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A rare de novo unbalanced complex rearrangement involving chromosomes 12, 18 and 20 in a child with dysmorphic features

dc.contributor.authorAlves, Cristina
dc.contributor.authorMarques, Bárbara
dc.contributor.authorBrito, Filomena
dc.contributor.authorSilva, Marisa
dc.contributor.authorRodrigues, Rosário
dc.contributor.authorDuarte, Guida
dc.contributor.authorSousa, Ana Berta
dc.contributor.authorBicho, Anabela
dc.contributor.authorCorreia, Hildeberto
dc.date.accessioned2011-09-14T10:48:20Z
dc.date.available2011-09-14T10:48:20Z
dc.date.issued2011-06
dc.description.abstractComplex chromosomal rearrangements (CCRs) are rare structural abnormalities that involve three or more breakpoints located on two or more chromosomes and are often associated with developmental delay, mental retardation and congenital anomalies. Here, we report the case of a rare de novo CCR in a girl who was 9 months old when first reported to us. At 15 months old, her clinical features included marked hypotonia, severe psychomotor delay, progressive postnatal microcephaly, strabismus, depressed nasal root, hands and feet malformations, heart defects, recurrent respiratory infections and bilateral hearing deficit still in study. Conventional cytogenetic analysis revealed an unbalanced complex rearrangement, involving chromosomes 12, 18 and 20, and an apparent loss of material of chromosome 18 resulting from an interstitial deletion. Further molecular cytogenetic studies were performed: whole chromosome painting probes for the involved chromosomes and chromosomal comparative genomic hybridization. These studies revealed that apparently no other chromosomes were involved and confirmed a del(18)(q21.1q22) of approximately 17 Mb on the derivative chromosome 18. The latter chromosome also had material from der(12) to der(20) in its constitution. As most CCRs involving chromosome 18q show rearrangements in the q21, some authors argue that this region might be a breakpoint “hotspot”. On the other hand, cases of single deletions on 18q are predominantly terminal. Interstitial deletions are much rarer, and to our knowledge, this is the first report of a CCR with a del(18)(q21.1q22). The phenotype of patients with deletions within this region, reported so far, seems very similar to the one of our patient, and this may contribute to a better understanding of the genotype–phenotype correlation in this type of structural abnormalities.por
dc.identifier.citationChromosome Res. 2011;19(Suppl 1):S115–S116por
dc.identifier.issn0967-3849
dc.identifier.urihttp://hdl.handle.net/10400.18/164
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherSpringerLinkpor
dc.relation.ispartofseries1.P142
dc.relation.publisherversionhttp://www.springerlink.com/content/6453372m5087667h/fulltext.pdfpor
dc.subjectComplex chromosomal rearrangements (CCRs)por
dc.subjectChromosome 12por
dc.subjectChromosome 18por
dc.subjectChromosome 20por
dc.subject18q deletion syndromepor
dc.subjectDoenças Genéticaspor
dc.titleA rare de novo unbalanced complex rearrangement involving chromosomes 12, 18 and 20 in a child with dysmorphic featurespor
dc.typeconference object
dspace.entity.typePublication
oaire.citation.conferencePlacePorto, Portugalpor
oaire.citation.endPageS116por
oaire.citation.startPageS115por
oaire.citation.titleChromosome Research - 8th European Cytogenetic Conference 2011por
rcaap.rightsopenAccesspor
rcaap.typeconferenceObjectpor

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