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Array Comparative Genomic Hybridization (Array CGH) for Detection of Genomic Copy Number Variants
Published on: February 21, 2015
Multiple congenital anomalies and developmental delay in a boy associated with a de novo 16p13.3 deletion
Marc Nelson1, Shane Quinonez, Todd Ackley
1Department of Otolaryngology, University of Michigan, Ann Arbor, USA.
Insights
A patient presented with multiple congenital anomalies, including developmental delay. Genetic analysis revealed a novel deletion on chromosome 16p13.3, potentially explaining the patient's complex condition.
Area of Science:
- Genetics
- Developmental Biology
- Medical Genetics
Background:
- Multiple congenital anomalies (MCA) represent a significant challenge in clinical genetics.
- Understanding the genetic underpinnings of MCA is crucial for diagnosis and counseling.
Observation:
- A patient exhibited a spectrum of congenital anomalies: tracheobronchomalacia, metopic craniosynostosis, hypospadias with chordee, torticollis, strabismus, clinodactyly, hallux valgus, and global developmental delay.
- High-resolution chromosomal microarray analysis detected a de novo 555 kb deletion on chromosome 16p13.3.
Findings:
- The identified deletion is located telomeric to the CREBBP gene and centromeric to the PKD1 gene.
- Literature review indicated limited overlap with previously reported deletions in this specific 16p13.3 region.
- Haploinsufficiency of candidate genes within the deleted region is hypothesized to cause the observed clinical features, with 18 genes remaining as likely contributors after CNV analysis.
Implications:
- This case expands the understanding of genotype-phenotype correlations for deletions in the 16p13.3 region.
- Identifies a specific deletion interval that may be associated with a distinct MCA syndrome.
- Highlights the utility of chromosomal microarray analysis in diagnosing complex congenital anomalies.
Abstract:
We describe a patient with multiple congenital anomalies including tracheobronchomalacia, CT-proven metopic craniosynostosis, glandular hypospadias and severe ventral chordee, torticollis, esotropia, strabismus, fifth finger clinodactyly, hallux valgus, and global developmental delay. Using high resolution chromosomal microarray analysis, we identified a de novo deletion of 555 kb on chromosome 16p13.3, 444 kb telomeric to the CREBBP gene and 623 kb centromeric of PKD1. Review of the literature revealed numerous reports of individuals with deletions involving adjacent regions including CREBBP, but only one overlapping with this isolated region of 16p13.3. Haploinsufficiency for one or more of the 25 candidate genes in the deleted genomic region may be responsible for these clinical features. No copy number variants (CNVs) span the entire region, but several small CNVs within the 555 kb genomic region reduce the likelihood for effects due to haploinsufficiency to 18 genes.
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