Peixoto Sara, Melo Joana B, Ferrão José, Pires Luís M, Lavoura Nuno, Pinto Marta, Oliveira Guiomar, Carreira Isabel M
Cytogenetics and Genomics Laboratory, Faculty of Medicine, University of Coimbra, Coimbra, Portugal.
Neurodevelopmental and Autism Unit from Child Developmental Center and Centro de Investigação e Formação Clinica, Hospital Pediátrico, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Mol Cytogenet. 2017 Feb 4;10:2. doi: 10.1186/s13039-017-0302-z. eCollection 2017.
Autism is a global neurodevelopmental disorder which generally manifests during the first 2 years and continues throughout life, with a range of symptomatic variations. Epidemiological studies show an important role of genetic factors in autism and several susceptible regions and genes have been identified. The aim of our study was to validate a cost-effective set of commercial Multiplex Ligation dependent Probe Amplification (MLPA) and methylation specific multiplex ligation dependent probe amplification (MS-MLPA) test in autistic children refered by the neurodevelopmental center and autism unit of a Paediatric Hospital.
In this study 150 unrelated children with autism spectrum disorders were analysed for copy number variation in specific regions of chromosomes 15, 16 and 22, using MLPA. All the patients had been previously studied by conventional karyotype and fluorescence in situ hybridization (FISH) analysis for 15(q11.2q13) and, with these techniques, four alterations were identified. The MLPA technique confirmed these four and identified further six alterations by the combined application of the two different panels.
Our data show that MLPA is a cost effective straightforward and rapid method for detection of imbalances in a clinically characterized population with autism. It contributes to strengthen the relationship between genotype and phenotype of children with autism, showing the clinical difference between deletions and duplications.
自闭症是一种全球范围内的神经发育障碍,通常在儿童2岁前出现,并伴随终生,症状表现多样。流行病学研究表明遗传因素在自闭症中起重要作用,并且已经确定了几个易感区域和基因。我们研究的目的是验证一套经济高效的商业多重连接依赖探针扩增(MLPA)和甲基化特异性多重连接依赖探针扩增(MS-MLPA)检测方法,用于检测一家儿童医院神经发育中心和自闭症科室转诊的自闭症儿童。
在本研究中,使用MLPA分析了150名无关的自闭症谱系障碍儿童15号、16号和22号染色体特定区域的拷贝数变异。所有患者之前都已通过常规核型分析和荧光原位杂交(FISH)分析检测过15号染色体(q11.2q13),通过这些技术,共鉴定出4处变异。MLPA技术证实了这4处变异,并通过联合应用两种不同的检测组合又鉴定出6处变异。
我们的数据表明,MLPA是一种经济高效、直接且快速的方法,可用于检测临床上已确诊的自闭症患者群体中的失衡情况。它有助于加强自闭症儿童基因型与表型之间的联系,显示出缺失和重复之间的临床差异。