{"id":37871,"date":"2022-07-12T16:31:28","date_gmt":"2022-07-12T07:31:28","guid":{"rendered":"https:\/\/www.hiro-clinic.or.jp\/nipt\/1p36-deletion-syndrome\/"},"modified":"2024-01-24T12:25:11","modified_gmt":"2024-01-24T03:25:11","slug":"1p36-deletion-syndrome","status":"publish","type":"page","link":"https:\/\/www.hiro-clinic.or.jp\/nipt\/genetic-diseases\/1p36-deletion-syndrome\/?lang=en","title":{"rendered":"1p36 deletion syndrome"},"content":{"rendered":"\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h2 class=\"wp-block-heading\">Overview<\/h2>\n\n\n\n<p><a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/1p-36-deletion-syndrome\/\">1p36<\/a> deletion syndrom is a typical severely mentally retarded disorder caused by a deletion of the <a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/1p-36-deletion-syndrome\/\">1p36<\/a> region at the end of the short arm of chromosome 1.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Epidemiology<\/h2>\n\n\n\n<p><a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/1p-36-deletion-syndrome\/\">1p36<\/a> deletion syndrome is estimated to occur in 1 in 5 000 to 10 000 newborns. However, this may be an underestimate, as it is thought that some affected individuals may never be diagnosed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Cause<\/h2>\n\n\n\n<p>The <a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/1p-36-deletion-syndrome\/\">1p36<\/a> deletion syndrome is caused by the deletion of genetic material from a specific region of the short arm (p) of chromosome 1. Signs and symptoms of the <a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/1p-36-deletion-syndrome\/\">1p36<\/a> deletion syndrome are probably related to the loss of several genes in this region. The size of the deletion depends on the affected individual.<\/p>\n\n\n\n<p>Most cases of <a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/1p-36-deletion-syndrome\/\">1p36<\/a> deletion syndrome are not inherited. It is caused by a random chromosomal deletion that occurs during the formation of germ cells (oocytes or sperm) or early in foetal development. Usually, affected individuals have no family history of the disease.<\/p>\n\n\n\n<p>About 20% of people with <a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/1p-36-deletion-syndrome\/\">1p36<\/a> deletion syndrome inherit the chromosome with the deleted part from an unaffected parent. In these cases, the parent has a chromosomal rearrangement called an equilibrium translocation, which means that there is no increase or decrease in genetic material. Equilibrium translocations do not usually cause health problems, but they can become imbalanced when passed on to the next generation. Children who inherit an imbalanced translocation may develop chromosomal rearrangements containing extra or missing genetic material; people who inherit an imbalanced translocation in <a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/1p-36-deletion-syndrome\/\">1p36<\/a> deletion syndrome have missing genetic material from the short arm of chromosome 1, resulting in birth defects and other health problems characteristic of this disorder. The result is the birth defects and other health problems characteristic of this disorder.<\/p>\n\n\n\n<div class=\"cyprus_cta\">\n<img decoding=\"async\" src=\"\/nipt\/wp-content\/uploads\/2023\/02\/cyprus-cta_top.png\" alt=\"\u5fae\u5c0f\u6b20\u5931\u30d7\u30e9\u30f3cta\u30dc\u30bf\u30f3\">\n<a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/plan\/n-guard\/\"><img decoding=\"async\" src=\"\/nipt\/wp-content\/uploads\/2023\/02\/cyprus-cta_middle.png\" alt=\"\u5fae\u5c0f\u6b20\u5931\u30d7\u30e9\u30f3\u4e00\u89a7\"><\/a>\n<a href=\"https:\/\/www.hiro-clinic.or.jp\/app\/registration\/?wp\"><img decoding=\"async\" src=\"\/nipt\/wp-content\/uploads\/2023\/02\/cyprus-cta_bottom.png\" alt=\"\u51fa\u751f\u524d\u8a3a\u65ad\u4e88\u7d04\u30dc\u30bf\u30f3\"><\/a>\n<\/div>\n\n<style>\n.cyprus_cta{\nmax-width: 500px !important;\nwidth: 100%;\nmargin: 0 auto;\n}\n.cyprus_cta a{\ndisplay: block;\n}\n.cyprus_cta a img:not(first-child){\nmargin-top: -8px;\n}\n<\/style>\n\n\n\n<h2 class=\"wp-block-heading\">Symptoms<\/h2>\n\n\n\n<p>Most patients do not speak or speak only a few words. They may also throw tantrums, bite and exhibit other behavioural problems. There is also a structural brain abnormality, which causes seizures in more than half of them. They also usually have weak muscle tone (hypotonia) and difficulty swallowing.<\/p>\n\n\n\n<p>Patients with <a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/1p-36-deletion-syndrome\/\">1p36<\/a> deletion syndrome are characterised by a small head, abnormally short and wide for its size (microcephaly). Facial features also include deep eyes, straight eyebrows and a hollow middle face (midfacial hypoplasia), a wide, flat nose with a long space between the nose and mouth (palatoplasty), a pointed chin, low, backwardly rotated ears and an abnormal shape.<\/p>\n\n\n\n<p>People with <a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/1p-36-deletion-syndrome\/\">1p36<\/a> deletion syndrome may have problems with vision and hearing. Others may have abnormalities of the skeleton, heart, digestive system, kidneys or reproductive organs.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Diagnosis<\/h2>\n\n\n\n<p>Cytogenetic analysis: detection of deletion of <a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/1p-36-deletion-syndrome\/\">1p36<\/a> on the short arm of chromosome 1<\/p>\n\n\n\n<p>In addition to characteristic facial features (straight eyebrows, deep eyebrows, receding midface, wide and low nasal ridge, long median, pointed chin), microcephaly, short head, luxated internal eye angle, large (larger than 3 cm at birth) macrosomia, delayed macrosomia closure, and low, posteriorly inclined and morphologically abnormal auricles are also present.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Treatment<\/h2>\n\n\n\n<p>There is no fundamental cure. However, early diagnosis and individualised rehabilitation therapy focusing on motor development, cognition, communication and social skills may help alleviate symptoms.<\/p>\n\n\n\n<p>Congenital heart disease may resolve spontaneously or require drug therapy or surgery. Epileptic seizures are treated with standard anti-epileptic drugs.<\/p>\n\n\n\n<p>Treatment with anticonvulsants may be effective for childhood seizures.<\/p>\n\n\n\n<p>Feeding difficulties are common and feeding and growth should be monitored.<\/p>\n\n\n\n<div class=\"wp-block-group references\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<p>\u3010References\u3011<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>MedlinePlus Genetics &#8211; <a href=\"https:\/\/medlineplus.gov\/genetics\/condition\/1p36-deletion-syndrome\/\">1p36 deletion syndrome<\/a><\/li>\n\n\n\n<li>Orphanet &#8211; <a href=\"https:\/\/www.orpha.net\/consor\/cgi-bin\/OC_Exp.php?Lng=GB&amp;Expert=1606\">1p36 deletion syndrome<\/a><\/li>\n\n\n\n<li>NCBI Bookshelf &#8211; <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK1191\/\">1p36 Deletion Syndrome<\/a><\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"cyprus_cta\">\n<img decoding=\"async\" src=\"\/nipt\/wp-content\/uploads\/2023\/02\/cyprus-cta_top.png\" alt=\"\u5fae\u5c0f\u6b20\u5931\u30d7\u30e9\u30f3cta\u30dc\u30bf\u30f3\">\n<a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/plan\/n-guard\/\"><img decoding=\"async\" src=\"\/nipt\/wp-content\/uploads\/2023\/02\/cyprus-cta_middle.png\" alt=\"\u5fae\u5c0f\u6b20\u5931\u30d7\u30e9\u30f3\u4e00\u89a7\"><\/a>\n<a href=\"https:\/\/www.hiro-clinic.or.jp\/app\/registration\/?wp\"><img decoding=\"async\" src=\"\/nipt\/wp-content\/uploads\/2023\/02\/cyprus-cta_bottom.png\" alt=\"\u51fa\u751f\u524d\u8a3a\u65ad\u4e88\u7d04\u30dc\u30bf\u30f3\"><\/a>\n<\/div>\n\n<style>\n.cyprus_cta{\nmax-width: 500px !important;\nwidth: 100%;\nmargin: 0 auto;\n}\n.cyprus_cta a{\ndisplay: block;\n}\n.cyprus_cta a img:not(first-child){\nmargin-top: -8px;\n}\n<\/style>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"Overview 1p36 deleti&#8230;\n <a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/genetic-diseases\/1p36-deletion-syndrome\/?lang=en\">\u7d9a\u304d\u3092\u8aad\u3080<\/a>","protected":false},"author":13,"featured_media":0,"parent":65643,"menu_order":119,"comment_status":"closed","ping_status":"closed","template":"page_wide.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-37871","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.hiro-clinic.or.jp\/nipt\/wp-json\/wp\/v2\/pages\/37871","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hiro-clinic.or.jp\/nipt\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.hiro-clinic.or.jp\/nipt\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.hiro-clinic.or.jp\/nipt\/wp-json\/wp\/v2\/users\/13"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hiro-clinic.or.jp\/nipt\/wp-json\/wp\/v2\/comments?post=37871"}],"version-history":[{"count":8,"href":"https:\/\/www.hiro-clinic.or.jp\/nipt\/wp-json\/wp\/v2\/pages\/37871\/revisions"}],"predecessor-version":[{"id":71524,"href":"https:\/\/www.hiro-clinic.or.jp\/nipt\/wp-json\/wp\/v2\/pages\/37871\/revisions\/71524"}],"up":[{"embeddable":true,"href":"https:\/\/www.hiro-clinic.or.jp\/nipt\/wp-json\/wp\/v2\/pages\/65643"}],"wp:attachment":[{"href":"https:\/\/www.hiro-clinic.or.jp\/nipt\/wp-json\/wp\/v2\/media?parent=37871"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}