PMID- 20340098 OWN - NLM STAT- MEDLINE DCOM- 20100812 LR - 20220331 IS - 1552-4833 (Electronic) IS - 1552-4825 (Print) IS - 1552-4825 (Linking) VI - 152A IP - 5 DP - 2010 May TI - Insertional translocation detected using FISH confirmation of array-comparative genomic hybridization (aCGH) results. PG - 1111-26 LID - 10.1002/ajmg.a.33278 [doi] AB - Insertional translocations (ITs) are rare events that require at least three breaks in the chromosomes involved and thus qualify as complex chromosomal rearrangements (CCR). In the current study, we identified 40 ITs from approximately 18,000 clinical cases (1:500) using array-comparative genomic hybridization (aCGH) in conjunction with fluorescence in situ hybridization (FISH) confirmation of the aCGH findings, and parental follow-up studies. Both submicroscopic and microscopically visible IT events were detected. They were divided into three major categories: (1) simple intrachromosomal and interchromosomal IT resulting in pure segmental trisomy, (2) complex IT involving more than one abnormality, (3) deletion inherited from a parent with a balanced IT resulting in pure segmental monosomy. Of the cases in which follow-up parental studies were available, over half showed inheritance from an apparently unaffected parent carrying the same unbalanced rearrangement detected in the propositi, thus decreasing the likelihood that these IT events are clinically relevant. Nevertheless, we identified six cases in which small submicroscopic events were detected involving known disease-associated genes/genomic segments and are likely to be pathogenic. We recommend that copy number gains detected by clinical aCGH analysis should be confirmed using FISH analysis whenever possible in order to determine the physical location of the duplicated segment. We hypothesize that the increased use of aCGH in the clinic will demonstrate that IT occurs more frequently than previously considered but can identify genomic rearrangements with unclear clinical significance. CI - Copyright 2010 Wiley-Liss, Inc. FAU - Kang, Sung-Hae L AU - Kang SH AD - Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA. FAU - Shaw, Chad AU - Shaw C FAU - Ou, Zhishuo AU - Ou Z FAU - Eng, Patricia A AU - Eng PA FAU - Cooper, M Lance AU - Cooper ML FAU - Pursley, Amber N AU - Pursley AN FAU - Sahoo, Trilochan AU - Sahoo T FAU - Bacino, Carlos A AU - Bacino CA FAU - Chinault, A Craig AU - Chinault AC FAU - Stankiewicz, Pawel AU - Stankiewicz P FAU - Patel, Ankita AU - Patel A FAU - Lupski, James R AU - Lupski JR FAU - Cheung, Sau Wai AU - Cheung SW LA - eng GR - T32 GM007526/GM/NIGMS NIH HHS/United States PT - Journal Article PL - United States TA - Am J Med Genet A JT - American journal of medical genetics. Part A JID - 101235741 SB - IM MH - Adolescent MH - Child MH - Child, Preschool MH - Chromosome Deletion MH - Chromosomes, Human, Pair 3/*genetics MH - Chromosomes, Human, Pair 6/*genetics MH - Comparative Genomic Hybridization/*methods MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Infant MH - Infant, Newborn MH - Male MH - Mutagenesis, Insertional/*genetics MH - Reproducibility of Results MH - *Translocation, Genetic PMC - PMC3726029 MID - NIHMS442236 EDAT- 2010/03/27 06:00 MHDA- 2010/08/13 06:00 PMCR- 2013/07/29 CRDT- 2010/03/27 06:00 PHST- 2010/03/27 06:00 [entrez] PHST- 2010/03/27 06:00 [pubmed] PHST- 2010/08/13 06:00 [medline] PHST- 2013/07/29 00:00 [pmc-release] AID - 10.1002/ajmg.a.33278 [doi] PST - ppublish SO - Am J Med Genet A. 2010 May;152A(5):1111-26. doi: 10.1002/ajmg.a.33278.