Chromosome 1p36 deletion syndrome (monosomy 1p36) is the most common terminal deletion syndrome in humans, affecting about 1 in 5,000 newborns. Terminal (and less often interstitial) deletions of varying size across the distal short arm of chromosome 1 produce haploinsufficiency of multiple contiguous genes, causing developmental delay, intellectual disability, hypotonia, seizures, short stature, distinctive facial features, brain anomalies, hearing and vision problems, congenital heart defects and cardiomyopathy, orofacial clefting, and renal anomalies. The syndrome is clinically recognizable but phenotypically variable, and severity does not track cleanly with deletion size, implicating position effects and haploinsufficiency of more than one gene.
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name: Chromosome 1p36 Deletion Syndrome
creation_date: "2026-08-22T00:00:00Z"
description: >-
Chromosome 1p36 deletion syndrome (monosomy 1p36) is the most common terminal
deletion syndrome in humans, affecting about 1 in 5,000 newborns. Terminal (and
less often interstitial) deletions of varying size across the distal short arm of
chromosome 1 produce haploinsufficiency of multiple contiguous genes, causing
developmental delay, intellectual disability, hypotonia, seizures, short stature,
distinctive facial features, brain anomalies, hearing and vision problems,
congenital heart defects and cardiomyopathy, orofacial clefting, and renal
anomalies. The syndrome is clinically recognizable but phenotypically variable,
and severity does not track cleanly with deletion size, implicating position
effects and haploinsufficiency of more than one gene.
category: Genetic
synonyms:
- monosomy 1p36
- 1p36 deletion syndrome
- 1p36 monosomy
- deletion 1p36
parents:
- hereditary disease
- chromosomal disorder
disease_term:
preferred_term: chromosome 1p36 deletion syndrome
term:
id: MONDO:0011929
label: chromosome 1p36 deletion syndrome
has_subtypes:
- name: Terminal deletion
display_name: 1p36 terminal deletion
description: >-
The most common form — a terminal deletion of the distal 1p36 region, of
variable breakpoint and size.
evidence:
- reference: PMID:26345236
reference_title: "1p36 deletion syndrome: an update."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Deletions of chromosome 1p36 affect approximately 1 in 5,000 newborns and are the most common terminal deletions in humans."
explanation: Establishes terminal deletions of 1p36 as the most common terminal deletions in humans.
- name: Interstitial deletion
display_name: 1p36 interstitial deletion
description: >-
A less common interstitial deletion within 1p36. Deletions of varying length
occur throughout the ~30 Mb of chromosome 1p36, contributing to phenotypic
variability.
evidence:
- reference: PMID:26910004
reference_title: "Mini-Review: Monosomy 1p36 syndrome: reviewing the correlation between deletion sizes and phenotypes."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "the severity of the clinical features was not always associated with the deletion size"
explanation: Documents that severity does not track cleanly with deletion size across the variable deletions.
inheritance:
- name: Heterozygous 1p36 terminal deletion
inheritance_term:
preferred_term: Autosomal dominant inheritance
term:
id: HP:0000006
label: Autosomal dominant inheritance
description: >-
The deletion is present in the heterozygous state, so a single copy of the
1p36 interval is lost — the dosage basis on which the syndrome is classified
as autosomal dominant.
evidence:
- reference: PMID:17918734
reference_title: Monosomy 1p36 deletion syndrome.
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: >-
Monosomy 1p36 results from a heterozygous deletion of the most distal
chromosomal band on the short arm of chromosome 1.
explanation: >-
Establishes that the deletion acts in the heterozygous state. Note this
review states the zygosity, not a de novo rate or a transmission
observation; the de novo fraction is deliberately left uncurated here
rather than asserted without a cited source.
prevalence:
- population: Live births
measure_type: BIRTH_PREVALENCE
prevalence_class: BAND_1_5_PER_10000
rate_per_100000: 20.0
notes: >-
Approximately 1 in 5,000 newborns (20 per 100,000); the most common terminal
deletion syndrome in humans.
evidence:
- reference: PMID:26345236
reference_title: "1p36 deletion syndrome: an update."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Deletions of chromosome 1p36 affect approximately 1 in 5,000 newborns and are the most common terminal deletions in humans."
explanation: Provides the ~1 in 5,000 newborn prevalence.
pathophysiology:
- name: 1p36 Terminal Deletion
biological_scale: MOLECULAR
description: >-
A terminal (or interstitial) deletion of the distal short arm of chromosome 1,
of variable size across the ~30 Mb 1p36 region, removing one copy of the genes
in the deleted segment.
evidence:
- reference: PMID:26345236
reference_title: "1p36 deletion syndrome: an update."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Although 1p36 deletion syndrome is considered clinically recognizable, there is significant phenotypic variation among affected individuals."
explanation: Notes the clinically recognizable but variable phenotype of the 1p36 deletion.
downstream:
- target: Haploinsufficiency of 1p36 Genes
causal_link_type: DIRECT
description: The deletion reduces the dosage of contiguous 1p36 genes.
- name: Haploinsufficiency of 1p36 Genes
biological_scale: MOLECULAR
description: >-
Reduced dosage of contiguous 1p36 genes produces the multisystem phenotype.
Severity does not track cleanly with deletion size, implicating position
effects and haploinsufficiency of more than one gene; candidate contributors
include RERE, KCNAB2 (seizures), GABRD, SKI, PRDM16 (cardiomyopathy), MMP23B,
CASZ1, and others.
cell_types:
- preferred_term: neuron
term:
id: CL:0000540
label: neuron
evidence:
- reference: PMID:26910004
reference_title: "Mini-Review: Monosomy 1p36 syndrome: reviewing the correlation between deletion sizes and phenotypes."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "The major clinical features of monosomy 1p36 deletion are developmental delay and hypotonia associated with short stature and craniofacial dysmorphisms."
explanation: Summarizes the major clinical features resulting from 1p36 haploinsufficiency.
downstream:
- target: Global Developmental Delay
causal_link_type: DIRECT
- target: Seizures
causal_link_type: DIRECT
- target: Congenital Heart Defects
causal_link_type: DIRECT
phenotypes:
- category: Neurologic
name: Global Developmental Delay
frequency: VERY_FREQUENT
phenotype_term:
preferred_term: Global developmental delay
term:
id: HP:0001263
label: Global developmental delay
evidence:
- reference: PMID:26910004
reference_title: "Mini-Review: Monosomy 1p36 syndrome: reviewing the correlation between deletion sizes and phenotypes."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "The major clinical features of monosomy 1p36 deletion are developmental delay and hypotonia associated with short stature and craniofacial dysmorphisms."
explanation: Developmental delay is a major clinical feature.
- category: Neurologic
name: Intellectual Disability
frequency: VERY_FREQUENT
phenotype_term:
preferred_term: Intellectual disability
term:
id: HP:0001249
label: Intellectual disability
evidence:
- reference: PMID:26345236
reference_title: "1p36 deletion syndrome: an update."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Medical problems commonly caused by terminal deletions of 1p36 include developmental delay, intellectual disability, seizures, vision problems, hearing loss, short stature, distinctive facial features, brain anomalies, orofacial clefting, congenital heart defects, cardiomyopathy, and renal anomalies."
explanation: Intellectual disability is among the medical problems commonly caused by 1p36 deletions.
- category: Musculoskeletal
name: Hypotonia
frequency: VERY_FREQUENT
phenotype_term:
preferred_term: Hypotonia
term:
id: HP:0001252
label: Hypotonia
evidence:
- reference: PMID:26910004
reference_title: "Mini-Review: Monosomy 1p36 syndrome: reviewing the correlation between deletion sizes and phenotypes."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "The major clinical features of monosomy 1p36 deletion are developmental delay and hypotonia associated with short stature and craniofacial dysmorphisms."
explanation: Hypotonia is a major clinical feature.
- category: Craniofacial
name: Distinctive Facial Features
frequency: VERY_FREQUENT
phenotype_term:
preferred_term: Distinctive facial features
term:
id: HP:0001999
label: Abnormal facial shape
evidence:
- reference: PMID:26910004
reference_title: "Mini-Review: Monosomy 1p36 syndrome: reviewing the correlation between deletion sizes and phenotypes."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "The major clinical features of monosomy 1p36 deletion are developmental delay and hypotonia associated with short stature and craniofacial dysmorphisms."
explanation: Craniofacial dysmorphism is a major clinical feature.
- category: Neurologic
name: Seizures
frequency: FREQUENT
phenotype_term:
preferred_term: Seizure
term:
id: HP:0001250
label: Seizure
evidence:
- reference: PMID:26345236
reference_title: "1p36 deletion syndrome: an update."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Medical problems commonly caused by terminal deletions of 1p36 include developmental delay, intellectual disability, seizures, vision problems, hearing loss, short stature, distinctive facial features, brain anomalies, orofacial clefting, congenital heart defects, cardiomyopathy, and renal anomalies."
explanation: Seizures are among the medical problems commonly caused by 1p36 deletions.
- category: Growth
name: Short Stature
frequency: FREQUENT
phenotype_term:
preferred_term: Short stature
term:
id: HP:0004322
label: Short stature
evidence:
- reference: PMID:26910004
reference_title: "Mini-Review: Monosomy 1p36 syndrome: reviewing the correlation between deletion sizes and phenotypes."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "The major clinical features of monosomy 1p36 deletion are developmental delay and hypotonia associated with short stature and craniofacial dysmorphisms."
explanation: Short stature is a major clinical feature.
- category: Otologic
name: Hearing Impairment
frequency: FREQUENT
phenotype_term:
preferred_term: Hearing loss
term:
id: HP:0000365
label: Hearing impairment
evidence:
- reference: PMID:26345236
reference_title: "1p36 deletion syndrome: an update."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Medical problems commonly caused by terminal deletions of 1p36 include developmental delay, intellectual disability, seizures, vision problems, hearing loss, short stature, distinctive facial features, brain anomalies, orofacial clefting, congenital heart defects, cardiomyopathy, and renal anomalies."
explanation: Hearing loss is among the medical problems commonly caused by 1p36 deletions.
- category: Ophthalmologic
name: Vision Problems
frequency: FREQUENT
phenotype_term:
preferred_term: Vision problems
term:
id: HP:0000504
label: Abnormality of vision
evidence:
- reference: PMID:26345236
reference_title: "1p36 deletion syndrome: an update."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Medical problems commonly caused by terminal deletions of 1p36 include developmental delay, intellectual disability, seizures, vision problems, hearing loss, short stature, distinctive facial features, brain anomalies, orofacial clefting, congenital heart defects, cardiomyopathy, and renal anomalies."
explanation: Vision problems are among the medical problems commonly caused by 1p36 deletions.
- category: Cardiac
name: Congenital Heart Defects
frequency: FREQUENT
phenotype_term:
preferred_term: Congenital heart defect
term:
id: HP:0001627
label: Abnormal heart morphology
evidence:
- reference: PMID:26345236
reference_title: "1p36 deletion syndrome: an update."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Medical problems commonly caused by terminal deletions of 1p36 include developmental delay, intellectual disability, seizures, vision problems, hearing loss, short stature, distinctive facial features, brain anomalies, orofacial clefting, congenital heart defects, cardiomyopathy, and renal anomalies."
explanation: Congenital heart defects are among the medical problems commonly caused by 1p36 deletions.
- category: Cardiac
name: Cardiomyopathy
frequency: OCCASIONAL
phenotype_term:
preferred_term: Cardiomyopathy
term:
id: HP:0001638
label: Cardiomyopathy
evidence:
- reference: PMID:26345236
reference_title: "1p36 deletion syndrome: an update."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Medical problems commonly caused by terminal deletions of 1p36 include developmental delay, intellectual disability, seizures, vision problems, hearing loss, short stature, distinctive facial features, brain anomalies, orofacial clefting, congenital heart defects, cardiomyopathy, and renal anomalies."
explanation: Cardiomyopathy is among the medical problems caused by 1p36 deletions (PRDM16 is a candidate).
- category: Renal
name: Renal Anomalies
frequency: OCCASIONAL
phenotype_term:
preferred_term: Kidney anomaly
term:
id: HP:0000077
label: Abnormality of the kidney
evidence:
- reference: PMID:26345236
reference_title: "1p36 deletion syndrome: an update."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Medical problems commonly caused by terminal deletions of 1p36 include developmental delay, intellectual disability, seizures, vision problems, hearing loss, short stature, distinctive facial features, brain anomalies, orofacial clefting, congenital heart defects, cardiomyopathy, and renal anomalies."
explanation: Renal anomalies are among the medical problems commonly caused by 1p36 deletions.
- category: Craniofacial
name: Orofacial Clefting
frequency: OCCASIONAL
phenotype_term:
preferred_term: Orofacial cleft
term:
id: HP:0000202
label: Orofacial cleft
evidence:
- reference: PMID:26345236
reference_title: "1p36 deletion syndrome: an update."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Medical problems commonly caused by terminal deletions of 1p36 include developmental delay, intellectual disability, seizures, vision problems, hearing loss, short stature, distinctive facial features, brain anomalies, orofacial clefting, congenital heart defects, cardiomyopathy, and renal anomalies."
explanation: Orofacial clefting is among the medical problems commonly caused by 1p36 deletions.
- category: Neurologic
name: Brain Anomalies
frequency: FREQUENT
phenotype_term:
preferred_term: Brain anomalies
term:
id: HP:0012443
label: Abnormal brain morphology
evidence:
- reference: PMID:26345236
reference_title: "1p36 deletion syndrome: an update."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Medical problems commonly caused by terminal deletions of 1p36 include developmental delay, intellectual disability, seizures, vision problems, hearing loss, short stature, distinctive facial features, brain anomalies, orofacial clefting, congenital heart defects, cardiomyopathy, and renal anomalies."
explanation: Brain anomalies are among the medical problems commonly caused by 1p36 deletions.
genetic:
- name: 1p36 terminal deletion
association: Causal
notes: >-
Terminal (or interstitial) deletion of distal 1p36 (copy-number loss), of
variable size across the ~30 Mb region; the most common terminal deletion in
humans. No single causal gene; haploinsufficiency of more than one gene
contributes, and candidate genes include RERE, KCNAB2, GABRD, SKI, PRDM16,
MMP23B, and CASZ1. No coordinate slot exists in the schema; the deletion is
recorded here in prose.
evidence:
- reference: PMID:26345236
reference_title: "1p36 deletion syndrome: an update."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Although 1p36 deletion syndrome is considered clinically recognizable, there is significant phenotypic variation among affected individuals."
explanation: Establishes the variable phenotype of the causal 1p36 deletion.
diagnosis:
- name: Chromosomal Microarray
presence: 1p36 copy-number loss
notes: Detected and sized by chromosomal microarray (array-based copy-number analysis).
treatments:
- name: Multidisciplinary Supportive Care
description: >-
No curative therapy exists. Management is supportive and multidisciplinary —
developmental/early intervention, seizure management, and cardiac surveillance
(including for cardiomyopathy), with hearing, vision, and renal evaluation.
treatment_term:
preferred_term: supportive care
term:
id: NCIT:C15747
label: Supportive Care
- name: Physical and Occupational Therapy
description: For hypotonia and developmental/motor delay.
therapeutic_modality: BEHAVIORAL
treatment_term:
preferred_term: physical therapy
term:
id: NCIT:C15302
label: Physical Therapy
references:
- reference: PMID:26345236
title: "1p36 deletion syndrome: an update."
- reference: PMID:26910004
title: "Mini-Review: Monosomy 1p36 syndrome: reviewing the correlation between deletion sizes and phenotypes."