PMID- 27125413 OWN - NLM STAT- MEDLINE DCOM- 20170425 LR - 20170425 IS - 1875-6263 (Electronic) IS - 1028-4559 (Linking) VI - 55 IP - 2 DP - 2016 Apr TI - Prenatal diagnosis and molecular cytogenetic characterization of a de novo 4.858-Mb microdeletion in 15q14 associated with ACTC1 and MEIS2 haploinsufficiency and tetralogy of Fallot. PG - 270-4 LID - S1028-4559(16)00048-6 [pii] LID - 10.1016/j.tjog.2016.02.013 [doi] AB - OBJECTIVE: To present prenatal diagnosis and molecular cytogenetic characterization of a de novo 15q14 microdeletion associated with tetralogy of Fallot (TOF). MATERIALS AND METHODS: This was the first pregnancy of a 31-year-old primigravid woman. The pregnancy was uneventful until 23 weeks of gestation when TOF was first noted. The woman underwent amniocentesis at 23 weeks of gestation. Conventional cytogenetic analysis was performed using cultured amniocytes and parental bloods. Array comparative genomic hybridization (aCGH) was performed on uncultured amniocytes and parental bloods. Metaphase fluorescence in situ hybridization (FISH) was performed on cultured amniocytes. Quantitative fluorescent-polymerase chain reaction (QF-PCR) analysis was performed on placental tissue and parental bloods. RESULTS: Conventional cytogenetics on cultured amniocytes revealed a karyotype of 46,XY, aCGH on uncultured amniocytes revealed a de novo 4.858-Mb microdeletion in 15q14 encompassing ACTC1 and MEIS2, and metaphase FISH analysis on cultured amniocytes confirmed a 15q14 microdeletion. Postnatal phenotype included facial dysmorphism. QF-PCR assays detected a paternal origin of the 15q14 microdeletion in the fetus. CONCLUSION: Fetuses with 15q14 microdeletion may present TOF on the second-trimester ultrasound. aCGH and metaphase FISH are useful for rapid prenatal diagnosis of 15q14 microdeletion associated with TOF. A prenatal diagnosis of TOF should include a differential diagnosis of 15q14 microdeletion in addition to 22q11.2 deletion syndrome and other microdeletion syndromes. CI - Copyright (c) 2016. Published by Elsevier B.V. FAU - Chen, Chih-Ping AU - Chen CP AD - Department of Obstetrics and Gynecology, MacKay Memorial Hospital, Taipei, Taiwan; Department of Medical Research, MacKay Memorial Hospital, Taipei, Taiwan; Department of Biotechnology, Asia University, Taichung, Taiwan; School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan; Institute of Clinical and Community Health Nursing, National Yang-Ming University, Taipei, Taiwan; Department of Obstetrics and Gynecology, School of Medicine, National Yang-Ming University, Taipei, Taiwan. Electronic address: cpc_mmh@yahoo.com. FAU - Chen, Chen-Yu AU - Chen CY AD - Department of Obstetrics and Gynecology, MacKay Memorial Hospital, Taipei, Taiwan; Department of Medicine, MacKay Medical College, New Taipei City, Taiwan; MacKay Junior College of Medicine, Nursing and Management, Taipei, Taiwan. FAU - Chern, Schu-Rern AU - Chern SR AD - Department of Medical Research, MacKay Memorial Hospital, Taipei, Taiwan. FAU - Wu, Peih-Shan AU - Wu PS AD - Gene Biodesign Co. Ltd., Taipei, Taiwan. FAU - Chen, Yen-Ni AU - Chen YN AD - Department of Obstetrics and Gynecology, MacKay Memorial Hospital, Taipei, Taiwan. FAU - Chen, Shin-Wen AU - Chen SW AD - Department of Obstetrics and Gynecology, MacKay Memorial Hospital, Taipei, Taiwan. FAU - Chen, Li-Feng AU - Chen LF AD - Department of Obstetrics and Gynecology, MacKay Memorial Hospital, Taipei, Taiwan. FAU - Yang, Chien-Wen AU - Yang CW AD - Department of Medical Research, MacKay Memorial Hospital, Taipei, Taiwan. FAU - Wang, Wayseen AU - Wang W AD - Department of Medical Research, MacKay Memorial Hospital, Taipei, Taiwan; Department of Bioengineering, Tatung University, Taipei, Taiwan. LA - eng PT - Case Reports PT - Journal Article PL - China (Republic : 1949- ) TA - Taiwan J Obstet Gynecol JT - Taiwanese journal of obstetrics & gynecology JID - 101213819 RN - 0 (ACTC1 protein, human) RN - 0 (Actins) RN - 0 (Homeodomain Proteins) RN - 0 (MEIS2 protein, human) RN - 0 (Transcription Factors) SB - IM MH - Abnormalities, Multiple/genetics MH - Actins/*genetics MH - Adult MH - *Base Sequence MH - Chromosomes, Human, Pair 15 MH - Comparative Genomic Hybridization MH - Craniofacial Abnormalities/genetics MH - Female MH - Haploinsufficiency MH - Homeodomain Proteins/*genetics MH - Humans MH - Karyotyping MH - Pregnancy MH - *Sequence Deletion MH - Tetralogy of Fallot/diagnostic imaging/*genetics MH - Transcription Factors/*genetics MH - Ultrasonography, Prenatal OTO - NOTNLM OT - 15q14 microdeletion OT - ACTC1 OT - MEIS2 OT - prenatal diagnosis OT - tetralogy of Fallot EDAT- 2016/04/30 06:00 MHDA- 2017/04/26 06:00 CRDT- 2016/04/30 06:00 PHST- 2016/02/24 00:00 [accepted] PHST- 2016/04/30 06:00 [entrez] PHST- 2016/04/30 06:00 [pubmed] PHST- 2017/04/26 06:00 [medline] AID - S1028-4559(16)00048-6 [pii] AID - 10.1016/j.tjog.2016.02.013 [doi] PST - ppublish SO - Taiwan J Obstet Gynecol. 2016 Apr;55(2):270-4. doi: 10.1016/j.tjog.2016.02.013.