10.6084/m9.figshare.8074955.v1 Lombardo B. Lombardo B. Esposito D. Esposito D. Iossa S. Iossa S. Vitale A. Vitale A. Verdesca F. Verdesca F. Perrotta C. Perrotta C. Di Leo L. Di Leo L. Costa V. Costa V. Pastore L. Pastore L. Franzé A. Franzé A. Supplementary Material for: Intragenic Deletion in MACROD2: A Family with Complex Phenotypes Including Microcephaly, Intellectual Disability, Polydactyly, Renal and Pancreatic Malformations Karger Publishers 2019 Array-CGH Embryonic development Gene overexpression Intellectual disability Interstitial deletion MACROD2 2019-05-03 09:01:26 Dataset https://karger.figshare.com/articles/dataset/Supplementary_Material_for_Intragenic_Deletion_in_MACROD2_A_Family_with_Complex_Phenotypes_Including_Microcephaly_Intellectual_Disability_Polydactyly_Renal_and_Pancreatic_Malformations/8074955 <p>Diagnosing a complex genetic syndrome and correctly assigning the concomitant phenotypic traits to a well-defined clinical form is often a medical challenge. In this work, we report the analysis of a family with complex phenotypes, including microcephaly, intellectual disability, dysmorphic features, and polydactyly in the proband, with the aim of adding new aspects for obtaining a clear diagnosis. We performed array-comparative genomic hybridization and quantitative reverse transcriptase PCR (qRT-PCR) analyses. We identified a deletion of chromosome 20p12.1 involving the macrodomain containing 2/mono-ADP ribosylhydrolase 2 gene (<i>MACROD2</i>) in several members of the family. This gene is actually not associated with a specific syndrome but with congenital anomalies of multiple organs. qRT-PCR showed higher levels of a <i>MACROD2</i> mRNA isoform in the individuals carrying the deletion. Our results, together with other data reported in the literature, support the hypothesis that the deletion in <i>MACROD2</i> can affect correct embryonic development and that the presence of another associated event, such as epigenetic modifications at the <i>MACROD2</i> locus, can influence the level of severity of the pathology.</p>