PMID- 17937435 OWN - NLM STAT- MEDLINE DCOM- 20080107 LR - 20200930 IS - 1552-4825 (Print) IS - 1552-4825 (Linking) VI - 143A IP - 22 DP - 2007 Nov 15 TI - Complex balanced translocation t(1;5;7)(p32.1;q14.3;p21.3) and two microdeletions del(1)(p31.1p31.1) and del(7)(p14.1p14.1) in a patient with features of Greig cephalopolysyndactyly and mental retardation. PG - 2738-43 AB - Complex chromosome rearrangements (CCRs) are rare structural abnormalities that involve at least two chromosomes and more than two breakpoints and are often associated with developmental delay, mental retardation, and congenital anomalies. We report on a de novo, apparently balanced translocation t(1;5;7)(p32.1;q14.3;p21.3) involving three chromosomes in a 7-year-old boy with severe psychomotor retardation, neonatal muscular hypertonia, congenital heart defect, polysyndactyly of hands and feet, and dysmorphic features resembling Greig cephalopolysyndactyly syndrome. Analysis of the chromosome breakpoints using fluorescence in situ hybridization (FISH) with locus-specific BAC clones and long-range PCR products did not identify chromosome imbalance at any of the interrogated regions. High-resolution comparative genomic hybridization (HR-CGH) and array CGH (aCGH) revealed two additional cryptic de novo deletions, del(1)(p31.1p31.1) and del(7)(p14.1p14.1), respectively, that are not associated with the translocation breakpoints. FISH and polymorphic marker analyses showed that the deletion on derivative chromosome 1 is between 4.2 and 6.1 Mb, and the deletion on derivative chromosome 7 is approximately 5.1 Mb, and that both are paternal in origin. The deletion on chromosome 7p encompasses the GLI3 gene that is causative for the Greig cephalopolysyndactyly, Pallister-Hall and some cases of Acrocallosal syndromes. We discuss the potential mechanisms of formation of the described CCR. CI - (c) 2007 Wiley-Liss, Inc. FAU - Borg, Katarzyna AU - Borg K AD - Department of Medical Genetics, Institute of Mother and Child, Warsaw, Poland. FAU - Nowakowska, Beata AU - Nowakowska B FAU - Obersztyn, Ewa AU - Obersztyn E FAU - Cheung, Sau Wai AU - Cheung SW FAU - Brycz-Witkowska, Joanna AU - Brycz-Witkowska J FAU - Korniszewski, Lech AU - Korniszewski L FAU - Mazurczak, Tadeusz AU - Mazurczak T FAU - Stankiewicz, Pawel AU - Stankiewicz P FAU - Bocian, Ewa AU - Bocian E 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 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 - Child MH - *Chromosome Deletion MH - Chromosomes, Human, Pair 1 MH - Chromosomes, Human, Pair 5 MH - Chromosomes, Human, Pair 7 MH - Cytogenetic Analysis MH - Humans MH - Male MH - Syndactyly/*genetics MH - Syndrome MH - *Translocation, Genetic EDAT- 2007/10/17 09:00 MHDA- 2008/01/08 09:00 CRDT- 2007/10/17 09:00 PHST- 2007/10/17 09:00 [pubmed] PHST- 2008/01/08 09:00 [medline] PHST- 2007/10/17 09:00 [entrez] AID - 10.1002/ajmg.a.32017 [doi] PST - ppublish SO - Am J Med Genet A. 2007 Nov 15;143A(22):2738-43. doi: 10.1002/ajmg.a.32017.