Weng Ying, Luo Xiaoping, Hou Ling
Department of Paediatrics, Tongji Hospital, Tongji Medical School, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Ann Hum Genet. 2018 Nov;82(6):482-487. doi: 10.1111/ahg.12279. Epub 2018 Aug 29.
Single-nucleotide polymorphism (SNP) arrays have been widely used to identify novel genomic imbalances. Many of these genomic imbalances have been confirmed to interact with developmental delays, intellectual disabilities (IDs), and congenital defects. Here, we identify a Chinese girl with a 3.18-Mb deletion at 12q12 (human genome build 19: 43,418,911-46,601,627) who showed postnatal growth delay, low-set ears, small hands and feet, widely spaced nipples, and blue sclerae. Deletions at 12q12 are extremely rare chromosomal imbalances; only four cases involving a deletion of this type have previously been reported. In these five sporadic cases, all of the patients exhibited developmental issues accompanied by different degrees of ID. A review of DECIPHER patient data revealed an additional six cases involving genomic deletion at 12q12. Many of the patients in these cases exhibited developmental delay and ID. When these patients were included, 91% and 73% of individuals with a deletion in this chromosomal region presented with developmental retardation and ID, respectively. Database searches indicated that this copy number variant (CNV) has not been found in normal humans. Therefore, we suggest that a CNV in this region is a risk factor for developmental retardation and ID.
单核苷酸多态性(SNP)阵列已被广泛用于识别新的基因组失衡。许多这些基因组失衡已被证实与发育迟缓、智力残疾(ID)和先天性缺陷相互作用。在此,我们鉴定出一名中国女孩,其12q12处存在3.18 Mb的缺失(人类基因组构建版19:43,418,911 - 46,601,627),该女孩表现出出生后生长迟缓、低位耳、小手和小脚、乳头间距宽以及蓝色巩膜。12q12处的缺失是极其罕见的染色体失衡;此前仅报道过4例涉及此类缺失的病例。在这5例散发病例中,所有患者均表现出发育问题并伴有不同程度的ID。对DECIPHER患者数据的回顾揭示了另外6例涉及12q12基因组缺失的病例。这些病例中的许多患者表现出发育迟缓及ID。当纳入这些患者后,该染色体区域缺失的个体中分别有91%和73%出现发育迟缓及ID。数据库搜索表明,在正常人类中未发现这种拷贝数变异(CNV)。因此,我们认为该区域的CNV是发育迟缓及ID的一个风险因素。