PMID- 22302430 OWN - NLM STAT- MEDLINE DCOM- 20120604 LR - 20220316 IS - 1552-4833 (Electronic) IS - 1552-4825 (Linking) VI - 158A IP - 3 DP - 2012 Mar TI - Familial 4.8 MB deletion on 18q23 associated with growth hormone insufficiency and phenotypic variability. PG - 611-6 LID - 10.1002/ajmg.a.34221 [doi] AB - The deletion of the long arm of chromosome 18 causes a contiguous gene deletion syndrome with a highly variable phenotype, usually related to the extent of the deleted region. The most commonly reported clinical features include: decreased growth, microcephaly, facial abnormalities, hypotonia, developmental delay, intellectual disability, congenital aural atresia with hearing impairment and limb anomalies. Here we report on a familial terminal deletion of 18q23 region transmitted from a mother to two daughters, resulting in a remarkable phenotypic variability. The deletion was first detected by conventional cytogenetic analysis in one daughter and subsequently characterized using fluorescence in situ hybridization (FISH) and array-CGH. FISH analysis using subtelomeric 18p and 18q probes confirmed the 18qter deletion in the three patients, and FISH with a whole chromosome painting probe specific for chromosome 18 excluded rearrangements with other chromosomes. Array-CGH analysis allowed us to precisely define the extent of the deletion, which spans 4.8 Mb from 71,236,891 to 76,093,303 genomic positions and includes GALR1 and MBP genes, among others. High-resolution analysis of the deletion, besides a detailed clinical assessment, has provided important data for phenotype-genotype correlation and genetic counseling in this family. Furthermore, this study adds valuable information for phenotype-genotype correlation in 18q- syndrome and might facilitate future search for candidate genes involved in each phenotypic trait. CI - Copyright (c) 2012 Wiley Periodicals, Inc. FAU - Margarit, Ester AU - Margarit E AD - Biochemistry and Molecular Genetics, Hospital Clinic, Barcelona, Spain. margarit@clinic.ub.es FAU - Morales, Carme AU - Morales C FAU - Rodriguez-Revenga, Laia AU - Rodriguez-Revenga L FAU - Monne, Raquel AU - Monne R FAU - Badenas, Celia AU - Badenas C FAU - Soler, Anna AU - Soler A FAU - Clusellas, Nuria AU - Clusellas N FAU - Mademont, Irene AU - Mademont I FAU - Sanchez, Aurora AU - Sanchez A LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120202 PL - United States TA - Am J Med Genet A JT - American journal of medical genetics. Part A JID - 101235741 RN - 9002-72-6 (Growth Hormone) SB - IM MH - Body Height/genetics MH - Child MH - *Chromosome Deletion MH - *Chromosomes, Human, Pair 18 MH - Comparative Genomic Hybridization MH - Female MH - Growth Hormone/*deficiency MH - Humans MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - Phenotype EDAT- 2012/02/04 06:00 MHDA- 2012/06/05 06:00 CRDT- 2012/02/04 06:00 PHST- 2010/05/17 00:00 [received] PHST- 2011/05/23 00:00 [accepted] PHST- 2012/02/04 06:00 [entrez] PHST- 2012/02/04 06:00 [pubmed] PHST- 2012/06/05 06:00 [medline] AID - 10.1002/ajmg.a.34221 [doi] PST - ppublish SO - Am J Med Genet A. 2012 Mar;158A(3):611-6. doi: 10.1002/ajmg.a.34221. Epub 2012 Feb 2.