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Published on: February 3, 2012
Cri du Chat syndrome
1Paediatrics Department and Genetics Unit, S.Andrea Hospital, Vercelli, Italy. pcerruti@net4u.it
Insights
Cri du Chat syndrome (CdCS) is a genetic disorder caused by a deletion on chromosome 5p. Understanding genotype-phenotype correlations aids diagnosis and prognosis for this condition.
Area of Science:
- Genetics
- Molecular Biology
- Developmental Biology
Background:
- Cri du Chat syndrome (CdCS) is a genetic disorder caused by a deletion on the short arm of chromosome 5 (5p-).
- It affects approximately 1 in 15,000 to 50,000 live-born infants, presenting with characteristic features like a high-pitched cry, microcephaly, and intellectual disability.
- While malformations can occur, the primary focus is on the genetic basis and its phenotypic manifestations.
Purpose of the Study:
- To define a cytogenetic and phenotypic map of the 5p region.
- To investigate genotype-phenotype correlations for diagnostic and prognostic relevance.
- To identify candidate genes involved in the cerebral development and phenotypic changes associated with CdCS.
Main Methods:
- Molecular cytogenetic analysis, including array comparative genomic hybridization (aCGH).
- Quantitative polymerase chain reaction (PCR) to refine critical regions and characterize candidate genes.
- Karyotype analysis and Fluorescence In Situ Hybridization (FISH) for diagnostic confirmation.
Main Results:
- Genotype-phenotype correlation studies revealed significant clinical and cytogenetic variability.
- Refined critical regions on 5p using advanced molecular techniques.
- Identified potential candidate genes, including SEMAF, CTNND2, and hTERT, implicated in CdCS.
Conclusions:
- The identification of specific deletion sizes and types is crucial for diagnosis and prognosis in CdCS.
- Early intervention and educational support significantly improve outcomes for individuals with CdCS.
- Continued research into the critical regions and candidate genes will enhance understanding and management of the syndrome.
Abstract:
The Cri du Chat syndrome (CdCS) is a genetic disease resulting from a deletion of variable size occurring on the short arm of chromosome 5 (5p-). The incidence ranges from 1:15,000 to 1:50,000 live-born infants. The main clinical features are a high-pitched monochromatic cry, microcephaly, broad nasal bridge, epicanthal folds, micrognathia, abnormal dermatoglyphics, and severe psychomotor and mental retardation. Malformations, although not very frequent, may be present: cardiac, neurological and renal abnormalities, preauricular tags, syndactyly, hypospadias, and cryptorchidism. Molecular cytogenetic analysis has allowed a cytogenetic and phenotypic map of 5p to be defined, even if results from the studies reported up to now are not completely in agreement. Genotype-phenotype correlation studies showed a clinical and cytogenetic variability. The identification of phenotypic subsets associated with a specific size and type of deletion is of diagnostic and prognostic relevance. Specific growth and psychomotor development charts have been established. Two genes, Semaphorin F (SEMAF) and delta-catenin (CTNND2), which have been mapped to the "critical regions", are potentially involved in cerebral development and their deletion may be associated with mental retardation in CdCS patients. Deletion of the telomerase reverse transcriptase (hTERT) gene, localised to 5p15.33, could contribute to the phenotypic changes in CdCS. The critical regions were recently refined by using array comparative genomic hybridisation. The cat-like cry critical region was further narrowed using quantitative polymerase chain reaction (PCR) and three candidate genes were characterised in this region. The diagnosis is based on typical clinical manifestations. Karyotype analysis and, in doubtful cases, FISH analysis will confirm the diagnosis. There is no specific therapy for CdCS but early rehabilitative and educational interventions improve the prognosis and considerable progress has been made in the social adjustment of CdCS patients.
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