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De novo Unbalanced 1;22 Translocation with 22q11 Deletion Syndrome.

ΤίτλοςDe novo Unbalanced 1;22 Translocation with 22q11 Deletion Syndrome.
Publication TypeJournal Article
Year of Publication2019
AuthorsVittas, S., Efstathiou G., Tsakalidis C., Malamaki C., Antari V., Chatzitoliou E., Chatziioannidis I., Galli-Tsinopoulou A., & Soubasi V.
JournalCytogenet Genome Res
Volume158
Issue1
Pagination32-37
Date Published2019
ISSN1424-859X
Λέξεις κλειδιά22q11 Deletion Syndrome, Abnormal Karyotype, Chromosomes, Human, Pair 1, Chromosomes, Human, Pair 22, Comparative Genomic Hybridization, DiGeorge Syndrome, Female, Humans, In Situ Hybridization, Fluorescence, Infant, Newborn, Nucleic Acid Amplification Techniques, Sequence Deletion, Syndrome, Translocation, Genetic
Abstract

This report describes a newborn girl presenting with some of the common features of DiGeorge syndrome/velocardiofacial syndrome (DGS/VCFS), including hypocalcemia, atrial septal defect, and aortic stenosis. Several genetic tests were carried out to determine the origin of the clinical phenotype. MLPA was initially performed followed by aCGH, cytogenetic analysis, and FISH. Cytogenetic analysis of the proband's parents was also done. MLPA revealed a deletion in 22q11.1q11.2 spanning from the cat eye syndrome region to the most commonly deleted region in DGS/VCFS patients. The size of the deletion as defined by aCGH was 3.2 Mb. The karyotype of the proband was 45,XX,der(1)t(1;22)(p36.3;q11.2)dn,-22, the karyotypes of the parents were normal. FISH analysis showed that the 22q11 deletion occurred in the der(1). No loss or gain of chromosomal material was evident for chromosome 1, as confirmed by MLPA, aCGH, and FISH. Unbalanced translocations resulting in DGS are relatively rare, with limited reports in the literature. To our knowledge, this is the second case involving chromosome 1 and the first one with breakpoints in 1p36 and 22q11.2. This case also emphasizes the importance of combining diagnostic methods to better understand a given genetic abnormality.

DOI10.1159/000497173
Alternate JournalCytogenet Genome Res
PubMed ID30799418

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