PMID- 27934799 OWN - NLM STAT- MEDLINE DCOM- 20170612 LR - 20220318 IS - 0971-5916 (Print) IS - 0971-5916 (Linking) VI - 144 IP - 2 DP - 2016 Aug TI - Subtelomeric rearrangements in Indian children with idiopathic intellectual disability/developmental delay: Frequency estimation & clinical correlation using fluorescence in situ hybridization (FISH). PG - 206-214 LID - 10.4103/0971-5916.195031 [doi] AB - BACKGROUND & OBJECTIVES: Subtelomeres are prone to deleterious rearrangements owing to their proximity to unique sequences on the one end and telomeric repetitive sequences, which increase their tendency to recombine, on the other end. These subtelomeric rearrangements resulting in segmental aneusomy are reported to contribute to the aetiology of idiopathic intellectual disability/developmental delay (ID/DD). We undertook this study to estimate the frequency of subtelomeric rearrangements in children with ID/DD. METHODS: One hundred and twenty seven children with idiopathic ID/DD were tested for subtelomeric rearrangements using karyotyping and FISH. Blood samples were cultured, harvested, fixed and GTG-banded using the standard protocols. RESULTS: Rearrangements involving the subtelomeres were observed in 7.8 per cent of the tested samples. Detection of rearrangements visible at the resolution of the karyotype constituted 2.3 per cent, while those rearrangements detected only with FISH constituted 5.5 per cent. Five deletions and five unbalanced translocations were detected. Analysis of parental samples wherever possible was informative regarding the inheritance of the rearrangement. INTERPRETATION & CONCLUSIONS: The frequency of subtelomeric rearrangements observed in this study was within the reported range of 0-35 per cent. All abnormal genotypes were clinically correlated. Further analysis with array technologies presents a future prospect. Our results suggest the need to test individuals with ID/DD for subtelomeric rearrangements using sensitive methods such as FISH. FAU - Mohan, Shruthi AU - Mohan S AD - Department of Human Genetics, Sri Ramachandra University, Porur, India. FAU - Koshy, Teena AU - Koshy T AD - Department of Human Genetics, Sri Ramachandra University, Porur, India. FAU - Vekatachalam, Perumal AU - Vekatachalam P AD - Department of Human Genetics, Sri Ramachandra University, Porur, India. FAU - Nampoothiri, Sheela AU - Nampoothiri S AD - Department of Paediatric Genetics, Amrita Institute of Medical Sciences, Kochi, India. FAU - Yesodharan, Dhanya AU - Yesodharan D AD - Department of Paediatric Genetics, Amrita Institute of Medical Sciences, Kochi, India. FAU - Gowrishankar, Kalpana AU - Gowrishankar K AD - Department of Medical Genetics, CHILDS Trust Medical Research Foundation, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, India. FAU - Kumar, Jeevan AU - Kumar J AD - Department of Medical Genetics, CHILDS Trust Medical Research Foundation, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, India. FAU - Ravichandran, Latha AU - Ravichandran L AD - Department of Paediatrics, Sri Ramachandra University, Porur, India. FAU - Joseph, Santhosh AU - Joseph S AD - Department of Radiology, Sri Ramachandra University, Porur, India. FAU - Chandrasekaran, Anupama AU - Chandrasekaran A AD - Department of Radiology, Sri Ramachandra University, Porur, India. FAU - Paul, Solomon F D AU - Paul SF AD - Department of Human Genetics, Sri Ramachandra University, Porur, India. LA - eng PT - Journal Article PL - India TA - Indian J Med Res JT - The Indian journal of medical research JID - 0374701 SB - IM MH - Adolescent MH - Child MH - Child, Preschool MH - Chromosome Aberrations MH - Developmental Disabilities/*genetics/pathology MH - Female MH - Gene Rearrangement/*genetics MH - Humans MH - In Situ Hybridization, Fluorescence/methods MH - Infant MH - Intellectual Disability/*genetics/pathology MH - Karyotype MH - Male MH - Telomere/*genetics PMC - PMC5206871 COIS- None. EDAT- 2016/12/10 06:00 MHDA- 2019/03/21 06:00 PMCR- 2016/08/01 CRDT- 2016/12/10 06:00 PHST- 2016/12/10 06:00 [entrez] PHST- 2016/12/10 06:00 [pubmed] PHST- 2019/03/21 06:00 [medline] PHST- 2016/08/01 00:00 [pmc-release] AID - IndianJMedRes_2016_144_2_206_195031 [pii] AID - IJMR-144-206 [pii] AID - 10.4103/0971-5916.195031 [doi] PST - ppublish SO - Indian J Med Res. 2016 Aug;144(2):206-214. doi: 10.4103/0971-5916.195031.