PMID- 17163520 OWN - NLM STAT- MEDLINE DCOM- 20070326 LR - 20200930 IS - 1552-4825 (Print) IS - 1552-4825 (Linking) VI - 143A IP - 1 DP - 2007 Jan 1 TI - A girl with neurofibromatosis type 1, atypical autism and mosaic ring chromosome 17. PG - 76-81 AB - We describe a girl with neurofibromatosis type 1 (NF1), mild dysmorphic features, growth and mental retardation, autism, and mosaicism of ring chromosome 17 and chromosome 17 monosomy. The extent of genetic material deleted from the ring chromosome was determined using a combination of classical cytogenetics, fluorescence in situ hybridization (FISH) and multiplex ligation-dependent probe amplification (MLPA) to be 0.6-2.5 Mb on 17p, and up to about 10 Mb on 17q. Based on our observations and on a review of the literature we argue that in addition to a universal "ring syndrome" which is based on ring instability and is less specific for the chromosome involved, various ring chromosomes underlie their own characteristic phenotypes. We propose that the symptoms leading to the diagnosis of NF1 in our patient could be attributed to mosaic hemizygosity for the NF1 gene in some of her somatic cells. A similar mechanism or a direct involvement of respective disease genes in the aberration could possibly influence also the development of autism and other symptoms. We raise a question if the loss of one copy of chromosome 17 from a substantial fraction of somatic cells can have specific consequences also for future risks of the patient, for example, due to the mosaic hemizygosity for the BRCA1 and TP53 genes. CI - (c) 2006 Wiley-Liss, Inc. FAU - Havlovicova, Marketa AU - Havlovicova M AD - Institute of Biology and Medical Genetics, Charles University Second Medical School and University Hospital Motol, Prague, Czech Republic. marketa.havlovicova@lfmotol.cuni.cz FAU - Novotna, Drahuse AU - Novotna D FAU - Kocarek, Eduard AU - Kocarek E FAU - Novotna, Kamila AU - Novotna K FAU - Bendova, Sarka AU - Bendova S FAU - Petrak, Borivoj AU - Petrak B FAU - Hrdlicka, Michal AU - Hrdlicka M FAU - Sedlacek, Zdenek AU - Sedlacek Z 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 - Autistic Disorder/complications/*diagnosis/*genetics MH - Child MH - Chromosomes, Human, Pair 17/*genetics MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - *Mosaicism MH - Neurofibromatosis 1/complications/*diagnosis/*genetics MH - *Ring Chromosomes EDAT- 2006/12/14 09:00 MHDA- 2007/03/27 09:00 CRDT- 2006/12/14 09:00 PHST- 2006/12/14 09:00 [pubmed] PHST- 2007/03/27 09:00 [medline] PHST- 2006/12/14 09:00 [entrez] AID - 10.1002/ajmg.a.31569 [doi] PST - ppublish SO - Am J Med Genet A. 2007 Jan 1;143A(1):76-81. doi: 10.1002/ajmg.a.31569.