PMID- 33062692 OWN - NLM STAT- MEDLINE DCOM- 20210510 LR - 20220417 IS - 2314-6141 (Electronic) IS - 2314-6133 (Print) VI - 2020 DP - 2020 TI - Screening of 22q11.2DS Using Multiplex Ligation-Dependent Probe Amplification as an Alternative Diagnostic Method. PG - 6945730 LID - 10.1155/2020/6945730 [doi] LID - 6945730 AB - BACKGROUND: The 22q11.2 deletion syndrome (22q11.2DS) is the most common form of deletion disorder in humans. Low copy repeats flanking the 22q11.2 region confers a substrate for nonallelic homologous recombination (NAHR) events leading to rearrangements which have been reported to be associated with highly variable and expansive phenotypes. The 22q11.2DS is reported as the most common genetic cause of congenital heart defects (CHDs). METHODS: A total of 42 patients with congenital heart defects, as confirmed by echocardiography, were recruited. Genetic molecular analysis using a fluorescence in situ hybridization (FISH) technique was conducted as part of routine 22q11.2DS screening, followed by multiplex ligation-dependent probe amplification (MLPA), which serves as a confirmatory test. RESULTS: Two of the 42 CHD cases (4.76%) indicated the presence of 22q11.2DS, and interestingly, both cases have conotruncal heart defects. In terms of concordance of techniques used, MLPA is superior since it can detect deletions within the 22q11.2 locus and outside of the typically deleted region (TDR) as well as duplications. CONCLUSION: The incidence of 22q11.2DS among patients with CHD in the east coast of Malaysia is 0.047. MLPA is a scalable and affordable alternative molecular diagnostic method in the screening of 22q11.2DS and can be routinely applied for the diagnosis of deletion syndromes. CI - Copyright (c) 2020 Sathiya Maran et al. FAU - Maran, Sathiya AU - Maran S AUID- ORCID: 0000-0001-5617-901X AD - Human Genome Centre, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia. AD - School of Pharmacy, Monash University, Jalan Lagoon Selatan 47500 Bandar Sunway Selangor Darul Ehsan, Malaysia. FAU - Faten, Siti Aisyah AU - Faten SA AUID- ORCID: 0000-0002-2454-493X AD - Human Genome Centre, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia. FAU - Lim, Swee-Hua Erin AU - Lim SE AD - Health Sciences Division, Abu Dhabi Women's College, Higher Colleges of Technology, 41012 Abu Dhabi, UAE. FAU - Lai, Kok-Song AU - Lai KS AD - Health Sciences Division, Abu Dhabi Women's College, Higher Colleges of Technology, 41012 Abu Dhabi, UAE. FAU - Ibrahim, Wan Pauzi Wan AU - Ibrahim WPW AD - Department of Paediatrics, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia. AD - Faculty of Medicine and Health Sciences, Universiti Sultan Zainal Abidin, 20400 Kuala Terengganu, Terengganu, Malaysia. FAU - Ankathil, Ravindran AU - Ankathil R AUID- ORCID: 0000-0003-3080-415X AD - Human Genome Centre, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia. FAU - Gan, Siew Hua AU - Gan SH AUID- ORCID: 0000-0001-6470-3651 AD - School of Pharmacy, Monash University, Jalan Lagoon Selatan 47500 Bandar Sunway Selangor Darul Ehsan, Malaysia. FAU - Tan, Huay Lin AU - Tan HL AUID- ORCID: 0000-0002-6670-2668 AD - Human Genome Centre, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia. LA - eng PT - Journal Article DEP - 20200928 PL - United States TA - Biomed Res Int JT - BioMed research international JID - 101600173 SB - IM MH - DiGeorge Syndrome/*diagnosis/epidemiology/*genetics MH - Female MH - Gene Deletion MH - Humans MH - In Situ Hybridization, Fluorescence MH - Incidence MH - Infant, Newborn MH - Malaysia MH - Male MH - Molecular Diagnostic Techniques/*methods MH - Multiplex Polymerase Chain Reaction/*methods MH - Pilot Projects PMC - PMC7539069 COIS- The authors declare that they have no conflict of interest. EDAT- 2020/10/17 06:00 MHDA- 2021/05/11 06:00 PMCR- 2020/09/28 CRDT- 2020/10/16 05:56 PHST- 2020/04/28 00:00 [received] PHST- 2020/06/06 00:00 [accepted] PHST- 2020/10/16 05:56 [entrez] PHST- 2020/10/17 06:00 [pubmed] PHST- 2021/05/11 06:00 [medline] PHST- 2020/09/28 00:00 [pmc-release] AID - 10.1155/2020/6945730 [doi] PST - epublish SO - Biomed Res Int. 2020 Sep 28;2020:6945730. doi: 10.1155/2020/6945730. eCollection 2020.