PMID- 17849500 OWN - NLM STAT- MEDLINE DCOM- 20080311 LR - 20071128 IS - 0197-3851 (Print) IS - 0197-3851 (Linking) VI - 27 IP - 12 DP - 2007 Dec TI - Prenatal diagnosis of a 9q34.3 microdeletion by array-CGH in a fetus with an apparently balanced translocation. PG - 1112-7 AB - OBJECTIVES: Use high-resolution genome analysis to clarify the genomic integrity in a fetus with a cytogenetically balanced translocation t(2;9)(q11.2;q34.3). METHODS: High resolution molecular cytogenetic analyses including G-banded chromosome analysis, fluorescence in situ hybridization (FISH), and array-comparative genomic hybridization (CGH) were performed on cultured cells, and DNA extracted from chorionic villus sample (CVS), amniotic fluid cells and fetal tissue. In addition, a custom fosmid-based tiling path 9q34.3 microarray with a resolution of 35-40 kb was used for array-CGH. RESULTS: GTG-banding analysis showed an apparently balanced de novo translocation between the long arms of chromosomes 2 and 9; t(2;9)(q11.2;q34.3). Array-CGH using a targeted chromosomal microarray analysis (CMA) uncovered a submicroscopic deletion of the subtelomeric region of 9q34.3 revealing the unbalanced nature of the rearrangement. These results were confirmed independently by FISH. The deletion was delimited to 2.7 Mb in size using the 9q34.3 fosmid-based tiling path array-CGH. CONCLUSION: Array-CGH is a powerful tool for rapid detection of genomic imbalances associated with microdeletion/duplication syndromes and for the evaluation of de novo apparently balanced translocation to enable high-resolution genomic analysis at the breakpoints. Prenatal diagnosis of chromosomal rearrangements involving dosage-sensitive genomic regions is an important adjuvant to prenatal care and provides more accurate information for counseling and informed decision making. CI - Copyright (c) 2007 John Wiley & Sons, Ltd. FAU - Simovich, Marcia J AU - Simovich MJ AD - Departments of Molecular & Human Genetics, Baylor College of Medicine, Houston, TX, USA. FAU - Yatsenko, Svetlana A AU - Yatsenko SA FAU - Kang, Sung-Hae L AU - Kang SH FAU - Cheung, Sau Wai AU - Cheung SW FAU - Dudek, Martha E AU - Dudek ME FAU - Pursley, Amber AU - Pursley A FAU - Ward, Patricia A AU - Ward PA FAU - Patel, Ankita AU - Patel A FAU - Lupski, James R AU - Lupski JR LA - eng GR - HD24064/HD/NICHD NIH HHS/United States GR - P01 HD39420/HD/NICHD NIH HHS/United States PT - Case Reports PT - Journal Article PT - Research Support, N.I.H., Extramural PL - England TA - Prenat Diagn JT - Prenatal diagnosis JID - 8106540 SB - IM MH - Adult MH - *Chromosome Deletion MH - *Chromosomes, Human, Pair 9 MH - Female MH - Fetus/*ultrastructure MH - Humans MH - Nucleic Acid Hybridization/*methods MH - Pregnancy MH - Prenatal Diagnosis/*methods MH - *Translocation, Genetic EDAT- 2007/09/13 09:00 MHDA- 2008/03/12 09:00 CRDT- 2007/09/13 09:00 PHST- 2007/09/13 09:00 [pubmed] PHST- 2008/03/12 09:00 [medline] PHST- 2007/09/13 09:00 [entrez] AID - 10.1002/pd.1841 [doi] PST - ppublish SO - Prenat Diagn. 2007 Dec;27(12):1112-7. doi: 10.1002/pd.1841.