TN(Pa)‡F0 bp to 966,710 bpF,SB,SMatDe novo+/-++++Daniels etal43
TN(Pe)‡M0 bp to 966,710 bpF,SB,SMatInherited+++++Daniels etal43
TN(Al)‡M0 bp to 966,710 bpF,SB,SMatInherited+++++Daniels etal43
FI.2F0–45,799 bp to~9 76 591 bpMnana+Bezerra etal20
FII.1M0–45,799 bp to~9 76 591 bpMMatInherited+Bezerra etal20
FII.2M0–45,799 bp to~9 76 591 bpMMatInherited+Bezerra etal20
FII.4F0–45,799 bp to~9 76 591 bpMMatInherited+Bezerra etal20
FIII.1M0–45,799 bp to~9 76 591 bpMMatInherited+Bezerra etal20
GIBF~1 00 000 bp to~1,000,000 bpF,AnaDe novo+++++Gibson, 200844
SH(Pa)‡¶M34,037 bp to 1,132,584 bpF,SB,SMatInherited++na+++This study
SH(Ju)‡¶F34,037 bp to 1,132,584 bpF,SB,Snana+naThis study
NL‡M0–23 949 bp to~1,246,849 bpA,MnaDe novo+Phylipsen etal45 ; This study
DOF0 bp to 1,175,000–1,805,487 bpSBMatUnknown+++++Wilkie etal5
CJ‡M120,000 bp to 1,357,000 bpF,AMatDe novo++++++This study
MY‡F0 bp to 1,408,950 bpF,SB,SMatDe novo+++++This study
BAR‡M0–23,949 bp to~1,440,000 bpA,MnaDe novo+This study
SCHM~281,65 bp to 1,447,989 bpF,A,MnaDe novo++++++Scheps etal28
PVM0–45,799 bp to 1,615,979–1,730,426 bpMnaDe novo++++++Harteveld etal18
FTF0–45,799 bp to 1,880,277–1,913,866 bpMnaDe novo++++++Harteveld etal18
BOM0 bp to 1,886,763 bpC,F,SB, SPatDe novo++na+++Wilkie etal5 ; Lamb etal46 ; Daniels etal43
HNM0–45,799 bp to 1,913,923–1,928,982 bpMnaDe novo++++++Harteveld etal, 200718
IM‡F0 bp to 2,011,646 bpF,SB,Anana++++/-+Felice 47 ; Fei etal48 ; Daniels etal43
LIN‡F0 bp to 2,013,657 bpF,SB,SPatDe novo+++++Lindor etal49 ; Daniels etal43
  • + indicates presence of an abnormality; – indicates absence and +/− indicates borderline assessment.

  • Methods column summarises the methods used to refine or identify the breakpoint:C, cytogenetics; F, FISH; WGS, Whole Genome Sequencing; M, MLPA; SB, Southern blot; A, microarray, S, breakpoint has been DNA sequenced.

  • *ATR-16 individuals are identified by unique codes, references are shown in figure 2. Pale green rows indicate ATR-16 individuals with only alpha-thalassemia, yellow rows indicate ATR-16 individuals also have at least one other abnormality but no defects of the axial skeleton and orange rows indicate the individual also has skeletal defects.

  • †40 bp ambiguity, values taken from midpoint

  • ‡Indicates individuals whose deletion breakpoints have been cloned or refined in this work.

  • §There numbers refer to other family members who carry this deletion and have no associated abnormalities apart from alpha-thalassemia

  • ¶Individuals have discordant abnormalities, most likely due to a deletion in NRXN1.

  • A, microarray; AT, alpha-thalassaemia; C, cytogenetics; DD, developmental delay; F, FISH; FD, facial dysmorphism; M, Multiplex Ligation-dependent Probe Amplification (MLPA); MR, mental retardation; na, data not available; S, breakpoint has been DNA sequenced; SA, skeletal abnormalities; SB, Southern blot; SD, speech delay; WGS, whole genome sequencing.