Shi Shanshan, Guo Li, Zha Qingbing, Shi Zijian, Yang Yandong
Fetal Medicine Center, First Affiliated Hospital of Jinan University, Guangzhou, Guangdong 510630, China.
Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2017 Aug 10;34(4):567-570. doi: 10.3760/cma.j.issn.1003-9406.2017.04.022.
To explore the genotype-phenotype correlation of a child with chromosome 18q deletion syndrome.
G-banded karyotyping, single nucleotide polymorphism array (SNP array) and fluorescence in situ hybridization (FISH) were performed on the child with abnormal phenotypes. Genotype-phenotype correlation was explored following accurate mapping of the breakpoints on chromosome 18q. SNP array was also performed on the genome DNA derived from peripheral venous blood samples from both parents.
Chromosomal analysis revealed that the child has a karyotype of 46, XY, del(18) (q23). SNP array analysis detected a 9.855 Mb deletion (chr18: 68 158 880-78 014 123) at 18q22.2q23. Mapping of the breakpoints suggested that the deletion has overlapped with that of distal chromosome 18q deletion syndrome and encompassed several critical regions for this syndrome. SNP array performed on parental samples suggested that the 18q22.2q23 deletion was de novo in origin. FISH analysis of peripheral blood sample from the child confirmed the presence of 18qter deletion.
The phenotype of this child may be attributed to the deletion of distal 18q22.2q23, which has encompassed several critical regions for the 18q deletion syndrome.
探讨18号染色体长臂缺失综合征患儿的基因型-表型相关性。
对具有异常表型的患儿进行G显带核型分析、单核苷酸多态性阵列(SNP阵列)和荧光原位杂交(FISH)。在精确绘制18号染色体长臂上的断点后,探讨基因型-表型相关性。还对来自父母外周静脉血样本的基因组DNA进行了SNP阵列分析。
染色体分析显示该患儿的核型为46, XY, del(18)(q23)。SNP阵列分析在18q22.2q23检测到一个9.855 Mb的缺失(chr18: 68 158 880-78 014 123)。断点定位表明该缺失与远端18号染色体长臂缺失综合征的缺失重叠,并包含该综合征的几个关键区域。对父母样本进行的SNP阵列分析表明,18q22.2q23缺失为新发。对患儿外周血样本的FISH分析证实存在18号染色体末端缺失。
该患儿的表型可能归因于远端18q22.2q23的缺失,该缺失包含了18号染色体长臂缺失综合征的几个关键区域。