PMID- 7625444 OWN - NLM STAT- MEDLINE DCOM- 19950828 LR - 20081121 IS - 0148-7299 (Print) IS - 0148-7299 (Linking) VI - 56 IP - 2 DP - 1995 Mar 27 TI - Submicroscopic deletions at 22q11.2: variability of the clinical picture and delineation of a commonly deleted region. PG - 191-7 AB - DiGeorge anomaly (DGA) and velo-cardiofacial syndrome (VCFS) are frequently associated with monosomy of chromosome region 22q11. Most patients have a submicroscopic deletion, recently estimated to be at least 1-2 Mb. It is not clear whether individuals who present with only some of the features of these conditions have the deletion, and if so, whether the size of the deletion varies from those with more classic phenotypes. We have used fluorescence in situ hybridization (FISH) to assess the deletion status of 85 individuals referred to us for molecular analysis, with a wide range of DGA-like or VCFS-like clinical features. The test probe used was the cosmid sc11.1, which detects two loci about 2 Mb apart in 22q11.2. Twenty-four patients carried the deletion. Of the deleted patients, most had classic DGA or VCFS phenotypes, but 6 deleted patients had mild phenotypes, including 2 with minor facial anomalies and velopharyngeal incompetence as the only presenting signs. Despite the great phenotypic variability among the deleted patients, none had a deletion smaller than the 2-Mb region defined by sc11.1. Smaller deletions were not detected in patients with particularly suggestive phenotypes who were not deleted for sc11.1, even when tested with two other probes from the DGA/VCFS region. FAU - Lindsay, E A AU - Lindsay EA AD - Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA. FAU - Greenberg, F AU - Greenberg F FAU - Shaffer, L G AU - Shaffer LG FAU - Shapira, S K AU - Shapira SK FAU - Scambler, P J AU - Scambler PJ FAU - Baldini, A AU - Baldini A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Med Genet JT - American journal of medical genetics JID - 7708900 SB - IM MH - Abnormalities, Multiple/diagnosis/*genetics MH - Adolescent MH - Adult MH - Child MH - Child, Preschool MH - *Chromosome Deletion MH - Chromosome Mapping MH - *Chromosomes, Human, Pair 22 MH - DiGeorge Syndrome/diagnosis/*genetics MH - Face/abnormalities MH - Genetic Variation MH - Heart Defects, Congenital/genetics MH - Humans MH - In Situ Hybridization, Fluorescence MH - Infant MH - Infant, Newborn MH - Skull/abnormalities MH - Velopharyngeal Insufficiency/genetics EDAT- 1995/03/27 00:00 MHDA- 1995/03/27 00:01 CRDT- 1995/03/27 00:00 PHST- 1995/03/27 00:00 [pubmed] PHST- 1995/03/27 00:01 [medline] PHST- 1995/03/27 00:00 [entrez] AID - 10.1002/ajmg.1320560216 [doi] PST - ppublish SO - Am J Med Genet. 1995 Mar 27;56(2):191-7. doi: 10.1002/ajmg.1320560216.