“…It is noteworthy that several DECIPHER patients with polydactyly and other hand, foot, ulna, radius, or metacarpal bone anomalies are associated with heterozygous deletions involving FAT1 , some inherited from a healthy parent and others de novo (cases 263566, 263566, 249192, 276704, 273754, 285956, 300330, 384020, 392005, 392006, 392058, 392082, 392076, 392066, 393352, 392845, 394362, 394338, 394314, 394279, 395652, 401296, 398400, 398396). This observation suggests the presence in the non-deleted allele of medium frequency regulatory variants that lower protein production below the minimum level for normal limb embryogenesis, according to the TAR syndrome model [ 23 ].…”