{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T00:10:08Z","timestamp":1792714208141,"version":"4.5.0"},"reference-count":24,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T00:00:00Z","timestamp":1756771200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJMS"],"abstract":"<jats:p>Autism spectrum disorder (ASD) is a heterogeneous neurodevelopmental condition often associated with genetic syndromes. Structural variants on the long arm of chromosome 15 (15q) are recurrently implicated in syndromic ASD, yet their phenotypic spectrum remains insufficiently characterized in diverse populations. We retrospectively analyzed clinical and molecular data from three patients with ASD treated at a Brazilian public reference center who also presented neurological and systemic comorbidities. Genetic investigations included G-banded karyotyping, chromosomal microarray analysis (CMA), methylation assays, and multiplex ligation-dependent probe amplification (MLPA) when indicated. Variants were classified according to ACMG guidelines and correlated with individual phenotypes. Case 1 showed an 8.4 Mb triplication at 15q11.2\u2013q13.1 encompassing SNRPN, UBE3A, and GABRB3, which are associated with epilepsy, delayed neuropsychomotor development, and dysmorphic traits. Case 2 presented a 418 kb duplication at 15q13.3 involving CHRNA7 and OTUD7A, a variant of uncertain significance correlated with intellectual disability, speech apraxia, and self-injurious behavior. Case 3 demonstrated extensive loss of heterozygosity at 15q11.2\u2013q13.1 and 15q21.3\u2013q26.2, which is compatible with maternal uniparental disomy and Prader\u2013Willi syndrome, manifesting hypotonia, seizures, and global delay. These findings underscore the potential involvement of the 15q region in syndromic ASD and related neurological comorbidities, highlighting the diverse pathogenic mechanisms and the importance of comprehensive genomic profiling for diagnosis, counseling, and individualized care.<\/jats:p>","DOI":"10.3390\/ijms26178509","type":"journal-article","created":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T15:02:57Z","timestamp":1756825377000},"page":"8509","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Chromosome 15q Structural Variants Associated with Syndromic Autism Spectrum Disorder: Clinical and Genomic Insights from Three Case Reports in a Brazilian Reference Center"],"prefix":"10.3390","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2111-132X","authenticated-orcid":false,"given":"Tha\u00eds Cid\u00e1lia Vieira","family":"Gigonzac","sequence":"first","affiliation":[{"name":"Clinical Genetics Service, Center for Rehabilitation and Readaptation Dr. Henrique Santillo, State Health Secretary of Goi\u00e1s, Goi\u00e2nia 74653-230, GO, Brazil"},{"name":"Graduate Program in Genetics, School of Medical and Life Sciences, Pontifical Catholic University of Goi\u00e1s, Goi\u00e2nia 74605-010, GO, Brazil"},{"name":"Undergraduate Program, Academic Institute of Health and Biological Science, State University of Goi\u00e1s, Goi\u00e2nia 74690-900, GO, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2088-3855","authenticated-orcid":false,"given":"Mariana Oliveira","family":"Silva","sequence":"additional","affiliation":[{"name":"Graduate Program in Genetics, School of Medical and Life Sciences, Pontifical Catholic University of Goi\u00e1s, Goi\u00e2nia 74605-010, GO, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2557-6570","authenticated-orcid":false,"given":"Fl\u00e1via Melo","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Graduate Program in Genetics, School of Medical and Life Sciences, Pontifical Catholic University of Goi\u00e1s, Goi\u00e2nia 74605-010, GO, Brazil"},{"name":"Undergraduate Program, Academic Institute of Health and Biological Science, State University of Goi\u00e1s, Goi\u00e2nia 74690-900, GO, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex Honda","family":"Bernardes","sequence":"additional","affiliation":[{"name":"Clinical Genetics Service, Center for Rehabilitation and Readaptation Dr. Henrique Santillo, State Health Secretary of Goi\u00e1s, Goi\u00e2nia 74653-230, GO, Brazil"},{"name":"Graduate Program in Genetics, School of Medical and Life Sciences, Pontifical Catholic University of Goi\u00e1s, Goi\u00e2nia 74605-010, GO, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cl\u00e1udio Carlos","family":"da Silva","sequence":"additional","affiliation":[{"name":"Clinical Genetics Service, Center for Rehabilitation and Readaptation Dr. Henrique Santillo, State Health Secretary of Goi\u00e1s, Goi\u00e2nia 74653-230, GO, Brazil"},{"name":"Graduate Program in Genetics, School of Medical and Life Sciences, Pontifical Catholic University of Goi\u00e1s, Goi\u00e2nia 74605-010, GO, Brazil"},{"name":"Undergraduate Program, Academic Institute of Health and Biological Science, State University of Goi\u00e1s, Goi\u00e2nia 74690-900, GO, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0753-3814","authenticated-orcid":false,"given":"Aparecido Divino","family":"da Cruz","sequence":"additional","affiliation":[{"name":"Clinical Genetics Service, Center for Rehabilitation and Readaptation Dr. Henrique Santillo, State Health Secretary of Goi\u00e1s, Goi\u00e2nia 74653-230, GO, Brazil"},{"name":"Graduate Program in Genetics, School of Medical and Life Sciences, Pontifical Catholic University of Goi\u00e1s, Goi\u00e2nia 74605-010, GO, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6422-9873","authenticated-orcid":false,"given":"Marc Alexandre Duarte","family":"Gigonzac","sequence":"additional","affiliation":[{"name":"Clinical Genetics Service, Center for Rehabilitation and Readaptation Dr. Henrique Santillo, State Health Secretary of Goi\u00e1s, Goi\u00e2nia 74653-230, GO, Brazil"},{"name":"Graduate Program in Genetics, School of Medical and Life Sciences, Pontifical Catholic University of Goi\u00e1s, Goi\u00e2nia 74605-010, GO, Brazil"},{"name":"Undergraduate Program, Academic Institute of Health and Biological Science, State University of Goi\u00e1s, Goi\u00e2nia 74690-900, GO, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,9,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1093\/brain\/awac278","article-title":"CAPRIN1 haploinsufficiency causes a neurodevelopmental disorder with language impairment, ADHD and ASD","volume":"146","author":"Pavinato","year":"2023","journal-title":"Brain"},{"key":"ref_2","unstructured":"CDC (2025, July 18). 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