PMID- 21134246 OWN - NLM STAT- MEDLINE DCOM- 20110810 LR - 20211020 IS - 1471-2431 (Electronic) IS - 1471-2431 (Linking) VI - 10 DP - 2010 Dec 6 TI - Frequency of 22q11.2 microdeletion in children with congenital heart defects in western poland. PG - 88 LID - 10.1186/1471-2431-10-88 [doi] AB - BACKGROUND: The 22q11.2 microdeletion syndrome (22q11.2 deletion syndrome -22q11.2DS) refers to congenital abnormalities, including primarily heart defects and facial dysmorphy, thymic hypoplasia, cleft palate and hypocalcaemia. Microdeletion within chromosomal region 22q11.2 constitutes the molecular basis of this syndrome. The 22q11.2 microdeletion syndrome occurs in 1/4000 births. The aim of this study was to determine the frequency of 22q11.2 microdeletion in 87 children suffering from a congenital heart defect (conotruncal or non-conotruncal) coexisting with at least one additional 22q11.2DS feature and to carry out 22q11.2 microdeletion testing of the deleted children's parents. We also attempted to identify the most frequent heart defects in both groups and phenotypic traits of patients with microdeletion to determine selection criteria for at risk patients. METHODS: The analysis of microdeletions was conducted using fluorescence in situ hybridization (FISH) on metaphase chromosomes and interphase nuclei isolated from venous peripheral blood cultures. A molecular probe (Tuple) specific to the HIRA (TUPLE1, DGCR1) region at 22q11 was used for the hybridisation. RESULTS: Microdeletions of 22q11.2 region were detected in 13 children with a congenital heart defect (14.94% of the examined group). Microdeletion of 22q11.2 occurred in 20% and 11.54% of the conotruncal and non-conotruncal groups respectively. Tetralogy of Fallot was the most frequent heart defect in the first group of children with 22q11.2 microdeletion, while ventricular septal defect and atrial septal defect/ventricular septal defect were most frequent in the second group. The microdeletion was also detected in one of the parents of the deleted child (6.25%) without congenital heart defect, but with slight dysmorphism. In the remaining children, 22q11.2 microdeletion originated de novo. CONCLUSIONS: Patients with 22q11.2DS exhibit wide spectrum of phenotypic characteristics, ranging from discreet to quite strong. The deletion was inherited by one child. Our study suggests that screening for 22q11.2 microdeletion should be performed in children with conotruncal and non-conotruncal heart defects and with at least one typical feature of 22q11.2DS as well as in the deleted children's parents. FAU - Wozniak, Anna AU - Wozniak A AD - Institute of Human Genetics, Polish Academy of Sciences, Poznan, Poland. wozniak_ania@interia.pl FAU - Wolnik-Brzozowska, Danuta AU - Wolnik-Brzozowska D FAU - Wisniewska, Marzena AU - Wisniewska M FAU - Glazar, Renata AU - Glazar R FAU - Materna-Kiryluk, Anna AU - Materna-Kiryluk A FAU - Moszura, Tomasz AU - Moszura T FAU - Badura-Stronka, Magdalena AU - Badura-Stronka M FAU - Skolozdrzy, Joanna AU - Skolozdrzy J FAU - Krawczynski, Maciej R AU - Krawczynski MR FAU - Zeyland, Joanna AU - Zeyland J FAU - Bobkowski, Waldemar AU - Bobkowski W FAU - Slomski, Ryszard AU - Slomski R FAU - Latos-Bielenska, Anna AU - Latos-Bielenska A FAU - Siwinska, Aldona AU - Siwinska A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20101206 PL - England TA - BMC Pediatr JT - BMC pediatrics JID - 100967804 RN - Chromosome 22, microdeletion 22 q11 SB - IM MH - Child MH - Child, Preschool MH - Chromosome Deletion MH - Chromosomes, Human, Pair 22/genetics MH - Female MH - *Gene Frequency MH - Genetic Predisposition to Disease MH - Heart Defects, Congenital/diagnosis/*genetics MH - Heart Septal Defects, Atrial/genetics MH - Heart Septal Defects, Ventricular/genetics MH - Humans MH - Infant, Newborn MH - Male MH - Poland/epidemiology MH - Risk Factors MH - Tetralogy of Fallot/genetics PMC - PMC3016365 EDAT- 2010/12/08 06:00 MHDA- 2011/08/11 06:00 PMCR- 2010/12/06 CRDT- 2010/12/08 06:00 PHST- 2010/08/30 00:00 [received] PHST- 2010/12/06 00:00 [accepted] PHST- 2010/12/08 06:00 [entrez] PHST- 2010/12/08 06:00 [pubmed] PHST- 2011/08/11 06:00 [medline] PHST- 2010/12/06 00:00 [pmc-release] AID - 1471-2431-10-88 [pii] AID - 10.1186/1471-2431-10-88 [doi] PST - epublish SO - BMC Pediatr. 2010 Dec 6;10:88. doi: 10.1186/1471-2431-10-88.