PMID- 16470726 OWN - NLM STAT- MEDLINE DCOM- 20060530 LR - 20200930 IS - 1552-4825 (Print) IS - 1552-4825 (Linking) VI - 140 IP - 5 DP - 2006 Mar 1 TI - Delineation of a 2.2 Mb microdeletion at 5q35 associated with microcephaly and congenital heart disease. PG - 427-33 AB - Fine mapping of chromosomal deletions and genotype-phenotype comparisons of clinically well-defined patients can be used to confirm or reveal loci and genes associated with human disorders. Eleven patients with cytogenetically visible deletions involving the terminal region of chromosome 5q have been described, but the extent of the deletion was determined only in one case. In this study we describe a 15-year-old boy with Ebstein anomaly, atrial septal defect (ASD), atrioventricular (AV) conduction defect, and microcephaly. He had an apparently balanced paracentric inversion of chromosome 5, with the karyotype 46, XY,inv(5)(q13q35) de novo. Further mapping of the chromosome breakpoints using fluorescence in situ hybridization (FISH) revealed a 2.2 Mb microdeletion at the 5q35 breakpoint, which spans 16 genes, including the cardiac homeobox transcription factor gene NKX2-5. The current data suggest that haploinsufficiency of NKX2-5 cause Ebstein anomaly and support previous results showing that NKX2-5 mutations cause ASD and AV conduction defect. Furthermore, we suggest presence of a new microcephaly locus within a 2.2 Mb region at 5q35.1-q35.2. FAU - Baekvad-Hansen, Marie AU - Baekvad-Hansen M AD - Department of Medical Biochemistry and Genetics, Wilhelm Johannsen Centre for Functional Genome Research, The Panum Institute, University of Copenhagen, Copenhagen, Denmark. FAU - Tumer, Zeynep AU - Tumer Z FAU - Delicado, Alicia AU - Delicado A FAU - Erdogan, Fikret AU - Erdogan F FAU - Tommerup, Niels AU - Tommerup N FAU - Larsen, Lars A AU - Larsen LA LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Med Genet A JT - American journal of medical genetics. Part A JID - 101235741 SB - IM MH - Abnormalities, Multiple/*genetics/pathology MH - Adolescent MH - Chromosome Banding MH - Chromosome Breakage/genetics MH - *Chromosome Deletion MH - Chromosomes, Human, Pair 5/*genetics MH - Ebstein Anomaly/pathology MH - Gene Deletion MH - Genotype MH - Heart Defects, Congenital/*pathology MH - Humans MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - Male MH - Microcephaly/genetics/*pathology MH - Phenotype EDAT- 2006/02/14 09:00 MHDA- 2006/05/31 09:00 CRDT- 2006/02/14 09:00 PHST- 2006/02/14 09:00 [pubmed] PHST- 2006/05/31 09:00 [medline] PHST- 2006/02/14 09:00 [entrez] AID - 10.1002/ajmg.a.31087 [doi] PST - ppublish SO - Am J Med Genet A. 2006 Mar 1;140(5):427-33. doi: 10.1002/ajmg.a.31087.