PMID- 16207207 OWN - NLM STAT- MEDLINE DCOM- 20051213 LR - 20111117 IS - 0009-9163 (Print) IS - 0009-9163 (Linking) VI - 68 IP - 5 DP - 2005 Nov TI - Subtelomeric chromosome aberrations: still a lot to learn. PG - 397-407 AB - Subtelomeric chromosome aberrations: still a lot to learn.Cryptic subtelomeric chromosome aberrations are a significant cause of mental retardation (MR). More than 4000 patients have been investigated, and the mean overall prevalence of subtelomeric rearrangements has been found to be 5.2%. In order to contribute to knowledge on the clinical presentation of subtelomeric rearrangements, we retrospectively studied patients with unexplained MR who had been evaluated for subtelomeric abnormalities by different fluorescence in situ hybridization (FISH) techniques. Hundred and two patients had an unexplained combination of MR with dysmorphism, congenital anomalies, and/or a positive family history and were investigated by total subtelomeric (TS) FISH (89/102), or by total painting (TP) in an obligate carrier in the case of familial MR (13/102). In 59 additional patients, a sequence-specific FISH was performed on clinical indication. In the 102 patients studied by TS or TP, six pathogenic aberrations (5.9%) were found in addition to one polymorphism. In total, eight clinically significant subtelomeric aberrations were found in the 161 index patients; four of these eight aberrations were familial. We report on the clinical presentation of all patients with an aberration and review the relevant literature. Factors complicating the interpretation of subtelomeric rearrangements are discussed, such as the occurrence of variants, clinical variability, and limited knowledge of the phenotype. FAU - Moog, U AU - Moog U AD - Department of Clinical Genetics, University Hospital Maastricht, the Netherlands. yte.moog@gen.unimaas.nl FAU - Arens, Y H J M AU - Arens YH FAU - van Lent-Albrechts, J C M AU - van Lent-Albrechts JC FAU - Huijts, P E A AU - Huijts PE FAU - Smeets, E E J AU - Smeets EE FAU - Schrander-Stumpel, C T R M AU - Schrander-Stumpel CT FAU - Engelen, J J M AU - Engelen JJ LA - eng PT - Journal Article PL - Denmark TA - Clin Genet JT - Clinical genetics JID - 0253664 SB - IM EIN - Clin Genet. 2006 Apr;69(4):370 MH - *Chromosome Aberrations MH - Chromosome Deletion MH - Chromosome Disorders/diagnosis/genetics MH - Female MH - Gene Duplication MH - Genetic Testing MH - Humans MH - In Situ Hybridization, Fluorescence/methods MH - Intellectual Disability/*genetics MH - Male MH - Phenotype MH - Retrospective Studies MH - Telomere/genetics MH - Translocation, Genetic MH - Trisomy EDAT- 2005/10/07 09:00 MHDA- 2005/12/15 09:00 CRDT- 2005/10/07 09:00 PHST- 2005/10/07 09:00 [pubmed] PHST- 2005/12/15 09:00 [medline] PHST- 2005/10/07 09:00 [entrez] AID - CGE506 [pii] AID - 10.1111/j.1399-0004.2005.00506.x [doi] PST - ppublish SO - Clin Genet. 2005 Nov;68(5):397-407. doi: 10.1111/j.1399-0004.2005.00506.x.