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Subtelomeric FISH analysis in 76 patients with syndromic developmental delay/intellectual disability
Elga F Belligni1, Elisa Biamino, Cristina Molinatto
1Dipartimento di Scienze Pediatriche, University of Torino, Torino, Italy. margherita.cirillosilengo@unito.it.
Italian Journal of Pediatrics
|June 4, 2009
Summary
Subtelomeric FISH analysis identified cryptic chromosomal anomalies in 13.16% of children with developmental delay or intellectual disability. Careful clinical evaluation aids in selecting patients for genomic analysis, improving detection rates.
Area of Science:
- Genetics
- Clinical Genetics
- Human Genetics
Background:
- Intellectual disability (ID) affects 1-3% of the population, with genetic factors implicated in half of cases.
- Cryptic subtelomeric aberrations are found in 5-7% of individuals with ID.
- The precise genetic causes of ID remain largely unknown.
Purpose of the Study:
- To investigate the utility of subtelomeric FISH analysis in identifying chromosomal anomalies in children with developmental delay or intellectual disability.
- To assess the role of clinical features in pre-selecting patients for genomic analysis.
Main Methods:
- Subtelomeric FISH analysis was performed on 76 unrelated children.
- Patients were selected based on normal standard karyotype, developmental delay or intellectual disability, and presence of congenital malformations and/or facial dysmorphisms.
Main Results:
- Ten cryptic chromosomal anomalies were detected, representing a 13.16% detection rate in the cohort.
- Eight anomalies were found in patients with developmental delay/intellectual disability, congenital malformations, and facial dysmorphisms.
- Two anomalies were identified in patients with developmental delay/intellectual disability and facial dysmorphisms only.
Conclusions:
- A thorough clinical examination is crucial for pre-selecting patients for genomic analysis, significantly increasing the detection rate of chromosomal anomalies.
- Observed clinical features align with emerging chromosome phenotypes, suggesting new clinical syndromes associated with specific genomic imbalances.
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