Rare & Orphan Lab · DeCure for X

DeCure for Chromosome 2q32-q33 deletion syndrome

DeCure's autonomous Rare AI scientist is researching a drug-repurposing hypothesis for chromosome 2q32-q33 deletion syndrome — screening already-approved drugs against its 2-gene Open Targets disease module to publish open-access research. Research is fast; the path to publication is funded in milestone stages.

Disease module2 genesLead labRare & Orphan
All cures
Rare & OrphanDOID:0060428$DeCureRare

The disease map

Disease moduleChromosome 2q32-q33 deletion syndrome maps to a 2-gene Open Targets module — the target space DeCure's AI scientist screens approved drugs against.
DeCure.ai methodSignature reversal (LINCS) plus network proximity (STRING) rank already-approved drugs likely to perturb this module — the same engine that produces DeCure.ai's repurposing hypotheses.
Repurposing thesisScreening approved medicines against this disease module, then publishing the evidence for the strongest candidate. Known pharmacology and human exposure data make the first question sharper — they do not establish safety or efficacy in a new indication.

Research record

01
ResearchComing soon
Candidate research + dossier — target rationale, drug-repurposing thesis and evidence pack.proof: Published dossier + on-chain hash
02
ValidationComing soon
In-vitro biological validation at a contract research org (CRO).proof: CRO contract + in-vitro report
03
Peer review & paperComing soon
Peer-reviewed paper published open-access (preprint + journal).proof: DOI + open-access link + on-chain hash

Current lead

No approved-drug candidate for chromosome 2q32-q33 deletion syndrome is corroborated in the literature DeepSearch retrieved. Some conditions are managed with non-pharmacological care — a device, surgery or physical therapy — rather than a medicine; that may be the case here, or the literature we found may simply be too sparse yet to support a drug-repurposing angle.

What the evidence adds up to

The abstracts provided do not describe any drug treatment or repurposing study for chromosome 2q32-q33 deletion syndrome. They are entirely focused on case reports, phenotype descriptions, and genotype-phenotype correlations for patients with various interstitial deletions on the long arm of chromosome 2. One abstract is a duplicate of a 1989 review, and one abstract (1981) concerns deletions of chromosome 4, not chromosome 2, and is irrelevant to the disease in question.

From the relevant case reports, the syndrome is very rare and defined by a characteristic set of physical and developmental features. Common manifestations across patients with 2q32q33 deletions include small size at birth, growth and developmental retardation, cardiovascular malformation, microcephaly, and cleft palate. Additional features reported in individual cases include a marfanoid phenotype, hypothyroidism, tactile hypersensitivity, and secondary cognitive decline in one 37-year-old female patient. The deletions vary in size and breakpoints, with one case involving an 8.6 Mb deletion at 2q32.2q33.1 encompassing 22 genes including SATB2, GLS, MYO1B, TMEFF2, and PGAP1, and another a 4.4 Mb deletion at 2q33.2q33.3 causing a relatively mild phenotype compared to Glass syndrome.

No clinical trial, drug intervention, or treatment outcome is reported in any of these abstracts. There are no data on survival, response rates, or sample sizes beyond single-patient case reports and small series of 7 or 8 previously reported children. The evidence is limited to descriptive natural history and genetic mapping. What is missing is any funded clinical trial, any proposed or tested drug, any systematic patient registry, and any stratification of patients by specific deletion size or gene content that might guide future therapeutic attempts.

Evidence

Retrieved by DeepSearch across 234,678,978 indexed works and resolved on OpenAlex — ranked by citations, including the results that did not work.

American Journal of Medical Genetics · 1981 · 94 citations

Deletions of different segments of the long arm of chromosome 4

AbstractWe report the clinical and chromosomal findings in 8 patients with deletions of the long arm of chromosome 4. Four of these patients appear to have terminal deletions beginning in band 4q31, and therefore, lack the digital 1/3 of the long arm of chromosome 4. We confirm that deletion of 4q31 leads to qter causes a recognizable syndrome, and we further define the phenotype of that syndrome. A 5th patient has a horter terminal deletion, ie, 4q33 leads to qter. This deletion causes a milder phenotypic expression than that seen in the severe 4q terminal-deletion syndrome. The remaining 3 patients have interstitial deletions of the long arm of the 4th chromosome, including segments 4q21.1 leads to q25, 4q21.3 leads to q26, and 4q27 leads to q31.3. The phenotypic expression noted in these patients is variable in differs from the 4q terminal-deletion syndrome.

https://doi.org/10.1002/ajmg.1320080110
American Journal of Medical Genetics Part A · 2013 · 51 citations

Deletion of 14.7 Mb 2q32.3q33.3 with a marfanoid phenotype and hypothyroidism

AbstractInterstitial 2q deletions are very rare chromosome abnormalities. The 2q32q33 deletion was proposed as a distinct entity with characteristic phenotype. Most patients have feeding problems, growth restriction, moderate to severe developmental delay, speech delay or lack of speech, high, prominent forehead, thin sparse hair, teeth abnormalities and a high or cleft palate. We report on another rare case of interstitial 2q33 deletion found during routine karyotyping and further characterized by the use of a genomic SNP array. The patient presented here has a "Marfanoid" phenotype, hypothyroidism, and a marked tactile hypersensitivity. We concluded that hypothyroidism might be caused by the deletion of the CD28 and/or CTLA4 genes; also cardiological monitoring of patients with the deletion including BMPR2 may be considered in order to prevent the possible medical complications associated with pulmonary hypertension.

https://doi.org/10.1002/ajmg.a.36076
American Journal of Medical Genetics · 1989 · 46 citations

A review of phenotype‐karyotype correlations in individuals with interstitial deletions of the long arm of chromosome 2

AbstractWe report an infant with del(2)(q31q33). His phenotype is compared with those of the 7 children reported previously with the apparently identical deletion. Nine cases of deletions involving other segments of chromosome 2q are reviewed. Common manifestations of the 2 groups include small size at birth, growth and developmental retardation, cardiovascular malformation, microcephaly, and cleft palate.

https://doi.org/10.1002/ajmg.1320320318
Journal of International Medical Research · 2016 · 12 citations · open access

Specific behavioural phenotype and secondary cognitive decline as a result of an 8.6 Mb deletion of 2q32.2q33.1

AbstractChromosomal abnormalities involving 2q32q33 deletions are very rare and present with a specific phenotype. This case report describes a 37-year-old female patient with 2q32q33 microdeletion syndrome presenting with the characteristic features, but with the addition of secondary cognitive decline. Molecular karyotyping was performed on the patient and her parents. It revealed an 8.6 megabase deletion with the proximal breakpoint in the chromosome band 2q32.2 and the distal breakpoint in 2q33.1. The deletion encompassed 22 known genes, including theGLS,MYO1B,TMEFF2,PGAP1andSATB2genes. The observed deletion was confirmed using a paralogue ratio test. This case report provides further evidence that theSATB2gene, together withGLS,MYO1B,TMEFF2and possiblyPGAP1,is a crucial gene in 2q32q33 microdeletion syndrome. TheSATB2gene seems to be crucial for the behavioural problems noted in our case, but deletion of theGLS,MYO1BandTMEFF2genes presumably contributed to the more complex behavioural characteristics observed. Our patient is also, to our knowledge, the only patient with 2q32q33 microdeletion syndrome with secondary cognitive decline.

https://doi.org/10.1177/0300060515595651
Cytogenetic and Genome Research · 2015 · 2 citations

Deletion of 4.4 Mb at 2q33.2q33.3 May Cause Growth Deficiency in a Patient with Mental Retardation, Facial Dysmorphic Features and Speech Delay

AbstractA patient with a rare interstitial deletion of chromosomal band 2q33.2q33.3 is described. The clinical features resembled the 2q33.1 microdeletion syndrome (Glass syndrome), including mental retardation, facial dysmorphism, high-arched narrow palate, growth deficiency, and speech delay. The chromosomal aberration was characterized by whole genome BAC aCGH. A comparison of the current patient and Glass syndrome features revealed that this case displayed a relatively mild phenotype. Overall, it is suggested that the deleted region of 2q33 causative for Glass syndrome may be larger than initially suggested.

https://doi.org/10.1159/000381568
American Journal of Medical Genetics · 2012 · 0 citations · open access

Process Improvement of Wispeco's Distribution Operations

AbstractWe report an infant with del(2)(q31q33). His phenotype is compared with those of the 7 children reported previously with the apparently identical deletion. Nine cases of deletions involving other segments of chromosome 2q are reviewed. Common manifestations of the 2 groups include small size at birth, growth and developmental retardation, cardiovascular malformation, microcephaly, and cleft palate.

https://doi.org/10.1002/ajmg.1320320318

Disease module: DeepOracle (Open Targets). Structures: RDKit from PubChem SMILES. Literature: retrieved by DeepSearch across 234,678,978 indexed works (targeted per-candidate search), resolved on OpenAlex.

DeCure is a research and publication project, not medical advice and not a treatment. "DeCure for X" describes a research goal, not a claim that a cure exists. Backing a cure is a contribution to fund the research — it is not an investment, and confers no yield, royalty, equity or IP ownership. Papers are published open-access by the DeCure.ai DAO.