PMID- 18672103 OWN - NLM STAT- MEDLINE DCOM- 20090310 LR - 20111117 IS - 1878-0849 (Electronic) IS - 1769-7212 (Linking) VI - 51 IP - 6 DP - 2008 Nov-Dec TI - Complex constitutional subtelomeric 1p36.3 deletion/duplication in a mentally retarded child with neonatal neuroblastoma. PG - 679-84 LID - 10.1016/j.ejmg.2008.06.004 [doi] AB - Monosomy 1p36 is one of the most frequent subtelomeric microdeletion syndromes characterized by distinct craniofacial features and developmental delay/mental retardation. Other common symptoms include hypotonia, seizures, brain abnormalities, visual, auditory and heart defects. Neuroblastoma is a rare feature since to our knowledge only two patients with "pure" 1p36 deletion have been described. We report on a child with developmental delay and facial dysmorphy who developed neuroblastoma at 1 month of age. No primary site outside of the liver could be demonstrated and the tumour regressed spontaneously. Standard karyotyping was normal while subtelomeric screening using Multiplex Ligation-dependent Probe Amplification (MLPA) method revealed a constitutional de novo subtelomeric 1p36 deletion. Subsequent Agilent 244K oligonucleotide array-based comparative genomic hybridization (CGH) and fluorescence in situ hybridization (FISH) analysis showed a complex 1p36.3 deletion/duplication rearrangement. Among the best candidate genes predisposing to the development of neuroblastoma located in 1p36, the AJAP1 gene is the only gene present in the duplication while CHD5, TNFRSF25 and CAMTA1 are located outside of the rearrangement. Therefore, a gene-dosage effect involving a gene located in the duplication including AJAP1 might explain the neuroblastoma observed in our patient. The rearrangement might equally interfere with the expression of a gene located outside of it (including CHD5 located 1Mb away from the rearrangement) playing a role in the tumorigenesis. In conclusion, this study illustrates the complexity of such rearrangement characterized by array CGH and strengthens that constitutional 1p36.3 rearrangement predisposes to the development of neuroblastoma. FAU - Isidor, Bertrand AU - Isidor B AD - Service de Genetique Medicale, Centre Hospitalier Universitaire de Nantes, Nantes Cedex 1, France. FAU - Le Cunff, Martine AU - Le Cunff M FAU - Boceno, Michelle AU - Boceno M FAU - Boisseau, Pierre AU - Boisseau P FAU - Thomas, Caroline AU - Thomas C FAU - Rival, Jean-Marie AU - Rival JM FAU - David, Albert AU - David A FAU - Le Caignec, Cedric AU - Le Caignec C LA - eng PT - Case Reports PT - Journal Article DEP - 20080711 PL - Netherlands TA - Eur J Med Genet JT - European journal of medical genetics JID - 101247089 SB - IM MH - Chromosome Banding MH - *Chromosome Deletion MH - *Chromosomes, Human, Pair 1 MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Infant, Newborn MH - Infant, Newborn, Diseases/*genetics MH - Intellectual Disability/*genetics MH - Neuroblastoma/*genetics MH - *Telomere EDAT- 2008/08/02 09:00 MHDA- 2009/03/11 09:00 CRDT- 2008/08/02 09:00 PHST- 2007/12/07 00:00 [received] PHST- 2008/06/27 00:00 [accepted] PHST- 2008/08/02 09:00 [pubmed] PHST- 2009/03/11 09:00 [medline] PHST- 2008/08/02 09:00 [entrez] AID - S1769-7212(08)00075-X [pii] AID - 10.1016/j.ejmg.2008.06.004 [doi] PST - ppublish SO - Eur J Med Genet. 2008 Nov-Dec;51(6):679-84. doi: 10.1016/j.ejmg.2008.06.004. Epub 2008 Jul 11.