A case report of 22q11 deletion syndrome confirmed by array-CGH method.

作者: Hossein Abdali , Maryam Sedghi , Narges Nouri , Mehrdad Memarzadeh , Nayereh Nouri

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摘要: Velo-cardio-facial syndrome (VCFS) is caused by a submicroscopic deletion on the long arm of chromosome 22 and affects approximately 1 in 4000 persons, making it second most prevalent genetic after Down common associated with cleft palate. Most 22q11.2 cases are new occurrences or sporadic; however, about 10 % families, inherited other family members affected at risk for passing this to their children. This report describes 1.5 years-old male child clinical signs velo-cardio-facial presented heart defect, soft palate, developmental delay, acrocephaly, seizure, MRI abnormalities descriptive facial feature, such as hypertelorism. Array-CGH test was done confirm diagnosis; result revealed 2.6 Mbp that containing TBX1 COMT genes. Our data suggest haploinsufficiency gene probably major contributor some characteristic signs, defect. Because delay dysmorphic feature were observed index's mother relatives, autosomal dominant form VCF probable, MLPA (multiplex ligation-dependent probe amplification) should be performed parents estimate recurrent next pregnancy.

参考文章(15)
Robert J. Shprintzen, Michael L. Lewin, Rosalie B. Goldberg, Ravelo V. Argamaso, Dennison Young, Eugene J. Sidoti, Milton D. Berkman, A new syndrome involving cleft palate, cardiac anomalies, typical facies, and learning disabilities: velo-cardio-facial syndrome. The Cleft palate journal. ,vol. 15, pp. 56- 62 ,(1978)
B S Emanuel, M L Budarf, D A Driscoll, A genetic etiology for DiGeorge syndrome: consistent deletions and microdeletions of 22q11. American Journal of Human Genetics. ,vol. 50, pp. 924- 933 ,(1992)
PJ Scambler, D Kelly, E Lindsay, R Williamson, R Goldberg, R Shprintzen, DI Wilson, JA Goodship, IE Cross, J Burn, None, Velo-cardio-facial syndrome associated with chromosome 22 deletions encompassing the DiGeorge locus The Lancet. ,vol. 339, pp. 1138- 1139 ,(1992) , 10.1016/0140-6736(92)90734-K
Heather E. McDermid, Bernice E. Morrow, Genomic disorders on 22q11. American Journal of Human Genetics. ,vol. 70, pp. 1077- 1088 ,(2002) , 10.1086/340363
Andrea C. Stachon, Berivan Baskin, Adam C. Smith, Andrea Shugar, Cheryl Cytrynbaum, Leona Fishman, Roberto Mendoza-Londono, Regan Klatt, Ahmed Teebi, Peter N. Ray, Rosanna Weksberg, Molecular diagnosis of 22q11.2 deletion and duplication by multiplex ligation dependent probe amplification. American Journal of Medical Genetics Part A. ,vol. 143, pp. 2924- 2930 ,(2007) , 10.1002/AJMG.A.32101
Elena L. Grigorenko, Alexander E. Urban, Einar Mencl, Behavior, Brain, and Genome in Genomic Disorders: Finding the Correspondences Journal of Developmental & Behavioral Pediatrics. ,vol. 31, pp. 602- 609 ,(2010) , 10.1097/DBP.0B013E3181F5A0A1
Marcia A. Friedman, Nathanial Miletta, Cheryl Roe, Dongliang Wang, Bernice E. Morrow, Wendy R. Kates, Anne Marie Higgins, Robert J. Shprintzen, Cleft palate, retrognathia and congenital heart disease in velo-cardio-facial syndrome: a phenotype correlation study. International Journal of Pediatric Otorhinolaryngology. ,vol. 75, pp. 1167- 1172 ,(2011) , 10.1016/J.IJPORL.2011.06.013
Nathaniel H. Robin, Robert J. Shprintzen, Defining the Clinical Spectrum of Deletion 22q11.2 The Journal of Pediatrics. ,vol. 147, pp. 90- 96 ,(2005) , 10.1016/J.JPEDS.2005.03.007
Peter J. Scambler, 22q11 Deletion Syndrome: A Role for TBX1 in Pharyngeal and Cardiovascular Development Pediatric Cardiology. ,vol. 31, pp. 378- 390 ,(2010) , 10.1007/S00246-009-9613-0
Luis Fernández, Julián Nevado, Fernando Santos, Damià Heine-Suñer, Victor Martinez-Glez, Sixto García-Miñaur, Rebeca Palomo, Alicia Delicado, Isidora López Pajares, María Palomares, Luis García-Guereta, Eva Valverde, Federico Hawkins, Pablo Lapunzina, A deletion and a duplication in distal 22q11.2 deletion syndrome region. Clinical implications and review. BMC Medical Genetics. ,vol. 10, pp. 48- 48 ,(2009) , 10.1186/1471-2350-10-48