PMID- 19793054 OWN - NLM STAT- MEDLINE DCOM- 20100126 LR - 20091001 IS - 1399-0004 (Electronic) IS - 0009-9163 (Linking) VI - 76 IP - 3 DP - 2009 Sep TI - Mild ring 17 syndrome shares common phenotypic features irrespective of the chromosomal breakpoints location. PG - 256-62 LID - 10.1111/j.1399-0004.2009.01203.x [doi] AB - Ring 17 syndrome is a rare disorder with clinical features influenced by the presence or deletion of the Miller-Dieker critical region (MDCR). Presence of the MDCR is associated with a mild phenotype, including growth delay (GD), mental retardation (MR), seizures, cafe au lait skin (CALS) spots and minor facial dysmorphisms. Previous studies have been mainly focused on this locus providing poor information about the role of other genes located on the p- and q-arms. Here, we used bacterial artificial chromosome (BAC)/P1 artificial chromosome (PAC) and fosmid clones as fluorescence in situ hybridization (FISH) probes to perform a cyto-molecular analysis of a ring 17 case and found that the breakpoints were close to the telomeric ends. METRNL is the sole gene located on the q-arm terminal end, whereas two open reading frames and the RPH3AL gene are located on the terminal p-arm. To detect possibly unrevealed small deletions involving the transcription units, we used subcloned FISH probes obtained by long-range polymerase chain reaction (PCR), which showed that the investigated regions were preserved. Comparing our findings with other reports, it emerges that different breakpoints, involving (or not) large genomic deletions, present overlapping clinical aspects. In conclusion, our data suggest that a mechanism based on gene expression control besides haploinsufficiency should be considered to explain the common phenotypic features found in the mild ring 17 syndrome. FAU - Surace, C AU - Surace C AD - Dipartimento dei Laboratori, U.O. Anatomia Patologica, Struttura Semplice di Citogenetica e Genetica Molecolare, Ospedale Pediatrico Bambino Gesu, 00165 Roma, Italy. cecilia.surace@opbg.net FAU - Piazzolla, S AU - Piazzolla S FAU - Sirleto, P AU - Sirleto P FAU - Digilio, M C AU - Digilio MC FAU - Roberti, M C AU - Roberti MC FAU - Lombardo, A AU - Lombardo A FAU - D'Elia, G AU - D'Elia G FAU - Tomaiuolo, A C AU - Tomaiuolo AC FAU - Petrocchi, S AU - Petrocchi S FAU - Capolino, R AU - Capolino R FAU - El Hachem, M AU - El Hachem M FAU - Claps Sepulveda, D AU - Claps Sepulveda D FAU - Sgura, A AU - Sgura A FAU - Angioni, A AU - Angioni A LA - eng PT - Journal Article PL - Denmark TA - Clin Genet JT - Clinical genetics JID - 0253664 SB - IM MH - Abnormalities, Multiple/*genetics/*pathology MH - Adolescent MH - Adult MH - Child MH - Child, Preschool MH - *Chromosome Breakage MH - Chromosomes, Human, Pair 17/*genetics MH - Facies MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Infant MH - Infant, Newborn MH - Karyotyping MH - Male MH - Phenotype MH - Physical Chromosome Mapping MH - *Ring Chromosomes MH - Syndrome EDAT- 2009/10/02 06:00 MHDA- 2010/01/27 06:00 CRDT- 2009/10/02 06:00 PHST- 2009/10/02 06:00 [entrez] PHST- 2009/10/02 06:00 [pubmed] PHST- 2010/01/27 06:00 [medline] AID - CGE1203 [pii] AID - 10.1111/j.1399-0004.2009.01203.x [doi] PST - ppublish SO - Clin Genet. 2009 Sep;76(3):256-62. doi: 10.1111/j.1399-0004.2009.01203.x.