“…1 D) showed, by in silico analysis using three different algorithms (miRDB ( http://mirdb.org/miRDB/ ), TargetScan ( http://www.targetscan.org/vert_40/ ), and TargetMiner ( http://www.isical.ac.in/~bioinfo_miu/targetminer20.htm )), six possible target genes: EYA4 , S1PR3 , ANGPTL2 , CNTN3 , JMY and PPP1R16 . These genes appear to be related to central nervous system development and brain function, kidney development and disease, as well as vascuologenesis ( Firat-Karalar et al, 2011 , Meng and Lee, 2009 , Richardson et al, 2014 , Shimoda and Watanabe, 2009 ). It is plausible to speculate that the miR-4754 is upregulated in these six patients, due to the trisomic level of the 19q13.4, resulting in these six target genes having their mRNAs and proteins depleted, adding to the patient's phenotype.…”