Estécio MarcosRobertoHigino, Fett-Conte Agnes Cristina, Varella-Garcia Marileila, Fridman Cíntia, Silva Ana Elizabete
Laboratório de Citogenética e Biologia Molecular, Instituto de Bio ciências, Letras e Ciências Exatas-UNESP Campus de São José do Rio Preto, SP, Brazil.
J Autism Dev Disord. 2002 Feb;32(1):35-41. doi: 10.1023/a:1017952123258.
The Pervasive Developmental Disorders (PDDs) constitute a group of behavioral and neurobiological impairment conditions whose main features are delayed communicative and cognitive development. Genetic factors are reportedly associated with PDDs and particular genetic abnormalities are frequently found in specific diagnostic subgroups such as the autism spectrum disorders. This study evaluated cytogenetic and molecular parameters in 30 youths with autism or other PDDs. The fragile X syndrome was the most common genetic abnormality detected, presented by 1 patient with autism and 1 patient with PPD not-otherwise specified (PPD-NOS). One girl with PDD-NOS was found to have tetrasomy for the 15q11-q13 region, and one patient with autism exhibited in 2/100 metaphases an inv(7)(p35q36), thus suggesting a mosaicism 46,XX/46,XX,inv(7)(p15q36) or representing a coincidental finding. The high frequency of chromosomopathies support the hypothesis that PDDs may develop as a consequence to chromosomal abnormalities and justify the cytogenetic and molecular assessment in all patients with PDDs for establishment of diagnosis.
广泛性发育障碍(PDDs)是一组行为和神经生物学损伤病症,其主要特征是沟通和认知发育迟缓。据报道,遗传因素与PDDs有关,并且在特定诊断亚组(如自闭症谱系障碍)中经常发现特定的基因异常。本研究评估了30名患有自闭症或其他PDDs的青少年的细胞遗传学和分子参数。脆性X综合征是检测到的最常见的基因异常,1例自闭症患者和1例未另行指定的广泛性发育障碍(PPD-NOS)患者出现该病症。1例PPD-NOS女孩被发现15q11-q13区域存在四体,1例自闭症患者在100个中期细胞中有2个出现inv(7)(p35q36),因此提示存在46,XX/46,XX,inv(7)(p15q36)嵌合体,或为偶然发现。染色体病的高发生率支持了PDDs可能因染色体异常而发生的假说,并证明对所有PDDs患者进行细胞遗传学和分子评估以确立诊断的合理性。