A girl with pervasive developmental disorder and complex chromosome rearrangement involving 8p and 10p

L Zwaigenbaum1, L K Sonnenberg, T Heshka

  • 1Pediatrics, Hamilton Health Sciences and McMaster University, Hamilton, Ont., Canada.

Insights

A rare complex chromosome rearrangement in a 4-year-old girl with pervasive developmental disorder (PDD) highlights potential genetic links. Aberrations in chromosomes 8p and 10p may contribute to developmental delays and distinctive facial features.

Area of Science:

  • Genetics
  • Developmental Biology
  • Clinical Medicine

Background:

  • Complex chromosome rearrangements (CCRs) are rare structural variations that can lead to diverse clinical phenotypes.
  • Pervasive developmental disorder (PDD) is a group of neurodevelopmental disorders characterized by difficulties in social interaction, communication, and behavior.
  • Velopharyngeal insufficiency (VPI) is a condition affecting speech, often associated with hypernasality.

Observation:

  • A 4-year-old girl presented with VPI, distinctive facial features (long face, broad nasal bridge, protuberant ears), bifid uvula, strabismus, and joint laxity.
  • She exhibited developmental delay, with language and cognitive skills significantly below average, meeting criteria for PDD.
  • Her karyotype revealed a de novo, apparently balanced CCR involving chromosomes 8 and 10: 46,XX, der(8)(10pter- >10pl2.32::8p12- >8qter), der(l0)(8pter- >8p21.3::10p12.32- >10p11.23::8p21.3- > 8p12::10p11.23- >l0qter).
  • Fluorescence in situ hybridization (FISH) analysis excluded microdeletions at 22q11.2 and 10p13p14.

Findings:

  • The CCR involved translocations and insertions between chromosome segments 8p12, 8p21.3, 10p11.23, and 10p12.32.
  • The patient displayed autistic behaviors, including poor eye contact, atypical communication, repetitive behaviors, and sensory processing difficulties.
  • The findings suggest a potential correlation between specific chromosomal aberrations at 8p12, 8p21.3, 10p11.23, and/or 10p12.32 and the development of PDD with associated cognitive and facial anomalies.

Implications:

  • This case underscores the importance of detailed cytogenetic analysis in diagnosing complex developmental disorders.
  • Identifying specific chromosomal regions involved in CCRs can improve our understanding of genotype-phenotype correlations in neurodevelopmental disorders.
  • Further research into these chromosomal regions may reveal novel genetic factors contributing to PDD and associated dysmorphic features.

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