PMID- 12509719 OWN - NLM STAT- MEDLINE DCOM- 20030507 LR - 20220210 IS - 1098-3600 (Print) IS - 1098-3600 (Linking) VI - 4 IP - 6 DP - 2002 Nov-Dec TI - Cardiac phenotypes in chromosome 4q- syndrome with and without a deletion of the dHAND gene. PG - 464-7 AB - PURPOSE: Terminal deletions of chromosome 4q are commonly associated with cardiovascular malformations (CVMs). The dHAND gene (HAND2 heart and neural crest derivative express 2), a basic helix-loop-helix transcription factor expressed in the developing heart, maps to 4q33. A targeted deletion in mouse shows that dHAND plays an important role in heart development, suggesting that haploinsufficiency of in patients with 4q deletions may be causal for CVMs. The purpose of this study is to examine the possible association between dHAND haploinsufficiency with the CVMs that occur in patients with 4q terminal deletions. METHODS: Fluorescence in situ hybridization (FISH) was performed with a dHAND human genomic probe on five patients with terminal deletion at 4q33 or 4q34. RESULTS: Of the three patients with a deletion of the dHAND locus, two had CVM (both valvar pulmonic stenosis). Of the two patients without a deletion of the dHAND gene, one had a small atrial septal defect noted on autopsy. In one of the patients with breakpoint on chromosome 4 assigned to 4q34.2 by GTG-banding, FISH revealed deletion of the dHAND gene. CONCLUSION: The results suggest that cardiac phenotypes are very variable in patients with the terminal deletion of chromosome 4q and that haploinsufficiency of the dHAND is not necessarily associated with CVMs. The correct cytogenetic interpretation of terminal chromosome deletions might be augmented by FISH. FAU - Huang, Taosheng AU - Huang T AD - Division of Genetics, Department of Pediatrics, University California, Irvine, California 92697, USA. FAU - Lin, Angela E AU - Lin AE FAU - Cox, Gerald F AU - Cox GF FAU - Golden, Wendy L AU - Golden WL FAU - Feldman, Gerald L AU - Feldman GL FAU - Ute, Moog AU - Ute M FAU - Schrander-Stumpel, Connie AU - Schrander-Stumpel C FAU - Kamisago, Mitsuhiro AU - Kamisago M FAU - Vermeulen, Stefan J T AU - Vermeulen SJ LA - eng GR - M01 02172/PHS HHS/United States GR - M01RR00827/RR/NCRR NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Genet Med JT - Genetics in medicine : official journal of the American College of Medical Genetics JID - 9815831 RN - 0 (Basic Helix-Loop-Helix Transcription Factors) RN - 0 (DNA-Binding Proteins) RN - 0 (HAND2 protein, human) RN - 0 (Transcription Factors) RN - 0 (Zebrafish Proteins) RN - 0 (hand2 protein, zebrafish) SB - IM MH - Adult MH - Basic Helix-Loop-Helix Transcription Factors MH - Child MH - Child, Preschool MH - Chromosome Banding MH - *Chromosomes, Human, Pair 4 MH - DNA-Binding Proteins/*genetics MH - Female MH - *Gene Deletion MH - Heart Defects, Congenital/*genetics MH - Humans MH - In Situ Hybridization, Fluorescence MH - Infant, Newborn MH - Male MH - Transcription Factors/*genetics MH - Zebrafish Proteins EDAT- 2003/01/02 04:00 MHDA- 2003/05/08 05:00 CRDT- 2003/01/02 04:00 PHST- 2003/01/02 04:00 [pubmed] PHST- 2003/05/08 05:00 [medline] PHST- 2003/01/02 04:00 [entrez] AID - S1098-3600(21)03025-2 [pii] AID - 10.1097/00125817-200211000-00011 [doi] PST - ppublish SO - Genet Med. 2002 Nov-Dec;4(6):464-7. doi: 10.1097/00125817-200211000-00011.