1q21.1 Duplication

Below is a summary for 1q21.1 Duplication observed in research publications. This is not meant to take the place of medical advice. Click HERE for the full gene guide, which includes more information, such as chance of having another child with this condition, or specialists to consider for people with this condition.

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Simons Searchlight just released a new report that includes updated information on your genetic community. The report also focuses on development using a survey called the Vineland Adaptive Behavior Scales. Caregivers share how their family members with our genetic condition respond to different skills like communication, self-care, and social skills. This survey helps doctors and researchers understand how our skills change over time.

If you want to help contribute to this research, it’s important to participate in surveys. To view past registry reports and learn more, go to the Simons Searchlight website and click on “Previous Registry Reports.”

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What is 1q21.1 microduplication syndrome?

1q21.1 microduplication syndrome can affect communication, social, and learning skills. People who have 1q21.1 microduplication syndrome may have:

  • Developmental delay
  • Intellectual disability
  • Autism or related behavior issues

What causes 1q21.1 microduplication syndrome?

People who have 1q21.1 microduplication syndrome have an extra piece of chromosome 1. The extra piece can affect learning and how the body develops. Researchers are trying to learn more about what the genes in this extra piece do.

Do all people who have 1q21.1 microduplication syndrome have symptoms?

Not necessarily. Some people do not have any symptoms. Some people may not learn that they have this chromosome change until it is found in their children.

Do all the people in a family that has the chromosome change have the same symptoms?

Not necessarily. Family members who have the same chromosome change can have different symptoms.


Many people have learning issues. But most do not have intellectual disability. 20% have intellectual disability


Some people who have the syndrome have attention deficit hyperactivity disorder (ADHD) or autism. 40% have autism 30% have ADHD


Some people have some trouble understanding and forming words. 38% have trouble forming words

Learn more about 1q21.1 Duplication and connect with other Simons Searchlight families with the resources below.


Support Resources

Simons Searchlight Community – 1q21.1 Duplication Facebook group


Genetic Information

What genes are involved in typical (Class 1) 1q21.1 deletions and duplications?

In the “typical” 1q21.1 deletion or duplication, there are about 20 genes that are missing (deleted) or extra (duplicated). Some have not been researched at all, and have been left out of the summary. These genes that begin with “NBPF” have been found in children with features like macrocephaly, autism, schizophrenia, intellectual disability, congenital heart disease, neuroblastoma, and problems with the kidney and urinary tract. This gene family contains many pseudogenes (see definition below).

  • PRKAB2 – Important for regulating energy in cells (involved in making fatty acids and cholesterol for cells)
  • FMO5 – Two missing copies of this gene are associated with a condition called “Trimethylaminuria,” which causes an unusual odor.
  • GJA8 – Important for the growth of specific cells in the eye called “lens fiber cells.” Missing copies of this gene (deletions) can result in an increased chance for cataracts.
  • CHD1L – Important in chromatin remodeling (this is like “behind-the-scenes” work with preparing DNA to be used, read, or copied).
  • BCL9 – The function of this gene is unknown when it is deleted or duplicated in a person. Errors in this gene have been found in patients with B-cell acute lymphoblastic leukemia. The errors with this gene are thought to happen in a person’s cancer cells (which are usually genetically different than the cells in the rest of a person’s body. We do not think that people who have deletions or duplications of this gene are at an increased risk for leukemia.

What is a pseudogene? Pseudogenes are thought to be inactive gene. (“Pseudo” means “fake” in Latin.) They are similar to normal genes, but are not functional. The information or “genetic sequence” of a pseudogene is often similar to another gene that has a job in the body. Pseudogenes arise because of copying errors that have happened in the past. They are actually copies of other functioning genes, that were incorporated into a person’s DNA a very long time ago, but no longer have a job. Pseudogenes are considered “non-coding” DNA.



GeneReviews are a great resource to bring to your child’s clinicians. These publications provide a summary of current research on genetic conditions and information on ongoing care.

There is currently no GeneReviews for 1q21.1 Duplication. The GeneReviews chapter for 1q21.1 deletion mentions 1q21.1 duplication as a genetically related disorder.


Fact Sheet

Download a copy of our 1q21.1 Duplication Fact Sheet here.


Research Article Summaries

Below, we have summarized research articles about 1q21.1 Duplications. We hope you find this information helpful. The information available about 1q21.1 Duplications is limited, and families and doctors share a critical need for more information. As we learn more from children who have a change in this gene, we expect this list of resources and information to grow.

Full versions of published research articles can be found on PubMed. PubMed is a National Institutes of Health (NIH) online database that is free. It has a collection of both medical and scientific research articles. A PubMed search for 1q21.1 Duplication articles can be found here.

  • Clinical phenotype of the recurrent 1q21.1 copy-number variant Original research article by Bernier R. et al. (2016). Read the article here and the Simons Searchlight summary here. Read news coverage of the article here.

Research Opportunities

  • Simons Searchlight Help the Simons Searchlight team learn more about 1q21.1 Duplication by taking part in our research. You can learn more about the project and sign up here.

Family Stories

Stories from 1q21.1 Duplication families:

Click here to share your family’s story.