PMID- 31297990 OWN - NLM STAT- MEDLINE DCOM- 20200629 LR - 20210110 IS - 2324-9269 (Electronic) IS - 2324-9269 (Linking) VI - 7 IP - 8 DP - 2019 Aug TI - A rare mosaic 22q11.2 microdeletion identified in a Chinese family with recurrent fetal conotruncal defects. PG - e847 LID - 10.1002/mgg3.847 [doi] LID - e847 AB - BACKGROUND: 22q11 deletion syndrome (22qDS) is caused by deletion of chromosome region 22q11.2. However, mosaic cases with 22q11.2 deletion syndrome (22q11.2DS) are rarely reported. METHODS: Chromosomal microarray analysis (CMA) and fluorescence in situ hybridization fluorescence in situ hybridization (FISH) were performed to analyze the copy number alterations. Clinical examinations related to 22q11.2DS were performed on the carrier in this family. RESULTS: A healthy female in a Chinese family with a history of two pregnancies with conotruncal defects, one with pulmonary atresia (PA) and another with Tetralogy of Fallot (TOF) was recruited in this study. CMA revealed that the fetus with TOF has a microdeletion on the 22q11.2 locus, and his mother was further confirmed a somatic mosaicism of 22q11.2 microdeletion by interphase FISH. Somatic mosaic 22q11.2 deletion in the mother was validated in the metaphase lymphocytes. Clinical examinations related to 22q11.2DS showed that the mother had hypocalcemia and low percentages of CD4 + T helper cells. The family history of recurrent fetal conotruncal defects and genetic results demonstrated the inherited possibility of maternal germline mosaicism of the 22q11.2 microdeletion. CONCLUSION: Our report was the first case in a Chinese family to present that a somatic and suspected gonadal mosaicism of the 22q11.2 microdeletion in female causes recurrent fetal conotruncal defects. CI - (c) 2019 The Authors. Molecular Genetics & Genomic Medicine published by Wiley Periodicals, Inc. FAU - Chen, Weicheng AU - Chen W AD - Cardiovascular Center, Children's Hospital of Fudan University, Shanghai, China. FAU - Li, Xiaodi AU - Li X AD - Cardiovascular Center, Children's Hospital of Fudan University, Shanghai, China. FAU - Sun, Liqun AU - Sun L AD - Department of Ultrasound, International Peace Maternity and Children Health Hospital, Shanghai, China. FAU - Sheng, Wei AU - Sheng W AUID- ORCID: 0000-0003-0145-3258 AD - Cardiovascular Center, Children's Hospital of Fudan University, Shanghai, China. AD - Shanghai Key Laboratory of Birth Defects, Shanghai, China. FAU - Huang, Guoying AU - Huang G AD - Cardiovascular Center, Children's Hospital of Fudan University, Shanghai, China. AD - Shanghai Key Laboratory of Birth Defects, Shanghai, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190711 PL - United States TA - Mol Genet Genomic Med JT - Molecular genetics & genomic medicine JID - 101603758 RN - Shprintzen Golberg craniosynostosis SB - IM MH - Adult MH - Arachnodactyly MH - Craniosynostoses MH - DiGeorge Syndrome/*diagnosis/genetics MH - Female MH - Fetus/diagnostic imaging/pathology MH - Gene Dosage MH - Humans MH - In Situ Hybridization, Fluorescence MH - Marfan Syndrome MH - Medical History Taking MH - *Mosaicism MH - Pedigree MH - Pregnancy MH - Prenatal Diagnosis MH - Pulmonary Atresia/diagnosis/*genetics/pathology MH - Tetralogy of Fallot/diagnosis/*genetics/pathology PMC - PMC6687652 OTO - NOTNLM OT - 22q11.2 microdeletion syndrome OT - chromosomal microarray analysis OT - fluorescence in situ hybridisation OT - mosaic fetal conotruncal defects COIS- The authors declare that they have no competing interests. EDAT- 2019/07/13 06:00 MHDA- 2020/07/01 06:00 PMCR- 2019/07/11 CRDT- 2019/07/13 06:00 PHST- 2019/03/17 00:00 [received] PHST- 2019/06/10 00:00 [revised] PHST- 2019/06/17 00:00 [accepted] PHST- 2019/07/13 06:00 [pubmed] PHST- 2020/07/01 06:00 [medline] PHST- 2019/07/13 06:00 [entrez] PHST- 2019/07/11 00:00 [pmc-release] AID - MGG3847 [pii] AID - 10.1002/mgg3.847 [doi] PST - ppublish SO - Mol Genet Genomic Med. 2019 Aug;7(8):e847. doi: 10.1002/mgg3.847. Epub 2019 Jul 11.