PMID- 16267671 OWN - NLM STAT- MEDLINE DCOM- 20060522 LR - 20181113 IS - 0340-6717 (Print) IS - 0340-6717 (Linking) VI - 118 IP - 5 DP - 2006 Jan TI - Ring chromosome 15: characterization by array CGH. PG - 611-7 AB - Ring chromosome 15 [r(15)] is an uncommon finding with less than 50 patients reported. Precise genotype-phenotype correlations are problematic because of the difficulties in determining the extent of euchromatic loss, the level of mosaicism, and the influence of the timing of ascertainment. We report two discordant examples of r(15) patients. In the first case, prenatal diagnosis of a de novo r(15) was made during the second trimester: mos 46,XX,r(15)(p11.2q26)[32]/45,XX,-15[13]/47,XX,r(15)(p11.2q26)x2[3]/46,XX,dic r(15)(p11.2q26p11.2q26[1]/46,XX[2]. Postnatal follow-up revealed extremely small stature, heart defects, and developmental delay. Patient 2 was a 31-year-old short-statured female who was living independently: 46,XX,r(15)(p11q26). Both cases showed loss of the 15q subtelomeric region by fluorescence in situ hybridization (FISH). To investigate the discordance in phenotypes between the two patients, we undertook array comparative genomic hybridization (array CGH) analyses to more fully characterize the deletions associated with these otherwise structurally indistinguishable r(15) chromosomes from conventional cytogenetic analyses and fluorescence in situ hybridization (FISH) studies. By array CGH, patient 1 showed deletion of multiple contiguous clones predicting an approximately 6 Mb deletion of distal 15q. In contrast, patient 2 showed loss of just the 15q subtelomeric clone and an interstitial clone by array CGH confirming that the severity of the phenotype correlated with the size of the deletion at the molecular level. These cases illustrate the utility of array CGH characterization for determining the size of the associated deletion in ring chromosomes and for facilitating phenotype-genotype correlations. FAU - Glass, Ian A AU - Glass IA AD - Department of Pediatrics, University of Washington, M2-9, 4800 Sand Point Way NE, Seattle, 98105, USA. ianglass@u.washington.edu FAU - Rauen, Katherine A AU - Rauen KA FAU - Chen, Emily AU - Chen E FAU - Parkes, Jillian AU - Parkes J FAU - Alberston, Donna G AU - Alberston DG FAU - Pinkel, Daniel AU - Pinkel D FAU - Cotter, Philip D AU - Cotter PD LA - eng GR - CA83040/CA/NCI NIH HHS/United States GR - CA84118/CA/NCI NIH HHS/United States GR - HD048502/HD/NICHD NIH HHS/United States PT - Case Reports PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20051103 PL - Germany TA - Hum Genet JT - Human genetics JID - 7613873 SB - IM MH - Adult MH - Chromosome Aberrations MH - *Chromosomes, Human, Pair 15 MH - Female MH - Genotype MH - Humans MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - Nucleic Acid Hybridization/*genetics MH - Phenotype MH - Pregnancy MH - Prenatal Diagnosis MH - *Ring Chromosomes EDAT- 2005/11/04 09:00 MHDA- 2006/05/23 09:00 CRDT- 2005/11/04 09:00 PHST- 2005/05/02 00:00 [received] PHST- 2005/06/27 00:00 [accepted] PHST- 2005/11/04 09:00 [pubmed] PHST- 2006/05/23 09:00 [medline] PHST- 2005/11/04 09:00 [entrez] AID - 10.1007/s00439-005-0030-z [doi] PST - ppublish SO - Hum Genet. 2006 Jan;118(5):611-7. doi: 10.1007/s00439-005-0030-z. Epub 2005 Nov 3.