Document Detail


Clinical and molecular delineation of the 17q21.31 microdeletion syndrome.
MedLine Citation:
PMID:  18628315     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The chromosome 17q21.31 microdeletion syndrome is a novel genomic disorder that has originally been identified using high resolution genome analyses in patients with unexplained mental retardation.
AIM: We report the molecular and/or clinical characterisation of 22 individuals with the 17q21.31 microdeletion syndrome.
RESULTS: We estimate the prevalence of the syndrome to be 1 in 16,000 and show that it is highly underdiagnosed. Extensive clinical examination reveals that developmental delay, hypotonia, facial dysmorphisms including a long face, a tubular or pear-shaped nose and a bulbous nasal tip, and a friendly/amiable behaviour are the most characteristic features. Other clinically important features include epilepsy, heart defects and kidney/urologic anomalies. Using high resolution oligonucleotide arrays we narrow the 17q21.31 critical region to a 424 kb genomic segment (chr17: 41046729-41470954, hg17) encompassing at least six genes, among which is the gene encoding microtubule associated protein tau (MAPT). Mutation screening of MAPT in 122 individuals with a phenotype suggestive of 17q21.31 deletion carriers, but who do not carry the recurrent deletion, failed to identify any disease associated variants. In five deletion carriers we identify a <500 bp rearrangement hotspot at the proximal breakpoint contained within an L2 LINE motif and show that in every case examined the parent originating the deletion carries a common 900 kb 17q21.31 inversion polymorphism, indicating that this inversion is a necessary factor for deletion to occur (p<10(-5)).
CONCLUSION: Our data establish the 17q21.31 microdeletion syndrome as a clinically and molecularly well recognisable genomic disorder.
Authors:
D A Koolen; A J Sharp; J A Hurst; H V Firth; S J L Knight; A Goldenberg; P Saugier-Veber; R Pfundt; L E L M Vissers; A Destrée; B Grisart; L Rooms; N Van der Aa; M Field; A Hackett; K Bell; M J M Nowaczyk; G M S Mancini; P J Poddighe; C E Schwartz; E Rossi; M De Gregori; L L Antonacci-Fulton; M D McLellan; J M Garrett; M A Wiechert; T L Miner; S Crosby; R Ciccone; L Willatt; A Rauch; M Zenker; S Aradhya; M A Manning; T M Strom; J Wagenstaller; A C Krepischi-Santos; A M Vianna-Morgante; C Rosenberg; S M Price; H Stewart; C Shaw-Smith; H G Brunner; A O M Wilkie; J A Veltman; O Zuffardi; E E Eichler; B B A de Vries
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2008-07-15
Journal Detail:
Title:  Journal of medical genetics     Volume:  45     ISSN:  1468-6244     ISO Abbreviation:  J. Med. Genet.     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-11-03     Completed Date:  2008-12-31     Revised Date:  2011-07-28    
Medline Journal Info:
Nlm Unique ID:  2985087R     Medline TA:  J Med Genet     Country:  England    
Other Details:
Languages:  eng     Pagination:  710-20     Citation Subset:  IM    
Affiliation:
Department of Human Genetics, Nijmegen Centre for Molecular Life Sciences, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple* / epidemiology,  genetics,  physiopathology
Adolescent
Adult
Child
Child, Preschool
Chromosome Deletion*
Chromosome Inversion
Chromosomes, Human, Pair 17 / genetics*
Developmental Disabilities* / epidemiology,  genetics,  physiopathology
Face / pathology
Female
Humans
Infant
Male
Muscle Hypotonia / epidemiology,  genetics,  physiopathology
Oligonucleotide Array Sequence Analysis
Polymorphism, Single Nucleotide
Prevalence
Young Adult
tau Proteins
Grant Support
ID/Acronym/Agency:
HD043569/HD/NICHD NIH HHS; R01 HD043569-06/HD/NICHD NIH HHS; //Howard Hughes Medical Institute; //Howard Hughes Medical Institute
Chemical
Reg. No./Substance:
0/MAPT protein, human; 0/tau Proteins
Comments/Corrections
Erratum In:
J Med Genet. 2009 Aug;46(8):576

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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