PMID- 16927391 OWN - NLM STAT- MEDLINE DCOM- 20061212 LR - 20201113 IS - 0197-3851 (Print) IS - 0197-3851 (Linking) VI - 26 IP - 8 DP - 2006 Aug TI - Perinatal findings and molecular cytogenetic analyses of de novo interstitial deletion of 9q (9q22.3-->q31.3) associated with Gorlin syndrome. PG - 725-9 AB - OBJECTIVES: To present the perinatal findings and the molecular cytogenetic analyses of a de novo interstitial deletion of 9q (9q22.3-->q31.3) associated with Gorlin syndrome. METHODS: Amniocentesis was performed at 18 weeks' gestation on a 27-year-old woman at a community hospital because of a high Down syndrome risk of 1/178, a low maternal serum alpha-fetoprotein (MSAFP) level of 0.66 multiples of the median (MoM), and a high maternal serum human chorionic gonadotrophin (MShCG) level of 3.13 MoM. The karyotype was initially determined to be 46,XY. However, fetal macrocephaly and overgrowth were found at 30 weeks' gestation. Postnatally, the infant manifested characteristic features of Gorlin syndrome. High-resolution chromosomal bandings of the peripheral blood lymphocytes, polymorphic DNA marker analysis to determine the parental origin of the deletion, array comparative genomic hybridization (CGH) to determine the extent of the chromosomal deletion, and fluorescence in situ hybridization (FISH) to determine the deletion of the PTCH gene were performed. RESULTS: The 850-band level of resolution showed an interstitial deletion of 9q (9q22.3-->q31.3). The parental karyotypes were normal. The karyotype of the proband was 46,XY,del(9)(q22.3q31.3)de novo. Polymorphic DNA marker analysis revealed that the deletion was of paternal origin. Array CGH revealed that the deleted region was about 12 Mb, encompassing the segment from 9q22.32 to 9q31.3. FISH analysis using the BAC probe RP11-34D4 and the probe RP11-43505 indicated the deletion of the PTCH gene. CONCLUSIONS: Fetuses with an interstitial deletion of 9q (9q22.3-->q31.3) may be associated with a low level of MSAFP and a high level of MShCG in the second trimester, and sonographic findings of overgrowth and macrocephaly in the third trimester. FAU - Chen, Chih-Ping AU - Chen CP AD - Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan. cpc_mmh@yahoo.com FAU - Lin, Shuan-Pei AU - Lin SP FAU - Wang, Tzu-Hao AU - Wang TH FAU - Chen, Yann-Jang AU - Chen YJ FAU - Chen, Ming AU - Chen M FAU - Wang, Wayseen AU - Wang W LA - eng PT - Case Reports PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't PL - England TA - Prenat Diagn JT - Prenatal diagnosis JID - 8106540 RN - 0 (Chorionic Gonadotropin) RN - 0 (Genetic Markers) RN - 0 (PTCH1 protein, human) RN - 0 (Patched Receptors) RN - 0 (Patched-1 Receptor) RN - 0 (Receptors, Cell Surface) RN - 0 (alpha-Fetoproteins) SB - IM MH - Adult MH - Amniocentesis MH - Basal Cell Nevus Syndrome/*genetics/pathology MH - Chorionic Gonadotropin/blood MH - *Chromosome Banding MH - *Chromosome Deletion MH - Chromosomes, Human, Pair 9/*genetics MH - Female MH - Genetic Markers MH - Humans MH - In Situ Hybridization, Fluorescence MH - Infant, Newborn MH - Male MH - Patched Receptors MH - Patched-1 Receptor MH - Pregnancy MH - Receptors, Cell Surface/deficiency/genetics MH - alpha-Fetoproteins/analysis EDAT- 2006/08/24 09:00 MHDA- 2006/12/13 09:00 CRDT- 2006/08/24 09:00 PHST- 2006/08/24 09:00 [pubmed] PHST- 2006/12/13 09:00 [medline] PHST- 2006/08/24 09:00 [entrez] AID - 10.1002/pd.1496 [doi] PST - ppublish SO - Prenat Diagn. 2006 Aug;26(8):725-9. doi: 10.1002/pd.1496.