PMID- 10766989 OWN - NLM STAT- MEDLINE DCOM- 20000608 LR - 20041117 IS - 0148-7299 (Print) IS - 0148-7299 (Linking) VI - 91 IP - 4 DP - 2000 Apr 10 TI - Dual-probe fluorescence in situ hybridization assay for detecting deletions associated with VCFS/DiGeorge syndrome I and DiGeorge syndrome II loci. PG - 313-7 AB - Over 90% of patients with DiGeorge syndrome (DGS) or velocardiofacial syndrome (VCFS) have a microdeletion at 22q11.2. Given that these deletions are difficult to visualize at the light microscopic level, fluorescence in situ hybridization (FISH) has been instrumental in the diagnosis of this disorder. Deletions on the short arm of chromosome 10 are also associated with a DGS-like phenotype. Since deletions at 22q11.2 and at 10p13p14 result in similar findings, we have developed a dual-probe FISH assay for screening samples referred for DGS or VCFS in the clinical laboratory. This assay includes two test probes for the loci, DGSI at 22q11.2 and DGSII at 10p13p14, and centromeric probes for chromosomes 10 and 22. Of 412 patients tested, 54 were found to be deleted for the DGSI locus on chromosome 22 (13%), and a single patient was found deleted for the DGSII locus on chromosome 10 (0. 24%). The patient with the 10p deletion had facial features consistent with VCFS, plus sensorineural hearing loss, and renal anomalies. Cytogenetic analysis showed a large deletion of 10p [46, XX,del(10)(p12.2p14)] and FISH using a 10p telomere region-specific probe confirmed the interstitial nature of the deletion. Analysis for the DGSI and the DGSII loci suggests that the deletion of the DGSII locus on chromosome 10 may be 50 times less frequent than the deletion of DGSI on chromosome 22. The incidence of deletions at 22q11.2 has been estimated to be 1 in 4000 newborns; therefore, the deletion at 10p13p14 may be estimated to occur in 1 in 200,000 live births. CI - Copyright 2000 Wiley-Liss, Inc. FAU - Berend, S A AU - Berend SA AD - Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas 77030, USA. sberend@bcm.tmc.edu FAU - Spikes, A S AU - Spikes AS FAU - Kashork, C D AU - Kashork CD FAU - Wu, J M AU - Wu JM FAU - Daw, S C AU - Daw SC FAU - Scambler, P J AU - Scambler PJ FAU - Shaffer, L G AU - Shaffer LG LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Am J Med Genet JT - American journal of medical genetics JID - 7708900 SB - IM MH - *Chromosome Deletion MH - Chromosomes, Human, Pair 10/genetics MH - Chromosomes, Human, Pair 22/genetics MH - Coronary Vessel Anomalies/diagnosis/genetics MH - Craniofacial Abnormalities/diagnosis/*genetics MH - DiGeorge Syndrome/diagnosis/*genetics MH - Fatal Outcome MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Infant MH - Karyotyping MH - Kidney/abnormalities MH - Male MH - Retrospective Studies MH - Syndrome EDAT- 2000/04/15 09:00 MHDA- 2000/06/10 09:00 CRDT- 2000/04/15 09:00 PHST- 2000/04/15 09:00 [pubmed] PHST- 2000/06/10 09:00 [medline] PHST- 2000/04/15 09:00 [entrez] AID - 10.1002/(SICI)1096-8628(20000410)91:4<313::AID-AJMG13>3.0.CO;2-U [pii] PST - ppublish SO - Am J Med Genet. 2000 Apr 10;91(4):313-7.