PMID- 15834244 OWN - NLM STAT- MEDLINE DCOM- 20050811 LR - 20191109 IS - 1098-3600 (Print) IS - 1098-3600 (Linking) VI - 7 IP - 4 DP - 2005 Apr TI - Detection and calibration of microdeletions and microduplications by array-based comparative genomic hybridization and its applicability to clinical genetic testing. PG - 264-71 AB - PURPOSE: Genome-wide telomere screening by fluorescence in situ hybridization (FISH) has revealed that approximately 6% of unexplained mental retardation is due to submicroscopic telomere imbalances. However, the use of FISH for telomere screening is labor intensive and time consuming, given that 41 telomeres are interrogated. We have evaluated the use of array-based Comparative Genomic Hybridization (aCGH) as a more efficient tool for identifying telomere rearrangements. METHODS: In this study, 102 individuals with unexplained mental retardation, with either normal or abnormal FISH results, were selected for a blinded retrospective study using aCGH. Results between the two methodologies were compared to ascertain the ability of aCGH to be used in a clinical diagnostics setting. RESULTS: We detected 100% of all imbalances previously identified by FISH (n = 17) and identified two additional abnormalities, a 10q telomere duplication and an interstitial duplication of 22q11. Interphase FISH analysis verified all abnormal array results. We also demonstrated that aCGH can accurately calibrate the size of telomere imbalances by using an array with "molecular rulers" for the telomeric regions of 1p, 16p, 17p, and 22q. CONCLUSION: This study demonstrates that aCGH is an equivalent methodology to telomere FISH for detecting submicroscopic deletions. In addition, small duplications that are not easily visible by FISH can be accurately detected using aCGH. Because aCGH allows simultaneous interrogation of hundreds to thousands of DNA probes and is more amenable to automation, it offers an efficient and high-throughput alternative for detecting and calibrating unbalanced rearrangements, both of the telomere region, as well as other genomic locations. FAU - Wong, Andrew AU - Wong A AD - Department of Human Genetics, Emory University School of Medicine, Atlanta, Georgia 30322, USA. FAU - Lese Martin, Christa AU - Lese Martin C FAU - Heretis, Konstantina AU - Heretis K FAU - Ruffalo, Teresa AU - Ruffalo T FAU - Wilber, Kim AU - Wilber K FAU - King, Walter AU - King W FAU - Ledbetter, David H AU - Ledbetter DH LA - eng GR - 5 R01 HD36715-03/HD/NICHD NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't 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 SB - IM MH - Chromosome Aberrations/*statistics & numerical data MH - Cytogenetic Analysis/*methods MH - Evaluation Studies as Topic MH - Genetic Testing/*methods MH - Humans MH - In Situ Hybridization, Fluorescence MH - Intellectual Disability/*genetics MH - Nucleic Acid Hybridization/methods MH - Retrospective Studies MH - Telomere/*genetics EDAT- 2005/04/19 09:00 MHDA- 2005/08/12 09:00 CRDT- 2005/04/19 09:00 PHST- 2005/04/19 09:00 [pubmed] PHST- 2005/08/12 09:00 [medline] PHST- 2005/04/19 09:00 [entrez] AID - 00125817-200504000-00006 [pii] AID - 10.1097/01.gim.0000160076.14102.ec [doi] PST - ppublish SO - Genet Med. 2005 Apr;7(4):264-71. doi: 10.1097/01.gim.0000160076.14102.ec.