Di Nora Alessandra, De Costa Greta, Di Mari Alessia, Montemagno Marco, Pavone Vito, Pavone Piero
Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.
Department of Radiology, University of Catania, Catania, Italy.
Glob Med Genet. 2022 Jul 21;9(3):214-218. doi: 10.1055/s-0042-1748171. eCollection 2022 Sep.
Diagnosis in children with physical and intellective anomalies is very challenging because of the wide spectrum of causes. Array-based comparative genomic hybridization (CGH) has acquired an important role in pediatric diagnostic work up. Interstitial deletion of the long arm of chromosome 12 are rare. To date, deletions including the 12q21 region were reported in only 13 patients. The main features are development delay, eyes and central nervous system anomalies, and heart and kidney defects. We describe a 3-year-old boy with a de novo 15 Mb deletion at 12q21.1q21.32, never reported in the last cases. By screening the critical region and reviewing the literature, we identified SYT1, PPP1R12A, and CEP290 such as pathogenetic genes.
由于病因范围广泛,对患有身体和智力异常的儿童进行诊断极具挑战性。基于微阵列的比较基因组杂交(CGH)在儿科诊断检查中发挥了重要作用。12号染色体长臂的间质性缺失较为罕见。迄今为止,仅在13例患者中报道了包括12q21区域在内的缺失。主要特征为发育迟缓、眼睛和中枢神经系统异常以及心脏和肾脏缺陷。我们描述了一名3岁男孩,其12q21.1q21.32区域存在15 Mb的新发缺失,这在以往病例中从未有过报道。通过筛查关键区域并查阅文献,我们确定了SYT1、PPP1R12A和CEP290等致病基因。