PMID- 25339348 OWN - NLM STAT- MEDLINE DCOM- 20150818 LR - 20200930 IS - 1552-4833 (Electronic) IS - 1552-4825 (Linking) VI - 167A IP - 1 DP - 2015 Jan TI - Ring 18 molecular assessment and clinical consequences. PG - 54-63 LID - 10.1002/ajmg.a.36822 [doi] AB - Ring chromosome 18 is a rare condition which has predominantly been described by case reports and small case series. We assessed a cohort of 30 individuals with ring 18 using both microarray comparative genomic hybridization (aCGH) and fluorescence in situ hybridization (FISH). We determined that each participant had a unique combination of hemizygosity for the p and q arms. Four ring chromosomes had no detectable deletion of one of the chromosome arms using aCGH. However, two of these ring chromosomes had telomeric sequences detected using FISH. These data confirm the importance of molecular and cytogenetic analysis to determine both chromosome content and morphology. We failed to find dramatic changes in mosaicism percentage between cytogenetic measurements made at the time of diagnosis and those made years later at the time of this study, demonstrating that dynamic ring mosaicism is unlikely to be a major cause of phenotypic variability in the ring 18 population. Lastly, we present data on the clinical features present in our cohort, though the extreme genotypic variability makes it impossible to draw direct genotype-phenotype correlations. Future work will focus on determining the role of specific hemizygous genes in order to create individualized projections of the effect of each person's specific ring 18 compliment. CI - (c) 2014 Wiley Periodicals, Inc. FAU - Carter, Erika AU - Carter E AD - Department of Pediatrics, University of Texas Health Science Center, San Antonio, Texas. FAU - Heard, Patricia AU - Heard P FAU - Hasi, Minire AU - Hasi M FAU - Soileau, Bridgette AU - Soileau B FAU - Sebold, Courtney AU - Sebold C FAU - Hale, Daniel E AU - Hale DE FAU - Cody, Jannine D AU - Cody JD LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141022 PL - United States TA - Am J Med Genet A JT - American journal of medical genetics. Part A JID - 101235741 RN - Chromosome 18 ring SB - IM MH - Behavior MH - Chromosome Breakage MH - Chromosomes, Human, Pair 18/genetics MH - Comparative Genomic Hybridization MH - *Cytogenetic Analysis MH - Humans MH - Mosaicism MH - Phenotype MH - Ring Chromosomes OTO - NOTNLM OT - chromosome 18 OT - mosaicism OT - ring chromosome 18 EDAT- 2014/10/24 06:00 MHDA- 2015/08/19 06:00 CRDT- 2014/10/24 06:00 PHST- 2014/04/04 00:00 [received] PHST- 2014/09/12 00:00 [accepted] PHST- 2014/10/24 06:00 [entrez] PHST- 2014/10/24 06:00 [pubmed] PHST- 2015/08/19 06:00 [medline] AID - 10.1002/ajmg.a.36822 [doi] PST - ppublish SO - Am J Med Genet A. 2015 Jan;167A(1):54-63. doi: 10.1002/ajmg.a.36822. Epub 2014 Oct 22.