PMID- 10842290 OWN - NLM STAT- MEDLINE DCOM- 20000712 LR - 20111117 IS - 0148-7299 (Print) IS - 0148-7299 (Linking) VI - 92 IP - 4 DP - 2000 Jun 5 TI - Detection of a cryptic translocation in a family with mental retardation using FISH and telomere region-specific probes. PG - 250-5 AB - Cryptic rearrangements involving the telomeres are thought to account for a substantial number of patients with unexplained mental retardation and multiple congenital anomalies, although the exact incidence of these rearrangements is still unclear. With the advent of chromosome-specific telomeric probes and the use of FISH (fluorescence in situ hybridization), it is now possible to identify submicroscopic rearrangements of the distal ends of chromosomes that may otherwise go undetected using conventional cytogenetic studies. We report on a 4 1/2 year-old girl with severe mental retardation and minor anomalies who inherited the unbalanced product of a cryptic translocation involving chromosomes 2 and 17 from her father. The family history was significant for early pregnancy losses, stillbirths, and mental retardation in many other family members, suggesting segregation of a familial translocation. This translocation was detected using chromosome-specific telomere FISH probes, and not visible using conventional cytogenetic methods. Collectively, this case and those previously reported clearly demonstrate the value of a systematic search for cryptic chromosome rearrangements in patients with unexplained mental retardation with previously reported normal chromosome studies; and in particular those with a family history of mental retardation, birth defects, or early pregnancy losses. FAU - Bacino, C A AU - Bacino CA AD - Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas 77030, USA. cbacino@bcm.tmc.edu FAU - Kashork, C D AU - Kashork CD FAU - Davino, N A AU - Davino NA FAU - Shaffer, L G AU - Shaffer LG LA - eng PT - Journal Article PL - United States TA - Am J Med Genet JT - American journal of medical genetics JID - 7708900 RN - 0 (DNA Probes) SB - IM MH - Adolescent MH - Adult MH - Child, Preschool MH - Chromosome Banding MH - Chromosomes, Human, Pair 17/genetics MH - Chromosomes, Human, Pair 2/genetics MH - DNA Probes MH - Family Health MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Intellectual Disability/*genetics/pathology MH - Karyotyping MH - Male MH - Pedigree MH - Telomere/*genetics MH - *Translocation, Genetic EDAT- 2000/06/08 09:00 MHDA- 2000/07/15 11:00 CRDT- 2000/06/08 09:00 PHST- 2000/06/08 09:00 [pubmed] PHST- 2000/07/15 11:00 [medline] PHST- 2000/06/08 09:00 [entrez] AID - 10.1002/(SICI)1096-8628(20000605)92:4<250::AID-AJMG5>3.0.CO;2-8 [pii] PST - ppublish SO - Am J Med Genet. 2000 Jun 5;92(4):250-5.