Lespinasse James, Gimelli Stefania, Béna Frédérique, Antonarakis Stylianos E, Ansermet François, Paoloni-Giacobino Ariane
Cytogenetic Laboratory, General Hospital, BP 1125, 73011 Chambery Cedex, France.
Eur J Med Genet. 2009 Jan-Feb;52(1):49-52. doi: 10.1016/j.ejmg.2008.10.001. Epub 2008 Oct 21.
Chromosomal imbalances, recognized as the major cause of mental retardation (MR), are often due to submicroscopic deletions or duplications not evidenced by conventional cytogenetic methods. Array-based comparative genomic hybridization (array-CGH) improves considerably the detection rate of submicroscopic chromosomal abnormalities and has proven to be an effective tool for detection of submicroscopic chromosome abnormalities in children with MR and/or multiple congenital defects. Observations of array-CGH deletions in defined chromosomal regions linked to a clinical phenotype will more and more allow to define genotype-phenotype correlations. We report here the case of a 10-year-old female with a de novo 7.8 Mb deletion in the 6q13-6q14.1 ascertained by array-CGH. The clinical features of this patient include psychomotor and language delay associated with minor dysmorphic features.
染色体失衡被认为是智力迟钝(MR)的主要原因,通常是由于传统细胞遗传学方法无法检测到的亚显微缺失或重复。基于芯片的比较基因组杂交(array-CGH)显著提高了亚显微染色体异常的检测率,并且已被证明是检测患有MR和/或多种先天性缺陷儿童亚显微染色体异常的有效工具。观察与临床表型相关的特定染色体区域中的array-CGH缺失将越来越有助于定义基因型-表型相关性。我们在此报告一例通过array-CGH确定的6q13-6q14.1区域存在7.8 Mb新生缺失的10岁女性病例。该患者的临床特征包括精神运动和语言发育迟缓以及轻微的畸形特征。