PMID- 16160854 OWN - NLM STAT- MEDLINE DCOM- 20060330 LR - 20181113 IS - 0340-6717 (Print) IS - 0340-6717 (Linking) VI - 118 IP - 2 DP - 2005 Nov TI - Molecular analysis of a constitutional complex genome rearrangement with 11 breakpoints involving chromosomes 3, 11, 12, and 21 and a approximately 0.5-Mb submicroscopic deletion in a patient with mild mental retardation. PG - 267-75 AB - Complex chromosome rearrangements (CCRs) are extremely rare but often associated with mental retardation, congenital anomalies, or recurrent spontaneous abortions. We report a de novo apparently balanced CCR involving chromosomes 3 and 12 and a two-way translocation between chromosomes 11 and 21 in a woman with mild intellectual disability, obesity, coarse facies, and apparent synophrys without other distinctive dysmorphia or congenital anomalies. Molecular analysis of breakpoints using fluorescence in situ hybridization (FISH) with region-specific BAC clones revealed a more complex character for the CCR. The rearrangement is a result of nine breaks and involves reciprocal translocation of terminal chromosome fragments 3p24.1-->pter and 12q23.1-->qter, insertion of four fragments of the long arm of chromosome 12: q14.1-->q21?, q21?-->q22, q22-->q23.1, and q23.1-->q23.1 and a region 3p22.3-->p24.1 into chromosome 3q26.31. In addition, we detected a approximately 0.5-Mb submicroscopic deletion at 3q26.31. The deletion involves the chromosome region that has been previously associated with Cornelia de Lange syndrome (CdLS) in which a novel gene NAALADL2 has been mapped recently. Other potential genes responsible for intellectual deficiency disrupted as a result of patient's chromosomal rearrangement map at 12q14.1 (TAFA2), 12q23.1 (METAP2), and 11p14.1 (BDNF). FAU - Borg, Katarzyna AU - Borg K AD - Department of Medical Genetics, Institute of Mother and Child, Kasprzaka 17A, 01-211, Warsaw, Poland. FAU - Stankiewicz, Pawel AU - Stankiewicz P FAU - Bocian, Ewa AU - Bocian E FAU - Kruczek, Anna AU - Kruczek A FAU - Obersztyn, Ewa AU - Obersztyn E FAU - Lupski, James R AU - Lupski JR FAU - Mazurczak, Tadeusz AU - Mazurczak T LA - eng GR - HD24064/HD/NICHD NIH HHS/United States GR - P01 HD39420/HD/NICHD NIH HHS/United States PT - Case Reports PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20051115 PL - Germany TA - Hum Genet JT - Human genetics JID - 7613873 SB - IM EIN - Hum Genet. 2006 Jan;118(5):668 MH - Adult MH - Chromosome Breakage/*genetics MH - Chromosome Disorders/*genetics/pathology MH - Chromosome Mapping/methods MH - Chromosomes, Human/*genetics MH - Congenital Abnormalities/genetics/pathology MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence/methods MH - Intellectual Disability/*genetics/pathology MH - Translocation, Genetic/*genetics EDAT- 2005/09/15 09:00 MHDA- 2006/03/31 09:00 CRDT- 2005/09/15 09:00 PHST- 2005/04/01 00:00 [received] PHST- 2005/06/03 00:00 [accepted] PHST- 2005/09/15 09:00 [pubmed] PHST- 2006/03/31 09:00 [medline] PHST- 2005/09/15 09:00 [entrez] AID - 10.1007/s00439-005-0021-0 [doi] PST - ppublish SO - Hum Genet. 2005 Nov;118(2):267-75. doi: 10.1007/s00439-005-0021-0. Epub 2005 Nov 15.