We describe two de novo intrachromosomal duplications of 1p, One case is a
dir ins dup(1)(q21p21p31) in a newborn girl with low birth weight, growth r
etardation, and tetralogy of Fallot, The other is a 10-month-old girl with
developmental delay, craniosynostosis, plagiocephaly, and an inv dup 1p34.1
p31, Although, these patients have manifestations in common with previous c
ases, they do not establish a syndrome. Interestingly, all males with dupli
cations spanning 1p31 had genital anomalies, whereas females with duplicati
ons of the same region had normal genitalia. Thus, genes within 1p31 appear
to control the development of male genitalia and tentatively exclude effec
ts of tda1, a sex-determining gene in a region of mouse chromosome 4 synten
ic to 1p36 in man, However, it is necessary to identify the human tda1 homo
logue and candidate genes within 1p31 before drawing final conclusions. (C)
1999 Wiley-Liss, Inc.