PMID- 21108392 OWN - NLM STAT- MEDLINE DCOM- 20110315 LR - 20211020 IS - 1552-4833 (Electronic) IS - 1552-4825 (Print) IS - 1552-4825 (Linking) VI - 152A IP - 12 DP - 2010 Dec TI - Recurrent interstitial 1p36 deletions: Evidence for germline mosaicism and complex rearrangement breakpoints. PG - 3074-83 LID - 10.1002/ajmg.a.33733 [doi] AB - Deletions of chromosome 1p36 are one of the most frequently encountered subtelomeric alterations. Clinical features of monosomy 1p36 include neurocognitive impairment, hearing loss, seizures, cardiac defects, and characteristic facial features. The majority of cases have occurred sporadically, implying that genomic instability plays a role in the prevalence of the syndrome. Here, we report two siblings with mild phenotypic features of the deletion syndrome, including developmental delay, hearing loss, and left ventricular non-compaction (LVNC). Microarray analysis using bacterial artificial chromosome and oligonucleotide microarrays indicated the deletions were identical, suggesting germline mosaicism. Parental phenotypes were normal, and analysis by fluorescence in situ hybridization (FISH) did not show mosaicism. These small interstitial deletions were not detectable by conventional subtelomeric FISH analysis. To investigate the mechanism of deletion further, the breakpoints were cloned and sequenced, demonstrating the presence of a complex rearrangement. Sequence analysis of genes in the deletion interval did not reveal any mutations on the intact homologue that may have contributed to the LVNC seen in both children. This is the first report of apparent germline mosaicism for this disorder. Thus, our findings have important implications for diagnostic approaches and for recurrence risk counseling in families with a child with monosomy 1p36. In addition, our results further refine the minimal critical region for LVNC and hearing loss. CI - (c) 2010 Wiley-Liss, Inc. FAU - Gajecka, Marzena AU - Gajecka M AD - Institute of Human Genetics, Polish Academy of Sciences, Poznan, Poland. FAU - Saitta, Sulagna C AU - Saitta SC FAU - Gentles, Andrew J AU - Gentles AJ FAU - Campbell, Lindsey AU - Campbell L FAU - Ciprero, Karen AU - Ciprero K FAU - Geiger, Elizabeth AU - Geiger E FAU - Catherwood, Anne AU - Catherwood A FAU - Rosenfeld, Jill A AU - Rosenfeld JA FAU - Shaikh, Tamim AU - Shaikh T FAU - Shaffer, Lisa G AU - Shaffer LG LA - eng GR - R01 GM081519/GM/NIGMS NIH HHS/United States GR - R01 GM081519-01/GM/NIGMS NIH HHS/United States GR - GM081519/GM/NIGMS NIH HHS/United States PT - Case Reports PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PL - United States TA - Am J Med Genet A JT - American journal of medical genetics. Part A JID - 101235741 RN - 9007-49-2 (DNA) SB - IM MH - Abnormalities, Multiple/diagnosis/genetics MH - Child, Preschool MH - *Chromosome Breakage MH - Chromosomes, Artificial, Bacterial/genetics MH - *Chromosomes, Human, Pair 1 MH - Comparative Genomic Hybridization MH - DNA/genetics MH - Developmental Disabilities/genetics MH - Female MH - Gene Rearrangement/genetics MH - Humans MH - In Situ Hybridization, Fluorescence MH - Infant MH - Microarray Analysis MH - Monosomy MH - *Mosaicism MH - Oligonucleotide Array Sequence Analysis MH - *Sequence Deletion MH - Syndrome PMC - PMC3058890 MID - NIHMS237251 EDAT- 2010/11/26 06:00 MHDA- 2011/03/16 06:00 PMCR- 2011/12/01 CRDT- 2010/11/26 06:00 PHST- 2010/11/26 06:00 [entrez] PHST- 2010/11/26 06:00 [pubmed] PHST- 2011/03/16 06:00 [medline] PHST- 2011/12/01 00:00 [pmc-release] AID - 10.1002/ajmg.a.33733 [doi] PST - ppublish SO - Am J Med Genet A. 2010 Dec;152A(12):3074-83. doi: 10.1002/ajmg.a.33733.